Singulair and testing at 70 days post encounter

[Fear707]

Hello Drs

I was involved in an exposure (Insertive Oral) unprotected and (insertive Anal) protected until the condom broke in the end....didnt realize that I was exposed to a lot of fecal matter until the end. My partner says that he is negative and I even has the test results to prove it. But I dont trust him and I worry about the "window Period"

I was tested at 70 days/ 10 weeks via the Trinity Biotech and it was negative. However, I worry thet maybe I am getting a false negative because I am currently on 10mgs of Singulair a day for asthma. Could this be an issue?

My HIV testor/counselor with much apprehension tested me and stated "no test is conclusive until 6 months" and "three months is not conclusive either" He has put the fear of god in me. He wasnt sure if the Singulair could be slowing the process either,

However, I have been getting much information on this website and others that waiting 6 weeks should give you an accurate reading. Drs, have you ever seen a patient test positive after 10 weeks? and should I be worrying about any symptoms? or am I to far along...when do they usually begin? I have had none except for a few small red spots on the roof of my mouth (palate) that seem to be going away after about 3 weeks.

Can you help me rest easier?

Thank you

[Edward W Hook, MD]

No, I have never seen someone convert after 10 weeks.  Those who seroconvert late typically have either some sort of immunological susceptibility or have taken interferring antiretroviral therapy.  You do not fall into either of these categories.  EWH

[Fear707]

Hello DR and thank you for the quick response! WOW!

I am not taking inhaled therapy its in pill form if that matters. You say that Singulair will not effect my results which make me feel a lot better.

You say that 98% of people would have tested positive by now..are the other 2% immunosuppresed people?

And finally in your experience have you ever seen a patient test positive after 10 weeks? and when do symptoms if any ~usually begin?

Thank you I promise this is the end and I will not lengthen this thread.

[Edward W Hook, MD]

Let's look at your situation objectively.  When we do, I think you will find that you are in the clear.

1.  You had unprotected rectal and oral exposure.  The risk from the oral exposure is at least 100 times LESS than the risk from your rectal exposure and the risk of the rectal exposure, if your partner is infected is about 1 in 100-200.
2.  Your partner states he is negative.  Most people tell the truth and the fact that he has  test results to show you does confirm it.  As far as his being in the window period, this is a rare event - very unlikely as well.
3.  Singulair will not affect your test results.  The reason inhaled therapy for asthma is favored is because in minimizes systemic side effects.  
4.  At 10 weeks over 98% of persons who are going to test positive will do so,  Your counselor is telling you the "party line" but to be honest, is being overly conservative.  

Bottom line- at this time, your risk of having gotten HIV from your exposure is very, very close to zero.  You have nothing to worry about and, in my opinion, do not need further testing.  You did not get HIV.  EWH

[Fear707]

Red spots are leaving after 3 days not three weeks.

Sorry,

Fear707