Patient's Query
Hello doctor,
I am a 33-year-old male recently diagnosed HIV (human immunodeficiency virus) positive during a routine check. My viral load is 42,000 copies per millilitre of blood, and my CD4 (cluster of differentiation 4) count is 380 cells per cubic millimetre. I have been started on a combination of Dolutegravir, Tenofovir, and Lamivudine. I tolerate it well, but sometimes experience mild nausea and fatigue. Please tell me,
How soon should I expect my viral load to become undetectable?
Are there specific foods or supplements that might interfere with my antiretroviral therapy?
How often should I repeat viral load testing in the first year?
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
At 33 years old, with a viral load of 42,000 copies per millilitre of blood and a CD4 (cluster of differentiation 4) count of 380 cells per cubic millimetre, you are starting antiretroviral therapy (ART) at a good time.
The combination of antiviral drugs like Dolutegravir, Tenofovir, and Lamivudine is one of the most effective and well-tolerated first-line regimens. Most people who take their medication daily without missing doses achieve an undetectable viral load (below 50 copies per milliliter within three to six months, although some may take slightly longer depending on individual response and baseline viral load.
Mild nausea and fatigue are common early side effects that usually improve over the first few weeks. It is important to avoid taking Dolutegravir with calcium, iron, magnesium, or zinc supplements (including multivitamins or antacids) at the same time, as these can reduce its absorption; if needed, take them at least two hours before or six hours after your ART (anti-retroviral therapy) dose.
CD4 count is usually checked every six to twelve months once stable. Please continue taking your medication daily and inform your doctor if nausea or fatigue worsen, as adjustments or supportive treatment can help.
I hope this information helps you.
Feel free to ask further queries.
Thank you.
Was this conversation helpful?
Answered byDr. Ashraf Ghani
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Sudden nausea in 29th week of pregnancy. How to feel better?
Tenofovir-Induced Nephrotoxicity - Risk Factors, Complications, Diagnosis, and Treatment
Emtricitabine and Tenofovir - Uses, Warnings, Side Effects, Dosage, and More
HIV Testing and Its Prevention
HIV or AIDS and Other Sexually Transmitted Diseases in Geriatric Patients
Have nausea and vomiting any association with Unwanted 72?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.