DrVirgo
Forum Hero
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UW:
Prophylaxis when CD count < 50 is Azithromycin or Clarithromycin.
later it says:
Inhaled Pentamidine for prophylaxis.
Kap: TMP-SMZ, and then Dapsone, Atovaquone, and Pentamidine (last resort)
So which is first line for Prophylaxis of PCP in HIV?
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| cirus
Forum Guru
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Azithromycin, clarithromycin r prophylaxis for mycobacterium avium, not for PCP, typically at a CD4<50.
for PCP, the prophylaxis,its starts in 2 situations:
1. CD4 <200
2. PCP infection, untill the level is above 200
Prophylaxis is with TMP/SMZ(1st), or dapsone if allergic..
Pentamidine(Pancreatitis) & atovaqoune(Safer) r used in treatment in allergy to TMP/SMZ
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| neuroblastoma
Forum Guru
Topics: 106
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cirus is rightt!!!
first choice --for treatment as well as prophylaxix--- TMP/SMZ
if allergy---t/t by dapsone ............prophylaxix by Atovaquone....pentamidine (last resort)
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| DrVirgo
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Thanks guys, I agree. 
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| dr in trouble
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Hey neuroblastoma, if allergy to bactrim, t/t by I/V pentamidine but prophylaxis by Dapsone. Am I right???
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| mjl1717
Forum Hero
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Ist choice PCP Bactrim (Sulf/Trimeth) as I remeber Pentamidine is 2nd choice
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