Starting HCV Rx for pts with CD4 > 200 has generally been my threshold.
if your pt is already on HAART, then it would be reasonable to consider
adding in PEGIFN/RBV , but carefully. i would have your pt biopsied to be
stage the liver dz. if it is very mild or minimal, you may even defer HCV Rx
the stable psychiatric dx is the key, and we can successfully get pts
through the treatment if they have a close line of communication with a
mental health provider/PCP.