HIV/AIDS :LONG TERM USE OF ARV MEDICINES ? COMPLICATIONS BUT NO CHOICE: VIRUS UN DETECTABLE BUT PERSIST IN BODY -USE MEDICINE IN STRICT MEDICAL GUIDANCE OF A TEAM OF EXPERTS-NO SHAME / NO DISCRIMINATION-STIGMA.

PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST 
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA 
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HIV /AIDS IS ONLY CONTROLLED BY ARV MEDICINES BT HTESE MEDICINES HAVE VEY MUCH SIDE EFFECTS AND IF WE STUDY PATIENTS TAKING THESE MEDICINES MORE THAN 2O YRS OR MORE WE FOUND THAT SOME MEDIICNES HAS PRODUCES agonising skin rashes,Dementia,mental depression,sucidal tendency, severe neuropathy,diarrhoea,vomiting,jaundice,lipidostrophy,raised cholesterol level, sever heart attacks and severe anaemia and paralysis and features of kidney failure, extreme weakness and secondary infections,THESE WERE MORE WITH PAST MEDICINES as DDI,DTC,Stavdine,Levovudine,Zidovudine ,Nevirapine,Efavirenz (many still used IN INDIA /AFRICA ART CENTRES AS FIRST LINE DRUGS)THAN NEWER ADDED MEDICINES BUT STILL THERE IS NO CHOICE AS EVEN IN TWO BONE MARROW TRANSPLANTED TOTLLY AVIREMIC PATIENTS WHERE VIRUS OF HIV WAS NOT DETECTABLE IN BLOOD FOR TWO YEARS BUT IS DETECTABLE NOW SO VIRS NEVER DIES AND PERSIST .SO TAKING ARV IS A MUST BUT BY AN EXPERT TEAM OF DOCTORS COMPRISING PHYSICIAN,PSYATRIST, NEUROLOGIST,COUNSELLOR, RELATIVES AND PATIENTS WITH EXPERT OF DERMA /HAEMATOLGY AND GI & NEPHRO EXPERTS
One patients writes as follows:----I have been on anti-HIV meds since 1994. I have had HIV definitely for thirty years and probably more. I religiously took HAART; nonetheless, I developed debilitating neuropathy that caused pain, weakness and recurring paralysis. I often was so weak I couldn't open doors. In addition to neuropathy, I developed excruciatingly painful pancreatitis and liver inflammation as a direct result of taking Viread for which I was put on a morphine drip for a week in hospital. It bothers me that the anti-HIV meds have dangerous and annoying side effects. Doctors tell us that side effects are not experienced by most people. What they don't tell you is that the longer you take the meds the more likely it becomes you will experience side effects. I refuse to take protease inhibitors because of their effect on cholesterol levels. I have had friends who had fatal heart attacks because of uncontrollable cholesterol levels. I had a heart attack several years ago due to elevated cholesterol levels and high blood pressure. I also refuse to take Combivir, because a component of that drug contains a chemical that affects the kidneys. I have developed liver and kidney issues over the years I think due to the meds.I am angry that most people believe HIV and AIDS is no longer a problem because of the advent of HAART. Granted, we the infected no longer die quickly; but, we, particularly those who have had HIV longer than twenty years, do develop diseases as a result of the poor control of hidden HIV and the effects of taking anti-HIV meds. A cure for HIV and AIDS, no matter what science tells us, is not in the immediate future. 
My belief that the antiretrovirals are dangerous and should be taken with caution has had consequences for me. I tried not taking any antiretrovirals and developed septic shock for which I was hospitalized with kidney failure. My beliefs changed after that and I began taking Truvada and half the recommended dosage of Isentress. My HIV levels increased and my CD4 percentage dropped. I began taking the recommended dose of Isentress and my viral load dropped and my CD4 percentage increased. My viral load is now about 50,000; and, my CD4s are at 475 which has been my normal level for over twenty years. Being HIV positive for thirty years and more, I no longer have a horror of elevated HIV loads. Granted, I have HIV-related dementia and HIV-related depression as well as other problems that were triggered by HIV in my body such as hemochromatosis and bi-polar disorder. But, as research has shown, as a long-term infected, I would probably have developed those conditions regardless of whether or not I took antiretrovirals.

I was worried that I was passively suicidal in my desire to reduce my exposure to antiretrovirals so I sought the assistance of an HIV/AIDS-experienced psychologist to explore that issue. After a year of work, both he and I concluded that while I have passive suicidal ideation due to depression, I have no desire to use avoidance of antiretrovirals as a means of hurting myself.If you ask your IDS about reducing the possible side effects of anti-HIV meds he will discourage you from reducing your drug load. That advice is a good medical opinion that should be followed as much as you feel comfortable. You know your body. Make your own decisions about the meds and discuss them with your doctor. I have chosen quality of life and my doctor reluctantly agrees. I neither condone nor urge you to make my decision.
More importantly recent studies of which I was a subject have shown that HIV doesn't sicken people by infecting CD4 cells as much as the virus' attempt to infect sleeper cells, which releases chemicals that cause cells to self-destruct. This self-destruction leads to complications such as early-onset dementia, heart disease, cancer and debilitating arthritis. The HIV meds do little to control the reservoirs of HIV that hide out in the sleeper cells located throughout the body. THAT IS WHY ITS UNDETECTIBILITY DOES NOT GURANTEE ONE THAT HE IS CURED OF DISEASE SO ONE SHOULD NEVER STOP MEDICINES BUT SHOLD CONTINUE OF COURSE IF COMPLICATIONS OCCUR THEN ONE HAS TO CHANGE MEDICINES AND USE MEDICINES TO CONTROL COMPLICATIONS WITH PSYCHOSOCIAL AND ECONOMICAL SUPPORT TO PATIENT AND FAMILY AS DEPRESSION AND SUCIDAL TENDENCY ARE VERY COMMON.