HIV/HBV treatment in Delhi ART Clincs

[Guest guest]

Dear Forum,

My friend, who is newly diagnosed with HIV, starts his ARV treatment

(3TC+d4T+NVP) in one of Delhi's ART Clinic. He is also HBV positive and his HBV

VL is >50,000, LFT is within the range. His CD4 is 22 when he starts ARV and is

responding well, he gain 10 kgs within 3 weeks after ARV (from 60 to 70 kgs.)

Some doctors says he doesn't need to be on TDF, while some says he needs to be

on TDF in addition to 3TC otherwise soon he will develop 3TC resistance.

What would be the ideal or the right treatment (considering his HIV and HBV) for

persons like him? Is 3TC only is enough or do he needs to adds TDF in order to

control his HBV? Is his ARV regimen is OK or not? Any guideline or

guidance?Please advice.

Rregards,

Loon Gangte

e-mail: dnpplus@...