Forum on Managing Side Effects of HIV Treatment: I need a new HIV treatment regimen

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		I need a new HIV treatment regimen Jun 26, 2009 Hi Dr Henry, I'm at a point where I need to change my treatment regimen. I'm resistant to only viracept at this point but I've taken crixivan back in the day and had to stop due to side effects. I broke out in a head to toe rash from Atripla. I've recently had to stop Truvada, Norvir and Lexiva due to liver problems. I'm coinfected with HIV/HCV. My tcells are mid 200's, my viral load was undetectable before I stopped this about three weeks ago. I'm no longer concerned with the amount of pills but with the least amount of side effects possible. What would you recommend? I meet with my ID doc 7/20 to discuss new options and I want to be informed when I go. Thanks for your help


Advertisement Response from Dr. Henry You need to get a resistance profile including a Trofile (CCR5) assay. A regimen including some combination of a different boosted PI (such as darunavir), an alternative NNRI (such as etravirine), and integrase inhibitor (such as raltegravbir), and/or mariviroc (if Trofile assay shows CCR5 virus)would likely suppress your virus and it is likely some combination would be reasonably tolerated. KH Want to read more questions and answers on this subject? Our experts have answered many similar questions!

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