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CASE 3
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CASE 3. 34 yo woman, HIV+ 2003 (diagnosed during pregnancy); CD4 789, VL 304 2003-04: Combivir, nevirapine 2010-11: “ (pregnancy #2) 06/2011: Atripla (post-preg) 01/2012: LFTs, need to d/c ARVs. CASE 3 .
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CASE 3
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CASE 3 • 34 yo woman, HIV+ 2003 (diagnosed during pregnancy); CD4 789, VL 304 • 2003-04: Combivir, nevirapine • 2010-11: “ (pregnancy #2) • 06/2011: Atripla (post-preg) • 01/2012: LFTs, need to d/c ARVs
CASE 3 • Wanted to stop ARVs and wait for LFTs to normalize before initiating new therapy • d/c ARVs, Rx Combivir x 7 days • What if you wanted to make an immediate switch from Atripla? (e.g., CNS effects)
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