Face HIV with Dr. Watiti
My drugs were recently changed of late and it worries me. I had
failed on Triomune and so was put on second line drugs (Alluvia,
Tenofovir and Didanosine) when my CD4 count was just 6 cells/ml.
Now it has risen to 360 cells/ml and I feel fine. However, my
doctor says the drugs may hurt me in future and has put me on
Alluvia, Lamivudine and Tenofovir. Am I safe?
In HIV/AIDS care and treatment, patient monitoring is very
important. In many cases, it is better to be pro-active and
prevent adverse effects of drugs instead of waiting for them to
happen and then intervene.
That is most likely why your doctor has changed your drug regimen
when you are apparently doing well on it. There is now evidence
that when Tenofovir and Didanosine are used together, they affect
one�s CD4 cells adversely and start to reduce, making one
vulnerable to attacks by opportunistic infections.
This may not have happened to you yet but now armed with this
knowledge, your regimen must be changed.
However, care has to be taken when putting you on Lamivudine
because the Triomune on which you failed also contains the same
drug together with Nevirapine and Stavudine and you may be
resistant to it.
You should, however, adhere to your new drugs well until the CD4
count is checked again in six months� time to see if the new
regimen is working well.