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If you’re HIV positive and get hepatitis A you might be more ill and for longer. While your liver is inflamed you might need to stop taking HIV drugs (or use them with caution). This is because your liver processes these drugs. If the liver’s inflamed it may make it less able to process the drugs or there could be a bigger risk of the drugs causing liver-related side effects. Your HIV doctor will advise you.
Vaccination against hepatitis A (and B) is recommended for people with HIV, especially if they have a low CD4 count. As the vaccine can make your HIV viral load go up (but only for a short time) it’s best to let your HIV doctor know if you get vaccinated. The vaccine sometimes doesn’t work the first time with HIV positive people so has to be given again.
Do you have a question about Hepatitis A that is not answered on this website? Try www.britishlivertrust.org.uk.
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