Thanks for posting your query.
CD4 count is going down from 394 to 198, and clinical condition also shows Central nervous system
involvement when he was on ART, Atripla
indicates that he is proceeding towards clinical and immunological failure.
It is better to have ART Resistance test and according to the outcome we have to select the suitable ART then he will become alright.
You immediately approach a specialist in HIV
or infectious disease, they will help in this regard. The he will be alright.
Get him well soon.