
Treating HIV
Treating HIV
Antiretroviral treatment (ART) means taking antiretroviral drugs, sometimes called antiretrovirals or ARVs. These medications help to prevent the HIV virus from making copies of itself, which keeps HIV at very low levels in your body, protecting your immune system. Taking these ART drugs carefully as prescribed will allow someone living with HIV to stay healthy and live a long, active and fulfilling life.
People with HIV should start treatment straight away if they can, but some people may need time to process their diagnosis before they feel ready. The team at QPP can help you with support and information to get yourself ready to begin your treatment, if you need it. We can also help link you to a great doctor to find out what HIV medication is best for you, if you don’t already have one.
Viral load
Your viral load is how many copies of the HIV virus are in your blood. The aim of HIV treatment is to lower your viral load and then to keep it as low as possible. Your doctor will routinely do a test to check your viral load, and make sure the medication you are taking is right for you.
CD4 count
Your CD4 count is a good way to gauge the strength of your immune system. CD4 cells are an important part of your immune system, and are attacked by the HIV virus. When you start taking ART treatment the number of CD4 cells you have (your CD4 count) will go up. A CD4 count over 500 is a sign that your immune system is healthy. If you were feeling ill because of HIV, you should start to feel better as your CD4 count reaches or is over 500.
If you find out you have HIV after a long time, or were not in the position to start treatment straight away, you may already have a low CD4 count. This means that the strength of your immune system is probably quite low and you’re more vulnerable to other infections. Starting ART immediately will protect you from getting sick and over time your CD4 count will go up again.
Some people may find out they have HIV after they have already got an opportunistic infection. These are illnesses that people with HIV are more likely to get if their immune system is weak. In these cases, your doctor may treat the opportunistic infection first, before you start ART.
Antiretroviral treatment starts to work from the first dose you take. The number of copies of the virus, called your viral load, drops quickly in the first week of starting ART, with some people reducing their viral load by 90% in the first 7 days.
If you take your medication regularly as prescribed by your doctor, your viral load should continue to drop pretty steadily. As time goes by, and your viral load becomes even lower, the amount it drops will slow down too. This is normal, as there is often so little of the virus left, that it can’t drop much more.
Many people will achieve a suppressed viral load within six months. If you maintain this very low level of the virus for six months, it’s called being undetectable. You can read more about this here.
Everyone’s body is different however, and factors like your age, other health issues, general health, and how long you might have already been living with HIV might change how quickly the medications work. Always talk to your doctor and follow their advice about your medications and when you should check in to see how things are going.
Injectables provide medication in injection rather than tablet form. The medication stays in the body longer so people can get an injection less often than taking pills. In recently published studies, these are proven to be very similar in in effectiveness to their tablet counterparts.
A long-acting antiretroviral (ARV) injectable, which only needs to be injected every one to two months, has been approved for use in Australia, and is available through Medicare like other HIV medications. It is currently only available to be administered by a medical professional, so you can’t do it yourself.
Like all HIV medications, they aren’t for everyone, so talk to your doctor if you are interested in an injectable option to replace your tablet form.
The advanced stage of HIV infection is known as AIDS, which stands for ‘Acquired Immunodeficiency Syndrome’.
AIDS cannot be transmitted between people. It is the result of a badly damaged immune system due to HIV, which allows opportunistic infections (such as pneumonia) to thrive in the body. An AIDS defining illness can be prevented with treatment and should not be confused with HIV.
With advances in treatment, HIV no longer has to result in an AIDS defining illness. Treatments now keep people living with HIV healthy, ensuring they live a long and fulfilling life that does not progress to an AIDS defining illness (such as pneumonia).
Now that we have the knowledge and ability to prevent an AIDS defining illness, there is a lot of excitement generating as we get closer than ever to preventing the transmission of HIV.
QPP has a series of booklets including on HIV treatment together with accessing the health system in Australia (with or without Medicare). A printed set can picked up from our Brisbane office or RAPID clinic in Fortitude Valley, or can be ordered from us for free through our QPP Shop. It can also be read and downloaded to print at home from our The Facts page. These booklets have been translated into a variety of languages.
When Should I Start Treatment?
It is important to discuss all the benefits and risks to starting treatment, and your personal readiness to start treatment with your doctor. Today, most people are recommended to start treatment once a diagnosis is confirmed.
How Much Does Treatment Cost?
Treatment for HIV is available throughout Australia at highly subsidised costs for Medicare Card holders, through the PBS.
Where Can I Get Treatment?
People living with HIV can get their HIV medication from their local pharmacy, an online pharmacy or a hospital-based pharmacy, whatever suits them better.
Accessing Treatment Without Medicare
It is possible for anyone in Australia to access HIV treatment without medicare, in many cases for free.
Drug Resistance & Adherence
HIV drug resistance is caused by changes in the genetic structure of HIV that affect the ability of medicines to work effectively. Ensuring you are as consistent with your regime as possible reduces this possibility.
Participating In Trials
Generally the benefit of research is that it assists the majority of people and helps to discover new science and evidence for health and treatment for the benefit of the entire population, possibly even yourself. The decision to be in a trial is always your own.
Side Effects & Changing Treatment
Modern HIV drugs tend to have minimal side-effects but some side effects can still occur. This is why all changes to your treatment should always be in consultation with your HIV doctor.
Complementary Therapies
Together with HIV medications, complementary therapies may assist in increasing overall health.
Our trained team is here to help you should you have any questions or need support. You can call for free from a Queensland land-line on 1800 636 241 or call (07) 3013 5555 (national). You can also email us or use the contact form or the chat function in the corner of our website.







