The basic message

• Learn about HIV testing options and choose one that fits your needs! Be sure your privacy is protected!
• If you’re positive, don’t panic. If you make your health a priority, chances are you will be reasonably healthy for many years.
• Learn about your health care options and local support services.
• Get a complete physical and blood tests for CD4 count & HIV level. Repeat quarterly and watch for trends. Women should get GYN exams and Pap tests every six months, more often if abnormal. Get HIV resistance tests as needed.
• Work with a doctor to develop a long-term strategy for managing HIV disease.
• If the CD4 count is below 350 or falling rapidly, consider starting HIV therapy. Test at least twice before taking action.
• If HIV therapy fails to reduce your HIV level below the “limit of detection” or below 5,000 copies within 3–6 months, consider a different or more aggressive therapy.
• If the CD4 count trend stays below 300, consider treatment for preventing PCP. If it stays below 200, start treatment for preventing PCP (if you haven’t already done so) and reconsider HIV therapy if not on one. Learn about drug interactions and preventive treatments for opportunistic infections.
• If you started preventive therapies and your CD4 count rises in response to HIV therapy, ask your doctor whether it might be safe to stop certain preventive therapies.
• If your CD4 count stays below 75, consider more frequent blood work—perhaps even monthly. Consider therapies for preventing MAC / MAI and CMV.
• Regularly seek support for your personal, spiritual and emotional needs. It takes more than medicines to keep you well.