Kidney disease can be an important cause of serious illness in people living with HIV. Possible causes include risk factors such as high blood pressure and diabetes; the damage caused by untreated HIV infection; and the side-effects of some anti-HIV drugs. Researchers have looked at the impact of starting HIV treatment on the risk of kidney disease. They monitored kidney function in over 3300 people between 1996 and 2009. It was found that kidney disease was less likely to develop in people who started HIV treatment than in those who did not. Good increases in CD4 cell count and an undetectable viral load were associated with an especially low risk of kidney disease. Some HIV drugs were associated with the risk of kidney disease, specifically tenofovir and ritonavir. However, the risk was low, and kidney disease was generally mild and occurred in only 6% of people during an average of four years of treatment. Effective anti-retroviral therapy (ART) lowered the cialis buy risk of chronic kidney disease (CKD).

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