Category Archives: Treatment / Medication
Am I mad or is it the meds?
It’s 00:50 and once again I can’t sleep.
My insomnia has kept me up for the best part of three days in a row now, my mind is tired, my body is exhausted and yet I still can’t sleep.
I go to the bathroom to top up my water glass and I catch a glimpse of myself in the mirror, I look like death warmed up – my skin pale, bags under my eyes so big you could carry your shopping in them, and I’m breaking out in spots -my body has had enough but my HIV meds won’t let me sleep.
This has been going on for months upon months now, sleeping only three or four nights a week, the rest sat up trying to keep myself busy until it’s time to goto work. Sadly it’s become something of a routine – a routine that’s causing me to burn out.
I wish I could say that insomnia was the biggest of my concerns, but sadly it gets worse, over the last few weeks things have been going bump in the night. I’m hearing and seeing things that aren’t there. It started off as little things, a thud in the hallway, a shadow out the corner of my eye – but progressively they’re getting more and more significant – I’ve heard the front door being hammered only for no-one to be there, giant spiders on the ceiling, I’ve even seen myself sat in my desk chair.
I’m reasonably sure that it’s not a inherent problem with my mind, so much as the medication – the hallucinations only happen after I’ve taken my meds and on nights I can’t sleep. So I think it’s pretty reasonable to conclude that they’re side effects that I’d normally sleep through – but in my perma-awake state I have to endure. What I’m not sure, however, is why they’ve only started now – nearly 18 months after I started this combination therapy.
I’ve asked my doctors to change my HIV meds before based on my sleeping issues but they’ve told me to wait it out, I’m hoping when I see them on the 17th that they’ll take the news of hallucinations and even less sleep slightly more seriously. Either that or they’ll lock me up, and if they do I hope they have wine.
Tom
UKPositiveLad
Using super-computing to crack HIV

The HIV Capsid
A team of researchers from the University of Illinois and the University of Pittsburgh have made real progress on cracking the HIV virus using super-computing power.
The researchers used the NSCA’s Blue Waters super-computer built by Cray (composed of 6276 AMD CPUs in 276 cabinets capable of 11,610,000,000,000,000 calculations per second (11.61 quadrillion, or 11.6 petaflops)) to break the secret of the HIV ‘capsid’.
The ‘capsid’ is the protein shell of the virus, it is what protects the virus until it enters the human cells and begins the reproduce which is what makes it so virulent. Blue Waters worked day and night to analyse the interactions between every single one of the 64,000,000 (64 million) atoms that make up the HIV capsid – and has helped identify weaknesses in it’s armor which will lead to new treatments in the future.
Pharmacists will be able to use this ground-breaking data to develop drugs that can target these weaknesses and have a bigger impact on the virus whilst having less side effects on the patients taking the drugs.
This is proof, that big metal computing does lead to real results – results that will help improve the life of real people. Here’s a link to the team’s page.
All the best,
Tom
UKPositiveLad
‘It Starts With Me’ – a new HIV campaign for England
As many of you who have been following my writings for some time now will know, I have frequently lambasted the UK Government, Department of Health and Health Protection Agency for failing to take any decisive action to curb the rising rate of HIV infections in the UK.
In recent years there’ve been numerous repetitive campaigns about cancer, stroke, mental health, alcohol, drugs, fruit & veg, exercise – even barbequed food, but nothing about HIV since the late 1980s. Well that changes this month.
24th April 2013 marks the launch of ‘It Starts With Me‘, a campaign created by The Terrence Higgins Trust and funded by HIV Prevention England (HPE), via the Department of Health, a campaign that will run (at least initially) for two years – until April 2015.
‘It Starts With Me’ is a campaign that will be delivered online, via the press, via posters/condom packs in venues and via local outreach teams. HPE will funding national and regional organisations to promote the campaign up and down England.
The campaign focuses on:
- Testing for HIV at least once every twelve months, and more frequently if they have taken a risk, or show symptoms of seroconversion illness.
- Taking the medication they need to stay fit and well, if they have been diagnosed with HIV.
- Protecting themselves during sex by using condoms and finding other ways to avoid risk.
- Participating in community action by finding a way to support the campaign and spread the word to their friends and contacts.
Make sure to check out www.startswithme.org.uk, the website for the campaign, and watch the short introductory video, which includes many interesting facts like 1 in 4 people in the UK with HIV don’t know that they have the virus, and that treatment is easier than ever and dramatically reduces the risk of you passing the virus onto anyone else.
You can find out more at www.startswithme.org.uk and a the campaign’s facebook and twitter pages.
It Starts With Me.
Tom
UKPositiveLad
Gonorrhea – What you need to know…
Hello? Is this thing on? Good…
Today I’m talking about Gonorrhea, I’m sure you’ve all heard about it at some point or other, it’s commonly known as “the clap”.
Gonorrhea is one of the most common sexually transmitted sexually transmitted infections (STIs) but that doesn’t mean it isn’t something that should be taken seriously.
First up let’s look at the symptoms, (I hope you’ve not just eaten):
Guys
- A white-ish/green-ish discharge from your penis and/or arse
- Anal discomfort
- A burning sensation when you pee
- Inflamed foreskin
- Painful testicles and/or prostate gland
Girls
- A white-ish/green-ish thick discharge from your vagina and/or arse
- Anal discomfort
- A burning sensation when you pee
- Painful abdominal region
- Bleeding between periods
But just because you don’t have symptoms doesn’t mean you don’t have it, 10% of men and 50% of women are asymptomatic (show no symptoms at all).
How is Gonorrhea passed on?
- Unprotected anal or vaginal fucking
- Unprotected oral sex (including rimming, and going down on a girl)
- Sharing sex toys (without washing thoroughly or using a fresh condom each time)
- Fingering multiple partners (without washing thoroughly between each)
What happens if I don’t get it treated?
- In girls it can lead to Pelvic Inflammatory Disease
Which can lead to fever, vomiting, abscesses and infertility amongst other things. - In guys it can lead to a very serious and painful infection of the testicles.
How do I get tested?
- The most common methods of testing are a penile/anal/vaginal swab. A urine sample may also be taken.
What’s the treatment?
- Unlike most bacterial infections which are treated with oral antibiotics in the form of pills, Gonorrhea is treated by an injection of strong antibiotics directly into one of your ass cheeks.
Hopefully you’re all sensible people out there and going for routine STI screenings at your local GUM or Sexual Health Clinic, but if you haven’t been for a while maybe it’s time you popped down and got checked out. After all it’s not just Gonorrhea that’s out there is it? Don’t forget about chlamydia, LGV, syphilis, hepatitis (A, B and C) and of course HIV. If any of your results come back positive don’t forget to inform any recent sexual partners, if you don’t feel comfortable doing this most clinics will offer to do this for you anonymously.
Your health is in your hands, but you can only look after yourself if you know all the facts. If you need to find a clinic near you check out: www.tht.org.uk/sexual-health/Service-finder
Have a great weekend,
Sam
UKPositiveLad
Your HIV questions answered by DrEd.
Currently 100,000 people are estimated to be living with HIV in the UK, but an estimated 25% of those are undiagnosed.
That’s 25,000 people who have HIV and don’t know about it! As we come to the end of HIV Testing Week in the UK and approach World AIDS Day 2012 I put some of your questions about getting tested and HIV to Dr Sebastian Winckler from DrEd.
1. Why is it so important to get tested for HIV?
Early testing is vital both for you, and for the people you’re sleeping with.
If you’ve got HIV and you’re getting treatment you can expect to live 40 years longer than someone who isn’t receiving treatment.
If you’re taking antiretroviral medication, you become less infectious to other people. Being aware of your status means you can start putting certain measure in place (such as safe sex)
to prevent transmission, as well as looking after your own health.
2. What stops some people from getting tested?
There are a lots of reasons why people avoid HIV tests, but usually it’s down to:
- The stigma surrounding HIV and AIDs: Despite advancements in treatment, in some communities there is still stigma about being HIV+, so many people feel embarrassed about getting tested. Remember, there is no shame in being HIV+.
- The inconvenience of testing: If you work during the day, it can be hard work finding the time to go.
- Fear: Some people are simply scared off getting a result they don’t want to hear. Remember though, it’s better to get tested and treated rather than making yourself, or others, ill.
3. Where can I get tested?
HIV tests are available free and confidentially from:
- Sexual health (GUM) clinics
- HIV testing centres (Terrence Higgins Trust Fastest centres, for example)
- LGBT Centres
- GP’s and family doctors
- HIV tests are available to buy from:
- Private clinics
- Online doctors services
4. I haven’t had any symptoms, so I probably don’t have HIV, right?
Wrong. Most people will experience a short, flu-like illness about 2- 6 weeks after being infected. This is your immune system putting up an initial fight against the virus and can last for up to a month. But, this can be easily mistaken for the flu and 20% of people don’t experience any symptoms at all.
After this has gone away, you are unlikely to notice any other symptoms for a long period of time. So the only way of knowing for sure is getting yourself tested.
5. Can a test pick up any HIV infection, regardless of when I’ve caught it?
No. A certain amount of genetic material needs to build up in your system before it can be accurately detected by a test. The time taken for this to happen is called the ‘window period’ and this is different for every test.
- The standard antibody (Ab) test will pick up HIV if you caught it more than 3 months ago.
- The combined antibody/ antigen test (4th Generation test) will pick up HIV if you caught it more than 6 weeks ago.
- The HIV PCR test will pick up HIV if you caught it more than 7-10 days ago.
In most cases, you will be given either the standard antibody or combined test. If you test negative for these, it doesn’t necessarily mean that you are HIV negative, because you might have been infected within the last 3 months (or 6 weeks). You are therefore advised to take a second test 3 months later for the all clear.
If you want a faster result you can pay for a PCR test. But these are only offered at some clinics and may cost up to £250.
6. I think I’ve caught HIV within the last few days, what do I do?
If you’re worried that you’ve contracted HIV very recently, as in, within the past 72 hours (3 days) then you should go to your local GUM clinic or A&E department and request emergency PEP treatment.
7. I’m afraid to get tested because I don’t like needles
HIV tests don’t have to be done via needle or syringe, some clinics use ‘Fastest’ Rapid Testing which simply takes a prick on the end of your finger. Other clinics may take oral swabs instead, this method is considered less effective than a blood test however, so some clinics won’t offer it.
8. How long do I have to wait for my results?
That depends on the clinic you go to. Most will contact you with your result (or ask you to come back in for it) within 3-5 days. If you take a rapid test your result will be ready within the hour. Some clinics can take up to 2 weeks however, don’t be afraid to ask when you should expect the results.
9. What happens if I test positive?
First off, a positive result doesn’t always mean you’re HIV+. There is a small margin of error, so all positive results must be followed up by a confirmation test.
If you do test positive for that, then the doctor or nurse who informs you of your result will set up a meeting with a specialist who can assess the stage of your infection and talk to you about relevant treatment options. You’ll be put in touch with local HIV support groups who can help you cope emotionally, and make you realise that a positive result is not the end.
Thirty years on and HIV is still a problem in the UK, but it is no longer a death sentence. There is help out there and the earlier you get tested, the better your prospects. Whatever you do, make sure you get tested this HIV Testing Week.
Some charities that can help:
Life+ the must have HIV app
Life+ the must have HIV app
It seems like there’s an mobile app for everything these days, apps to monitor your sleep pattern, make you look old, give you a squeaky voice – but how about an app that’s actually useful?
The Terrence Higgins Trust (THT) have brought out a new iOS (iPhone, iPod, iPad) app aimed squarely at those of us in the UK living with HIV. Now, there are already apps out there that remind you to take your medication, chart your blood results, or give you health advice – but for a price, and certainly not in the same place.
Say hello to Life+ from THT…
Life+ taps into the well established and incredibly useful MyHIV.org.uk website (managed by THT and funded by EJAF). This allows you to:
- Create medication reminders
- Look up HIV medication information
- Record and chart your blood results
- Jot down notes to discuss with your healthcare team
- Access a wealth of HIV and sexual health information from THT’s vast knowledge banks
- Log onto the MyHIV.org.uk community forums
- Contact THT Direct for phone support
How much does this cost I hear you ask? Not a single penny. All you need is a free account at MyHIV.org.uk – so what’re you waiting for? Head to MyHIV.org.uk and create your account (if you’ve not got one already!) and then head to the Apple App Store and download Life+
(note from THT: there’s a little glitch in the app at the moment that means you need to give it a few seconds to load, this should be ironed out in the next update)
Happy Mondays!
Sam
UKPositiveLad
There’s no doubt that HIV is an under-discussed issue and attracts a fair amount of stigma – but the situation regarding stigma and education about Hep C is even worse. Now imagine living with both.
ME: So what’s the next step? 


