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Impact of Herbal Preparations on Outcomes of Highly Active Antiretroviral Therapy: A One-Year Prospective Cohort Study

  • Qi-jian Su
  • Ce Song
  • Zhen-zhen Lu
  • Zhen-wei Liu
  • Jian Xiao
  • Fa-sheng WuEmail author
Original Article
  • 5 Downloads

Abstract

Objective

To investigate the impacts of two herbal preparations for human immunodeficiency virus/aquired immune deficiency syndrome (HIV/AIDS) patients, Shenling Fuzheng Capsule (参灵扶正胶囊, SLFZC) and Qingdu Capsule (清毒胶囊, QDC), on the efficacy of highly active antiretroviral therapy (HAART).

Methods

HIV/AIDS patients met the criteria were all enrolled in a 1-year cohort study, in which patients receiving HAART alone were designated as Group A, those receiving HAART in combination with SLFZC were designated as Group B, and those receiving HAART in combination with QDC were designated as Group C, 100 cases in each group. The dose of SLFZC was 1.48 g (4 capsules), 3 times daily, and QDC 1.56 g (4 capsules), 3 times daily. T cell subsets, HIV RNA and HIV-1 drug resistance were detected at enrollment and 1 year after treatment. Patients were followed up every 3 months, during which side-effects and other clinical data were recorded.

Results

After 1-year treatment, the median increment in CD4 counts was 165.0, 178.0 and 145.0 cells/μL for Group A, B and C, respectively. HIV RNA was undetectable in 94% of patients in Group A, 96% in Group B and 92% in Group C. There were no differences regarding the increment in CD4 counts, HIV RNA and frequency of HIV-1 drug resistance mutations. Two of the 14 suspected side-effect symptoms, i.e. fatigue and dizziness, were lower in Groups B and C than in Group A (P<0.05, respectively)

Conclusions

SLFZC and QDC do not have a negative impact on immunological and virological response to HAART; however, these preparations are not as potent in reducing HAART-associated side-effects as anticipated.

Keywords

human immunodeficiency syndrome aquired immune deficiency syndrome Chinese medicine Shenling Fuzheng Capsule Qingdu Capsule 

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Copyright information

© The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Qi-jian Su
    • 1
  • Ce Song
    • 1
  • Zhen-zhen Lu
    • 1
    • 2
  • Zhen-wei Liu
    • 1
  • Jian Xiao
    • 3
  • Fa-sheng Wu
    • 1
    • 4
    Email author
  1. 1.Center for AIDS ResearchRuikang Hospital Affiliated to Guangxi University of Chinese MedicineNanningChina
  2. 2.Department of Chronic Noncommunicable Disease Prevention and ControlGuangxi Center for Disease Prevention and ControlNanningChina
  3. 3.School of Basic Medical ScienceGuangxi University of Chinese MedicineNanningChina
  4. 4.Department of OncologyRuikang Hospital Affiliated to Guangxi University of Chinese MedicineNanningChina

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