Does Daily Use of Medication Affect HIV Testing Results? - Internal Medicine

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Will this affect the HIV testing?


Hello, Doctor: I would like to ask a couple of questions.
1.
I have a daily habit of taking "New Bifidobacterium" (or "New Bifidobacteria").
Will this affect HIV screening? 2.
Regarding the HIV window period, should it be considered as 3 months or 6 months? There is a lot of conflicting information online, and I am unsure which one to trust.
Therefore, I would like to ask for the most reliable approach to determine how long it takes to completely rule out the risk of infection.
Thank you, Doctor.

Xiao Kang, 20~29 year old female. Ask Date: 2017/11/16

Dr. Liao Zhongxin reply Internal Medicine


Dear readers,
I.
Regarding , the response is as follows:
A: Refer to the Lourdes Association website http://www.lourdes.org.tw/list_1.asp?id=2483&menu1=7&menu2=1301.
Diarrhea is defined as a more frequent bowel movement than usual, with stools that may sometimes be loose or watery.
There are many causes of diarrhea, including:
- HIV causing intestinal damage – particularly in individuals with low CD4 counts or high viral loads
- Gastrointestinal infections – which may be due to bacteria (such as Shigella or Salmonella), viruses (such as Norovirus or Rotavirus), fungi, or parasites (such as Cryptosporidium and Giardia)
- Antiretroviral therapy medications (especially protease inhibitors)
- Anxiety
- Antibiotics
- Other medications
2.
Treatment for diarrhea: Please do not rush to take over-the-counter antidiarrheal medications; allow your digestive system to expel harmful bacteria and toxins naturally.
Overuse of commercial antidiarrheal medications can lead to constipation.
Common antidiarrheal medications include:
- Loperamide
- Bismuth subsalicylate
- Baoji pills or Zhenglu pills
- Borborygmi => Therefore, Borborygmi will not affect HIV testing.
II.
Regarding , please refer to the CDC website Q&A http://www.cdc.gov.tw/qa.aspx?treeid=511907c7a9f3653c&nowtreeid=35065e55d241305e
1.
Q: What is the window period for HIV? How long does it take to be detectable?
A: After HIV infection, there is a period during which antibodies to the virus are not yet produced; this time is known as the window period.
The window period for HIV is approximately 6-12 weeks.
Currently, most HIV screening is primarily based on antibody testing.
If newer testing methods such as nucleic acid or antigen tests are used, the window period can be shortened to 1-2 weeks.
Please consult the testing facility for the types of tests they provide.
During the window period, the viral load in the patient's body is at its highest, and the risk of transmission is also strong, but antibodies have not yet been detected, which means there is a risk of transmitting the virus to others through high-risk behaviors.
2.
Due to improvements and advancements in testing methods, the window period seems to have shortened to about three months; it is important to avoid high-risk sexual behaviors and improper drug use.
Thank you!

Reply Date: 2017/11/16

More Info


When it comes to the impact of daily medication on HIV testing results, it's essential to understand the nature of the medications being taken and the type of HIV tests being conducted. In your case, you mentioned using "新表飛鳴" (which I assume refers to a specific medication, though the exact name may vary in translation). Generally, most medications do not interfere with the accuracy of HIV tests, particularly the standard antibody tests and the HIV Ag/Ab Combo tests. These tests are designed to detect the presence of antibodies to HIV or the virus itself, and they are not significantly affected by most medications.

However, there are exceptions. Some antiviral medications, particularly those used in the treatment of HIV, can potentially affect test results if taken shortly before testing. For instance, if you were on antiretroviral therapy (ART) for HIV, it could influence the results of certain tests. But since you are asking about a medication that is not specifically an HIV treatment, it is unlikely to affect your HIV test results.

Regarding the window period for HIV testing, this is a crucial aspect to consider. The window period refers to the time after potential exposure to HIV during which the virus may not be detectable in the body. For most standard antibody tests, the window period is typically around 3 months. This means that if you test negative after 3 months from the last potential exposure, you can be reasonably confident that you are HIV negative. However, some tests, like the HIV Ag/Ab Combo tests, can detect HIV earlier, often within 2 to 4 weeks after exposure.

The confusion about whether to consider a 3-month or 6-month window period often arises from different testing methodologies and individual circumstances. For most people, a 3-month window is sufficient for antibody tests. However, if you have ongoing risk factors or if you are immunocompromised, some healthcare providers may recommend testing at 6 months for added assurance.

To ensure the most accurate results and peace of mind, it is advisable to follow up with your healthcare provider. They can provide personalized recommendations based on your specific situation, including the type of medication you are taking and any potential risk factors associated with your lifestyle.

In summary, daily use of most medications, including the one you mentioned, is unlikely to affect the results of HIV tests. The standard recommendation for the window period is 3 months for most tests, but consulting with a healthcare professional can provide clarity tailored to your circumstances. If you have any concerns about your HIV status or the medications you are taking, it is always best to discuss these with your doctor, who can guide you on the appropriate testing and timing based on your health history and risk factors.

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