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Q: 

l am taking meds for the first time...

A: Response from Dr. Young Hello Rodney, Thanks for your post and very kind words. Your doctor''s plan is a reasonable one. While nevirapine (Viramune) is FDA-approved as a twice-daily medication, it is widely dosed once-daily (2 tablets, 400 mg total). Normally, this is a very well tolerated regimen for first-line treatment, if your CD4 count is above 250 (for women) or 400 (for men), nevirapine isn''t recommended in the US, because of increased risk of liver toxicity. Another common side effect of nevirapine is rash- we''ll closely monitor patients initiating nevirapine for these side effects. All patients who received tenofovir (part of Truvada) should have baseline and subsequent screening for kidney health. In patients with significant baseline kidney disease...


Q: 

US internship and first-line medication

A: Response from Dr. Wohl Most of the questions you ask, you will end up answering yourself as the fog surrounding a new diagnosis of HIV starts to lift. The most important thing is how you are feeling. If you are feeling well, that is the most important thing. Can you go to NY? China and India? Why not? If you felt you were well enough to go the day before you found out you are HIV+, why not the day after? Certainly, if you need to start meds right away (there are few HIV treatment emergencies - it can often wait a few months) you will need to plan. After a few months of therapy you will know if it is working well and that you are tolerating it. There are several choices regarding initial therapy. Given your wayward tendencies a medication that needs refrigeration is probably unwise....


Q: 

first meds/fosamprenavir

A: Response from Dr. Young Thanks for your post. If one follows US treatment guidelines, the most highly recommended regimens are AZT/3TC (Combivir) or tenofovir/FTC (Truvada) with either efavirenz (Sustiva, Stocrin) or lopinavir/ritonavir (Kaletra). Because treatment guidelines often lag behind practice habits, it''s important to know that among the nukes, all of the fixed-dose combinations, Combivir, Truvada and abacavir/3TC (Epzicom) are most frequently used, with a nod to the once-daily Truvada and Epzicom in terms of recently initiated combos. Among the PIs, Kaletra''s use had declined in recent months in favor of the use of once-daily combos with either atazanavir (Reyataz) or ritonavir-boosted fosamprenavir (Lexiva). The availability of the new tablet formuation of Kaletra will offer...


Q: 

Diabetes, Type 2 - Does anyone know the first signs of charcot foot? Initially I thought I had?

A: 18 Jul 2011 I suffer from diabetic feet, have swelling in both my feet but its due to water retention which is called edema. Charcot foot is a condition causing weakening of the bones in the foot that can occur in people who have significant nerve damage (neuropathy). The bones are weakened enough to fracture, and with continued walking the foot eventually changes shape. As the disorder progresses, the joints collapse and the foot takes on an abnormal shape, such as a rocker-bottom appearance. Charcot foot is a very serious condition that can lead to severe deformity, disability, and even amputation. Because of its seriousness, it is important that patients with diabetes—a disease often associated with neuropathy—take preventive measures and seek immediate care if signs or...


Q: 

What should you do first if you find an unconscious child?

A: Make sure the child is not loosing a lot of blood and they are breathing. Apply appropriate first aid and get help quickly!...
Q: 

I kissed a girl, first on the lips, and then deep french kissing, and she is HIV +, do i get HIV ?

A: i do believe any exchange of bodily fluids if you have hiv in your blood stream dont you think saliva could be considered a bodily fluid.it runs tru out you whole system By the transitive property of Algebra.... YES! you can only catch it if her blood gets into your system or if you drink about 2 liters of her saliva I GUESS ONLY IF U HAD A CUT AND SHE HAD A CUT AND IT SOME HOW BLED INTO YOUR CUT OR IF U SWALLOWED SOME OF HER SPIT OR SHE ACCIDENTALL THREW UP IN YOUR MOUTH **** I DONT KNOW Open-mouth kissing is considered a very low-risk activity for the transmission of HIV. However, prolonged open-mouth kissing could damage the mouth or lips and allow HIV to pass from an infected person to a partner and then enter the body through cuts or sores in the mouth. Almost certainly, no. HIV is...


Q: 

Does anyone no any good sleep remedidies have sleeping tablets but want to try other things first really tired

A: Tablets, pills are no good...tried them all....but I then put them all in the bin...and I still have not slept , only on rare occasions. I have tried everything., and look at me on here now and its 3.30am so that tells you. I have got past caring about sleep now because if I did it would take over the rest of my life....and I am not about letting that happen...I try hot milk sometimes with a scatter of Weetabix on the top, and that does it for me on a few occasions...but who cares no one, so whats the point of getting worried Hi When I was a child and couldn''t get to sleep, I used to shout downstairs to my mum, don''t worry she called, lay on the edge of the bed, you''ll soon drop off. Ray. West York''s. U.K. Yeah listening to music always does it for me I barley get through 2 songs and I...


Q: 

I'm getting ready to snort heroin for the first time. What can I expect?

A: Moron, do you think it''s funny to joke about s#$t like that ?? Go on add to the burden that others families and friends have had to suffer and I''m not talking just about the user. just throw away all and everything just for a quick little buzz , be quicker to jump under a truck don''t you think. My friend overdosed on that **** when he was 28. You can expect poor coordination, loss of appetite, nausea and vomiting, sores, tremors, hair loss, and eventually death. Those are just a few of the things he went through. you might as well kill yourself now! friggen retard! The begining of the end of your life. Expect to believe the rumors. It really will ruin your life. That in a few days you''ll be giving your butt away for money to pay for the habit. a real long road down slumville. it will...


Q: 

Does weight increase after first two weeeks of exercise?

A: Don''t worry so much about calorie intake as much as portion size... Don''t skip any meals.... 3 oz. of protein/meat, lean, like skinless chicken, turkey, loin type, fish, beans and lentils, veggies and fruit as well as 100% whole grains bread, pasta rice or cereals with each meal, Dairy is also important at least 3 servings of low fat or skim milk, yogurt or cheese, aids in losing fat. Drinks lots of water instead of presweetened drinks like soda, 100% fruits drinks are also good. (Avoid all drinks with high fructose corn syrup)!!!! Dried fruits, nuts, seeds, raisins in small quantities are great snacks. Smaller portions is the key as well as a regular exercise program, even if it''s staggered throughout the day! Cut out all fast foods, fried foods, sweet or...


Q: 

What Are The Effects Of A Spider Bite? How Does One Administer first..

A: It is always important to note, if one has been bitten by a spider, the kind of spider that has bitten and if possible to catch it safely as most spider bites require different treatment and as venomous spiders can generally be recognized by their distinct markings. The black widow spider of South and North America has a red hourglass design on its back or underside, the red back spider and the funnel web spider of Australia is shiny black with prominent fangs while the violin spider has violin shaped marking on its back. The immediate effects of a spider bite are pain and redness and in certain cases are marked by two puncture marks. Allergic reactions include weakness, nausea and difficulty in respiration; most spider venoms are toxins that attack the nervous system and numbness...


 
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