Alternative medicine
By Mayo Clinic staffPeople who are infected with HIV sometimes try dietary supplements that claim to boost the immune system or counteract side effects of anti-HIV drugs.
Supplements that may be helpful
- Fish oil. Some anti-HIV drugs can cause increases in cholesterol levels. Studies indicate that fish oil supplements can help bring those numbers down.
- Whey protein. Preliminary evidence indicates that whey protein, a cheese by-product, can help some people with HIV gain weight. Whey protein also appears to reduce diarrhea and increase CD4 counts.
Supplements that may be dangerous
- St. John's wort. Commonly used to combat depression, St. John's wort can reduce the effectiveness of several types of anti-HIV drugs by more than 50 percent.
- Garlic supplements. Although garlic may help strengthen the immune system, it also interacts with several anti-HIV drugs — reducing their effectiveness by 50 percent. Occasionally eating garlic in food appears to be safe.
References
- Basic information about HIV and AIDS. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/topics/basic/index.htm. Accessed May 11, 2011.
- HIV and its treatment. AIDSinfo. U.S. Department of Health and Human Services. http://aidsinfo.nih.gov/contentfiles/HIVandItsTreatment_cbrochure_en.pdf. Accessed May 10, 2012.
- Kumar V, et al. Robbins and Cotran Pathologic Basis of Disease, Professional Edition. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/202273019-4/0/2060/57.html?tocnode=57529567&fromURL=57.html#4-u1.0-B978-1-4377-0792-2..50011-0--cesec96_437. Accessed May 10, 2012.
- Quinn TC. The global human immunodeficiency virus pandemic. http://www.uptodate.com/index. Accessed May 10, 2012.
- Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-05611-3..00017-3--sc0185&isbn=978-0-323-05611-3&sid=1308572619&uniqId=334301681-3#4-u1.0-B978-0-323-05611-3..00017-3--sc0185. Accessed May 11, 2012.
- Bartlett JG. The stages and natural history of HIV infection. http://www.uptodate.com/index. Accessed May 10, 2012.
- Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-05611-3..00010-0--sc0075&isbn=978-0-323-05611-3&sid=1308590901&uniqId=334307705-3#4-u1.0-B978-0-323-05611-3..00010-0--sc0075. Accessed May 11, 2012.
- Living with HIV/AIDS. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/resources/brochures/livingwithhiv.htm. Accessed May 11, 2012.
- Neurological complications of AIDS fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/aids/detail_aids.htm. Accessed May 11, 2012.
- Bartlett JG. When to initiate antiretroviral therapy in HIV-infected patients. http://www.uptodate.com/index. Accessed May 10, 2012.
- Side effects of anti-HIV medications: Health information for patients. AIDSinfo. U.S. Department of Health and Human Services. http://aidsinfo.nih.gov/contentfiles/SideEffectAnitHIVMeds_cbrochure_en.pdf. Accessed May 11, 2012.
- Eating defensively: Food safety advice for persons with AIDS. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ByAudience/ForPatientAdvocates/HIVandAIDSActivities/ucm135844.htm. Accessed May 11, 2012.
- Natural medicines in the clinical management of HIV/AIDS. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed May 11, 2012.
- HIV/AIDS programs: Find HIV/AIDS care. U.S. Department of Health and Human Services. http://hab.hrsa.gov/gethelp/index.html. Accessed May 11, 2012.
- Fourth generation HIV diagnostic test approved, permitting earlier detection of infection. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ByAudience/ForPatientAdvocates/HIVandAIDSActivities/ucm216409.htm. Accessed May 11, 2012.
- FDA approves first-of-its-kind HIV test which can detect HIV days earlier than current U.S. tests. Abbott Laboratories. http://www.abbott.com/news-media/press-releases/Press_Release_0875.htm. Accessed May 11, 2012.
- Smith K, et al. HIV-1 treatment as prevention: The good, the bad and the challenges. Current Opinion in HIV and AIDS. 2011;6:315.
- Sax PE. Primary HIV-1 infection: Pathogenesis; epidemiology and clinical manifestations. http://www.uptodate.com/index. Accessed May 11, 2012.
- Stages of HIV. U.S. Department of Health and Human Services. http://www.aids.gov/hiv-aids-basics/diagnosed-with-hiv-aids/hiv-in-your-body/stages-of-hiv/. Accessed May 11, 2012.
- Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9123335&searchStr=hiv#9123335. Accessed May 11, 2012.
- Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. AIDSinfo. U.S. Department of Health and Human Services. http://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-treatment-guidelines/0/. Accessed May 10, 2012.
- Daar ES, et al. Clinical presentation and diagnosis of primary HIV-1 infection. Current Opinion in HIV and AIDS. 2008;3:110.
- 23. Wyatt CM, et al. Recent progress in HIV-associated nephropathy. Annual Review of Medicine. 2012;63:147.
- Lerma EV, et al. Current Diagnosis & Treatment: Nephrology & Hypertension. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=6337038&searchStr=aids-associated+nephropathy#6337039. Accessed May 29, 2012.
- Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9130713&searchStr=aids-associated+nephropathy#9130713. Accessed May 29, 2012.
- Rizza SA (expert opinion). Mayo Clinic, Rochester, Minn. May 24, 2012.
- Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9123385&searchStr=male+circumcision#9123385. Accessed May29, 2012.
- FDA approves first medication to reduce HIV risk. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm311821.htm. Accessed July 16, 2012.


Find Mayo Clinic on