New HIV Guidelines – When to Start Treatment?

The British HIV Association (BHIVA) issues a number of guidelines for the treatment of HIV and related illnesses. These are used by clinicians as the starting point for treatment decisions, though of course, each individual case needs to be treated on its merits – everybody’s HIV experience is different. In the latest treatment guidelines, BHIVA recommends […]

Access to NHS HIV Treatment and Care

Until now, non-documented migrants and non-UK nationals have not automatically been entitled to free HIV treatment in England, unlike treatment for other infectious and sexually transmitted diseases. The Department of Health announced a change of policy, citing the public health benefits of HIV treatment and its ability to prevent onward transmission. The new rules are likely to […]

Efavirenz and Pregnancy

Until now, it was advised that efavirenz, a widely-used anti-retroviral drug for the treatment of HIV, be avoided during pregnancy. New draft UK guidelines on the treatment of HIV in pregnancy no longer recommend that efavirenz (Sustiva, also part of the combination pill Atripla) should be avoided by pregnant women and women hoping to become pregnant. This means that women […]

Increased risk of anal cancer

Thanks to improvements in HIV treatment and care, the outlook for many HIV-positive patients is now for a near normal lifespan. However, HIV-positive patients appear more likely to develop certain malignancies, including anal cancer, compared to their HIV-negative peers. A recent, large US study has found that the rate of anal cancer was significantly higher for […]

HIV treatment reduces risk of bone fractures

With the right treatment and care, the outlook for most people living with HIV is excellent. However, there is a decrease seen in bone mineral density in patients with HIV. The exact causes are uncertain, but may include the HIV infection itself or the effects of antiretroviral therapy. Some studies have shown that patients taking HIV […]

HIV treatment reduces risk of bone fractures

With the right treatment and care, the outlook for most people living with HIV is excellent. However, there is a decrease seen in bone mineral density in patients with HIV. The exact causes are uncertain, but may include the HIV infection itself or the effects of antiretroviral therapy. Some studies have shown that patients taking HIV […]

Kidney Disease and Tenofovir

Tenofovir is a widely-used anti-retroviral drug used in the treatment of HIV. It is very effective, and doesn’t cause the severe side-effects seen with some of the older HIV drugs. Anecdotally, there has been a long-standing concern that in a small minority of patients, tenofovir can lead to some problems with kidney function. Up till […]

Alcohol increases desire for sex without condoms

This is something we might all have expected to be the case, but now, systematic study has shown that it is indeed so. Alcohol consumption has an impact on the intention of individuals to have unprotected sex, according to the results of a systematic review and meta-analysis published in the journal Addiction. “The higher the blood […]