Welcome to Short Scoops in HIV

In this asynchronous online activity, we will be exploring timely clinical topics related to caring for people living with HIV.

Current Session: Weight Gain After Switching ARTs
Runs from October 30, 2019 – November 30, 2020

Active Participation (which includes the opportunity to receive CE credit) is limited to the first 15 healthcare professionals who register.



Weight Gain After Switching ARTs

Consider the Following Case:

Amanda, a 46-year-old African American female, presents to your office for a follow-up visit.  She was diagnosed with HIV 10 years ago and has been doing well on a regimen of TDF/FTC/EFV with consistent viral suppression. In the past, she has declined a switch off efavirenz (EFV). She presents today and is ready to discuss a change. After a discussion, you both decide to change her regimen to TAF/FTC and DTG. She switches and has no tolerability issues.

Amanda returns in 1 month for a follow-up visit and complains that her clothes are tight and she has noticed a 10-pound weight gain since she started taking the regimen.

Data:

  • BP 128/80 mmHg
  • CD4 count-800 cells/mm3
  • HIV viral load-< 20 copies/mL

Questions for Discussion:

  1. Amanda asks if you think the new regimen is causing her weight gain. How do you counsel her?
  2. Would you switch her regimen? If so, to what?

Welcome to Short Scoops in HIV

In this asynchronous online activity, we will be exploring timely clinical topics related to caring for people living with HIV.


Rapid Start in the Naïve Patient

No Longer Available for Credit



Consider the Following Case:
Martin, a 34-year-old African American male, presents after being diagnosed with HIV.  He has no past medical history.  He takes a multivitamin daily and for occasion heartburn he takes over the counter antacids including Tums and Rolaids. He was diagnosed at his primary care provider’s office 2 days prior and he was sent to you for evaluation/treatment. The testing was done as part of routine primary care. His last HIV test was 2 years ago and it was negative.  He is currently asymptomatic.

Data:

  • BP: 110/70 mmHg
  • HIV antigen/antibody screening test: reactive
  • HIV antibody-reactive
  • Labs drawn and pending including HIV-1 genotype
  • Pt is ready to start treatment

Questions for Discussion:

  1. Would you start him on treatment today prior to his lab work coming back?
  2. What treatment option would you start and why?