Good afternoon all.
I have a new to me HIV patient who is co-infected with TB. sputums are now negative. Diagnosed in 2013, but never started medications. I did rapid start with Biktarvy, but when the Rifampen and Isoniazid were started his liver enzymes skyrocket. I held Rifampen and Isoniazid for 2 weeks per ID recommendation, liver enzymes normalized.
My question or I am looking for recommendations for treatment options. Patient has been compliant with medications and is almost undetectable at this time.
Thank you for the guidance and recommendations.
Shannon
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Shannon Stewart, ARNP, AAHIV
Siouxland Community Health Center
Sioux City, Iowa
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