Re: Querry: Second line treatment of HIV

[Guest guest]

Dear Forum,

Re: /message/7270

Sarabjit has written this HELP mail on the 16th of May seeking details of second

line treatment of HIV.

It's almost a month and nobody in the forum so far has responded to his query.

(I am not sure if anybody has written in his Private email id).

Many of us must be practising clinicians or people who are strong in ART. Here

is one person running a helpline and I believe he must be getting lot of calls

from people are worried that may be they are resistent to the first line drugs

and wants to know what is there as second line.

Since, we cannot wait for NACO probably some of us would like to start by

ourselves. If at all we have to start we would like to know how much will it

cost and so on.

We have been seeing so many intellectuals writing about second line and all in

this forum. Many analytical and critical articles or isuues are being brought

up. Can somebody also enlighten all of us on this through the forum?

Sarabjit runs a helpline and we can imagine the number of people that must have

hanging up without complete information since 16th may or before that.

Regards

Giten

e-mail: <gitenkh@...

[Guest guest]

Dear FORUM,

The selection of second line is bit complicated and it depends on the history

and details of medicines which patient was on. Ideally second line drug should

be selected with an available viral resistance study-which is very expensive a

difficult to get done in India.

Some body who was on standard WHO/NACO first line can be put on

Tenofovir /Abacavir +DDI +Retonavir boosted lopinavir or saquinavir.

Remember all these drugs are costly and associated with side effects and need

close supervision.

Most of the second line drugs are available in India now

Probably no doctors tried to respond to this query because it is too complicated

question to be answered through a simple mail and before providing response

through help line it will be better to contact a doctor who is well worse in

second line therapy.

Dr Ajithkumar.K

Trichur. Kerala

E-MAIL: <ajisudha@...>