Hi Gwen,
It is currently recommended to not use Dovato. This is because it should only be used in those with a viral load less than 500,000 and we don't typically have this back when we start iART. However, if you do have that back and it's below 500,000, then you could provide it.
We typically do require 2 positive rapids - this was the protocol for the Discover Trial (looking at Truvada vs Descovy for PrEP0 when someone tested positive on a rapid.
You can certainly use it.
Thank you,
George
------------------------------
George Froehle
CentraCare
Minneapolis MN
------------------------------
Original Message:
Sent: 07-28-2021 19:09
From: Gwen Verlinghieri
Subject: Rapid Start Protocol
Hi George,
Great tool, may I use it in our practice. Two questions: how can I add Dovato to the medication choice; do you always do 2 Hiv rapid tests before rapid starting.
thanks so much,
Gwen
------------------------------
Gwen Verlinghieri
AIDS Care Group
Swarthmore PA
Original Message:
Sent: 07-28-2021 09:12
From: George Froehle
Subject: Rapid Start Protocol
Hello,
I'm working on an immediate antiretroviral treatment (iART) simplified protocol and was hoping to get some feedback on the attached document. Hoping this two page flowsheet can serve as a clinical tool. Any feedback would be appreciated.
Thank you,
George Froehle PA-C, AAHIVS
geofroehle@gmail.com
------------------------------
George Froehle
Peter Shalit MD & Associates
Minneapolis MN
------------------------------