Treatment

Truvada: Troubles Ahead?

published: August, 10, 2012 Categories // As Prevention , Health, Treatment, Opinion Pieces

Dave R writes...the use of Truvada as an HIV prevention tool, PrEP, has caused waves of excitement in many quarters but is it a case of premature exhilaration, leading to unwanted consequences!

Truvada: Troubles Ahead?

Sometimes a sort of HIV-related sixth sense kicks in and you get that feeling in your water that the latest advance regarding prevention and treatment just doesn’t ring true. Do you feel that occasionally? This story about Truvada, being used as a prevention tool, (PrEP) just gives me the chills. It’s as if they just haven’t taken into account the foibles of human nature when it comes to doing what you’re supposed to do. Let me start by disclaiming. I’m not a doctor but I have been

World Hepatitis Day is July 28

published: July, 28, 2012 Written by // CATIE - HIV and Hep C Info Resource Categories // CATIE, Health, CATIE - HIV and Hep C Info Resource, Treatment

CATIE weighs in with different takes on access to hepatitis C treatment .

World Hepatitis Day is July 28

This article first appeared on the CATIE website. Une version française est disponible ici.  If healing to a large extent means making people feel whole again, then looking at the whole person may be the most effective way to heal. That is the idea behind some innovative Canadian programs that are addressing the needs of people living with or at risk of contracting hepatitis C. Toronto’s South Riverdale Community Health Centre (SRCHC) is one such place where caring for a client means at

HIV in Canada in 2012 – a Report Card

published: July, 19, 2012 Written by // Bob Leahy - Publisher Categories // International AIDS Conference , Activism, Conferences, As Prevention , Health, Sexual Health, International , Legal, Treatment, Living with HIV, Opinion Pieces, Bob Leahy - Publisher

Worth crowing about – or cringe-worthy? On the eve of the much awaited International AIDS Conference in Washington, Bob Leahy files a personal report card on the state of our response to HIV in Canada in 2012.

HIV in Canada in 2012 – a Report Card

Since the last International AIDS Conference in Vienna in 2010, the landscape has changed significantly.  Two years ago, for instance, HPTN 052 was not even in our collective vocabulary.  Now it’s ubiquitous, and the issues it raised – the promise of a 96% reduction in transmission rates for those on treatment (although it’s not quite that simple) are a principal focus of AIDS 2012, as they should be. But where is Canada on this and other recent advances – and are we slipping from ou

Another take on Adherence

published: July, 10, 2012 Categories // Health, Treatment, Living with HIV

Danny Miller weighs in with a report on his unintended treatment interruption – and how he dealt with the consequences.

You know how your doctor is always harping on you to make sure you take your HIV meds at the same time every day, and to make sure you take them every day, and to make sure you get your refills on time so you don’t run out of meds and have to go without them for any length of time? And you know how you have been like "Yea yea yea, I take them, I get the refills, get off my back, geez, what’s the big deal?"  Don’t deny it, we have all done this. Some doctors have said it’s not a big d

Adherence, Adherence, Adherence.

published: July, 03, 2012 Categories // Health, Treatment, Living with HIV, Opinion Pieces

MT O’Shaughnessy asks how much room for failure is there in the perfect world of HIV med compliance, and ponders on the choices between “100% and death” where we’re told exists no grey zone.

Stretching as I head outside to get some good old fashioned air, aka a smoke, I realize that I’ve not looked at the time for a bit.  And with the practiced ease of a member of the North American urban tribe, I check my phone.  And it hits me.  I’m late.  There is this moment wherein I am sometimes reminded that no matter how many targeted messages I see, broadcast through almost Stepford Wife-ish smiles of Absolutely Fine Futures, or how many campaigns are run, it really isn’t ‘j

Pain Management

published: July, 01, 2012 Written by // Guest Authors - Revolving Door Categories // Alternative Therapies, Health, Treatment, Revolving Door, Guest Authors

Guesting naturopathic doctor Timothy Swift on ways to make the pain go away

Pain Management

“I feel your pain” is often the response from friends when you share an ache or discomfort you are having.  But what is pain?  I am here to tell you pain manifests as different things to different people for different reasons.  My pain is not your pain nor vice versa.  SImilar perhaps, but not likely the same cause and effect.  I want to offer you some insight into pain and solutions that you can implement today.  I also invite you to check out my website for more information on pa

Treatment Benefits For All?

published: June, 27, 2012 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Health, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV

CATIE’s James Wilton explores the use of HIV treatment to reduce the risk of HIV transmission. Do the personal and public health benefits coincide or clash?

Treatment Benefits For All?

This article by James Wilton first appeared in The Positive Side, a publication of CATIE. Une version française est disponible ici.   The journal Science named it the breakthrough of 2011 and Time magazine ranked it among its Top 10 medical breakthroughs of the year, so you may have heard of the term “treatment as prevention” by now. If not, we can fill you in. It has at its core the idea that HIV treatment can reduce the risk of HIV transmission, and it is set to mark a historic shif

Testing and Treatment as Prevention for Couples

published: June, 20, 2012 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Health, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV

CATIE: WHO guidelines encourage couples HIV testing and counselling and use of antiretroviral treatment for prevention.

Testing and Treatment as Prevention for Couples

This article by James Wilton first appeared on the CATIE website here.   Une version française est disponible ici.   In Canada, an estimated 83% of new HIV infections in 2008 occurred through sexual transmission, either among men who have sex with men (47%) or heterosexual men and women (36%). Among both groups a large number of these sexual HIV transmissions likely took place in the context of intimate relationships. However, HIV prevention efforts in Canada focus mostly on changing th

Ten News Items That Have Made Me Happy During the Past Month

published: June, 19, 2012 Written by // Guest Authors - Revolving Door Categories // Activism, Health, International , Treatment, Revolving Door, Guest Authors, Opinion Pieces

Guest post from Nelson Vergel. “While taking a shower this morning, I counted a few of the great pieces of news that have come our way amidst all the negative news that the media dwells on to increase ratings.”

Ten News Items That Have Made Me Happy During the Past Month

This article first appeared on TheBody.com here   These past several weeks have been great on many fronts. While taking a shower this morning, I counted a few of the great pieces of news that have come our way amidst all the negative news that the media dwells on to increase ratings. 1. Obama supports gay marriage. Do I need to say more? This statement to the world will have ripple effects on many levels. I was more surprised when the NAACP (National Association for the Advancement of Colo

Belt AND Suspenders?

published: June, 12, 2012 Categories // As Prevention , Health, Treatment, Living with HIV, Sex and Sexuality

Treatment as prevention inevitably raises the issue of how much protection is enough. Ken Monteith says “there are governments in this country who would like the rule to be disclosure, undetectable viral load AND condom.”

Belt AND Suspenders?

In 2008, the Swiss Federal Commission for HIV/AIDS issued a statement, distilled from an extensive literature review and much discussion, that can be summarized as follows: "An HIV-infected person on antiretroviral therapy with completely suppressed viraemia (“effective ART”) is not sexually infectious, i.e. cannot transmit HIV through sexual contact." This, as long as the person continues to follow effective anti-retroviral therapy, regularly evaluated by a physician, has maintained a s

The New Frontier

published: June, 09, 2012 Written by // Guest Authors - Revolving Door Categories // Gay Men, As Prevention , Health, Revolving Door, Treatment, Guest Authors, Opinion Pieces, Population Specific , Sex and Sexuality

The case for new solutions. “HIV prevention, like most American entities, has failed to adopt tactics that are sustainable in the long term to keep people uninfected” says this PrEP user

The New Frontier

This article was first published in My PrEP Experience, formerly a project of Chicago’s LifeLube.  My PrEP Experience  is a site featuring real stories submitted by people who have chosen to use PrEP as one way to protect themselves from HIV. Republished with permission. by anon, San Franciso [name withheld for now] "Prevention, PrEP, the whole damn thing — it all boils down to the human impulse to have sex without condoms. Thirty years into an epidemic, that’s still hard to talk ab

Antiretroviral therapy may be stabilising HIV epidemic in Danish gay men

published: June, 08, 2012 Categories // As Prevention , Research, Health, Treatment, Revolving Door, Guest Authors

New Danish research, aidsdmap reports, suggests stabilising of the epidemic in that country is due to antiretroviral therapy rather than changes in sexual behaviour

Antiretroviral therapy may be stabilising HIV epidemic in Danish gay men

This article by Michael Carter originally published by NAM/www.aidsmap.com is republished with permission. The use of antiretroviral treatment appears to have stabilised the HIV epidemic in Danish gay men, even though rates of risky sex have increased, research published in the online edition of the Journal of Acquired Immune Deficiency Syndromes suggests. “While unsafe sex among MSM [men who have sex with men] has increased substantially and the number of HIV-positive MSM living in Denma

The Advantages of Once Daily Dosing

published: June, 06, 2012 Written by // Bob Leahy - Publisher Categories // OHTN OHTN/PositiveLite.com, Features and Interviews, Research, Health, Treatment, Living with HIV, Bob Leahy - Publisher

When it comes to adherence (taking medications as prescribed and not missing doses) do HIVers do better on regimes requiring only one dose a day? The Ontario HIV Treatment Network (OHTN) Cohort Study (OCS) has the answers.

The Advantages of Once Daily Dosing

Photo © Joyb0218 | Dreamstime.com   Bob Leahy writes: I’ll try not to salivate at the prospect of one dose a day.  But I was diagnosed in 1993. In 1995-96 I took part in the clinical trial of  the first of the protease inhibitors, saquinavir, quickly becoming resistant to that class of drugs because of suboptimal doses that were prescribed back then. Like it or not, past resistance issues, even in the most adherent of us, tend to lead to multiple drug cocktails. Until recently I was o

Views from the front lines: Pre-exposure prophylaxis

published: June, 01, 2012 Written by // Guest Authors - Revolving Door Categories // CATIE, Health, Sexual Health, Treatment, Revolving Door, Guest Authors, Opinion Pieces, Sex and Sexuality

CATIE asked four people who work within the HIV community to give their pesrpectuves on Pre-exposure Prophylaxis (PrEP).

Views from the front lines: Pre-exposure prophylaxis

This article first appeared in Prevention in Focus , Spring 2011 edition, a publication of CATIE.  Une version française est disponible ici.  We spoke to four people with very different perspectives on PrEP. Dr. Mark Tyndall—Professor of Medicine, University of Ottawa Dr. Peter A. Newman—Associate Professor, Faculty of Social Work, University of Toronto Canada Research Chair in Health and Social Justice Jody Jollimore—Program Manager, Health Initiative for Men, Vancouver, Brit

Our Series on Neuropathy – Part Three

published: May, 26, 2012 Categories // Health, Treatment, Living with HIV

Guest writer and neuropathy expert Dave R. on “How Neuropathy Is Currently Treated.”

Our Series on Neuropathy – Part Three

It is probably best to be brutally honest here: neuropathy is essentially nerve damage and as of writing, there is no cure for nerve damage and nerves where the cells are dead cannot be repaired. Anyone who claims to be able to "cure" your neuropathy is exaggerating at best! That said, many of the worst aspects of neuropathy, and that means the symptoms, can be helped or alleviated, so that life becomes more bearable. Doctors may also tell you that some forms of neuropathy can be cured but th

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