However, there are several concerns about
anti-retroviral regimens:
-
The drugs can have serious side effects and
long-term complications.
-
Regimens can be complicated, requiring
patients to take several pills at various
times during the day.
-
If patients miss doses, drug resistance can
develop.
-
Anti -retroviral drugs are costly – according
to UNAIDS, the cost is $519 for low income
countries, and $2389 for middle income
countries per person per year - so the
majority of the world's infected individuals
do not have access to the medications and
treatments.
Because of these issues, the prescription of
HAART is often delayed as long as possible. The
current guidelines for anti-retroviral therapy
from the World Health Organization recommend
that anti-retroviral therapy should start when a
patient's CD4 count drops below 200/mm3, or an
AIDS defining illness is diagnosed. The HIV/AIDS
Bureau (HAB) of the U.S. Health Resources and
Services Administration states that
anti-retroviral therapy should begin when the
CD4 cell count is between 200 and 350/mm3.
(B)
Immune Modulators
Another possible treatment modality is to
strengthen the immune response of people
infected with HIV with Immune Modulators. There
are perhaps five Immune Modulators in
development for HIV/AIDS that are in Phase II
trials.
Ever since AIDS entered the public
consciousness, various forms of alternative
medicine have been used to treat its symptoms.
The clinical effects of these dietary
supplements and other treatments are, for the
most part, undocumented and unproven.