Hello – I am on the following combination: ritonavir, truvada and atazanavir. I have been on this since march (9-months) and it is working really well. I have had no side effects, can tolerate it well and I was undetectable very quickly (still am and my CD4 is climbing gradually).
My doctor, however, suggested that next year she would want to change my combination to Nevirapine. She says it is tolerated just as well but the best bit is that it is only one tablet rather than the three I am now taking. Also it is cheaper.
I want to ask – is there a point in changing therapy if I am tolerating it well and it is working? It is annoying having to take three tablets I agree but I am now (almost) used to it.
Also, is Nevirapine relatively new? I read that the combination I am on is good for women of child bearing age, it is much safer (I am female).
I dont know what to make of this – my main reason for changing would be ease of one tablet but why fix something if it isnt broken?
I am worried that changing therapy might undo all my good work, esp. if the current therapy is working…..plus having to settle into a new regime…and any potential side effects (my first combination was with efavirenz to which I had a horrific allergic reaction…)
Lastly, how likely is a one pill formulation in my current combination? Three tablets is not ideal….
I have just started treatment this week on a combination of truvada, ritonavir and atazanavir.
I have started taking them in the evening but with my work I now think moving to taking them at breakfast would be easier.
Can I just start doing that or is it more complicated than that now I’ve started?
Is this normal? I don’t care if I live or die, or become ill with HIV or get an opportunistic infection or if it’s fatal.
I’ve been diagnosed HIV for just over 4 years and wouldn’t say I am particularly depressed, but I don’t care about myself, my life, I eat crap takeaways all the time and generally abuse my body.
I am detached from any emotions or feelings towards anyone or anything, and I really don’t care if I catch any resistant HIV strains or become secondary infected etc or if I live or die, or how my family would feel if I did die.
I’ve been on medication for almost 4 years now, and sometimes I do not take it on time or I miss a day or two.
I recently had swollen glands over my ears. I’m currently taking Aspen Lamzid. I want to change to Atripla. I’m waiting for my test result on viral load and CD4.
Do you think I should change my medication? I am very determined and willing to change and adhere to my medication. Do you think this new one is going to change. The last CD4 test was over 600 and VL was undetectable, and that was 3 years ago.
I am also gaining weight, especially my stomach, pls help.
I weigh just over 60kg yet take the same doses of ARVs as people almost twice my size. I presume this means that my plasma and blood concentrations will be higher than the average person and the strict 24 hour dosing less critical?
Can Truvada (tenofovir/FTC) and Stocrin (efavirenz) be combined into one tablet and be taken once a day instead of taking one in the evening and one at night?
I found out i was HIV possitive back in January. I have been taking Atripla for about 6 months. My first viral load was 480,000 and CD4 110, the second test was viral load 94 and CD4 340.
My last test showed a viral load of 110 and CD4 of 500. Why did my viral load increase? my doctor is thinking of taking off Atripla due to a fear of resistance. Is this kind of reaction common or is there cause for concern? im totally freaked out and not sure what is going on. Please give me any advice you can.
I was diagnosed with HIV several months ago. I think i have contracted HIV from oral sex.
Since the treatment of HIV in Vietnam is still very poor, can i just buy medicine (like Truvada or Atripla) from overseas and use it my self. As i know ARV is now availiable in Vietnam but i cant keep HIV+ live as long as HAART. Can i just take ARV first and then i switch to HAART?
I was diagnosed HIV positive in March 2008. I started on Atripla in November 2011 (with T cell 259 and viral load of 264,000).
My last blood test in June showed T cells at 359 and viral load of 13,564.
My lowest viral load was 472 in February 2011 and highest T cell was 426 for the same time period.
However, my June blood tests also showed a cd4/cd8 ratio of 0.12 and a CD4 % of 10.
Doctor says with T cells at 359, not to worry and the increase in the viral load was probably a ‘blip’ but he will continue to monitor.
Would you agree with this “not to worry” diagnosis?
I have had my colon removed and passing my movements into a stoma bag until I’m reconnected.
Food passes quickly into the stoma bag and I take Atripla as my ARVs. Since the pill is hard and thick I believe I should cut it in half and take doses 1/2 hour apart. What do you think?
First I would like to say thanks for the assistance provided on this website. All the answered questions, help, advice, and feedback is greatly appreciated.
My question (its kinda 2 questions actually) is regarding adherence, and then regarding research.
1. I take Atripla and have been respondnig to it very well thus far. I take it at the same time everyday but lets say once a month or so, when I’m out with friends I may take it about two hours late or so? Is that gonna cause any problems? I imagine it would not since I’ve read that Atripla has a good half-life and also read somewhere that Atripla can be taken up to 12 hours late (which I would never do, but just stating what I read). So for example if I take it at midnight everyday, than take it at 2 or 3 am once every month or so, I’m wondering if that will cause any problems? I have yet to miss a pill and don’t think I ever will actually, until some advanced treament comes along.
2. Second question is regarding research and future of meds, vaccines & potential functional cures. I have read about the recent breakthroughs and exciting research going on like the Dermavir patch/vaccine, the CMV vaccine that cleared SIV in monkeys, the Pro 140 once every two week injection, Sangamo’s gene therapy, the Berlin patient, etc and many other good reads. I know that me, you or anybody can’t predict the future but how likely do you think there will be some sort of big change in how HIV is treated in the next 5-10 years? And do you think there will ever be a time in the coming years where we can control the virus without the need for daily meds? Your opinion would be greatly appreciated.
Thanks a lot and keep up the good work.
Can I safely stop taking my meds over a weekend if I drink and forget to take them?
What is the best medication for nerve pains, they first started in legs now in arms and hands. Patient is on Atripla.
I’ve just read on your website the ‘Guidelines for London prescribing of antiretroviral drugs in 2011′ have changed:
Does this mean that someone in one part of london eg Hackney may not be able to have access to the same drugs as someone eg in Chelsea, if ultimately it is down to the resources or funding of your hospital or NHS trust whether to fund or prescribe a particular drug?
Does it also mean that not all hospitals in London (where I am based) will have access to the same drugs?
Also, if someone is settled on one regime will that have to be changed now?
I am really freaked out about this news and it seems that as if dealing with HIV isn’t bad enough itself patients now have this additional headache and uncertainty and whether I should consider changing my care for a hospital which i know will be able to give me the best treatment options.
thanx for your help & reassurance.
My brother was on Atripla and developed lactic acidosis. He was started on 3 other meds but the lactic acidosis did not go away. He was told not to exercise any more. He decided since he was going to have it with either treatment he might as well take Atripla since it’s once a day, one pill. Is there any other meds that will help him and not make the lactic acidosis worse?
I’m really worried about my brother. He’s in prison now so I can’t get him to a HIV specialist.
Once again thanks for your continued advise and guidance.
I was diagnosed HIV positive and in Dec 2009 I started meds immediately with a CD4 count of 150 and viral load of over 500,000.
I am on Atripla, I reached an undetectable viral load of 47 for the first time in June 2010 and this has also remained the only time that I’ve tested below 50 since than my viral load has always remained slightly above detectable between 54 and 60 (most recently). My HIV-clinician seems not concerned about this as it is not increasing significantly and the margin is so very small (in her words).
My question relates to my hair. I used to have strong, thick, bushy dark hair but have noticed since a month or two now how my hair suddenly has become thin and soft and it barely grows. My sister in law is on chemo-therapy and loosing her hair due to that but people have asked me if I am on chemotherapy as this is what it reminds people of. Can you see from the brief details above or from my medication any reason why this may be happening (thining of the hair and reduce speed of growth)? Is it just a case of me getting older (I am 39), the effect is so suddenly noticable though.
I have been taking meds now for 2 years and started taking Atripla 6 weeks ago. I’m now finding the side effects hard to cope with, especialy the mood swings and feeling anxious all the time. Will this get any easier in time? If so how long will it take? I don’t want to bother my clinic Doctor with this because he might take me off it and put me back on my old meds which were Combivir (AZT and 3TC) and Kaletra (lopinavir/ritonavir) 6 tabs a day. For me just taking 1 tablet a day is wonderful after having to take 6 a day but the low days are hard to endure.
I started my first line of treatment (Atripla) nearly a year ago. I’ve just been told that my cholesterol has become a problem. The reading came back at 6.3 and I have been told to look at my diet and exercise etc.
I can’t find much area for improvement apart from the fact that the only real exercise I get is a lot of walking as I cannot afford to join a gym or attend exercise classes.
I have been looking at health supplements and found that soya lecithin is an affordable option. An adviser at THT had previously told me that garlic supplement/capsules can interact with Atripla, but was uncertain about soya lecithin. I thought that you might be able to tell me if taking this soya supplement with Atripla would be safe?
I have never had cholesterol problems before – do you think it could be linked to the HIV or the medication?
Many thanks for your help and best wishes
I recently found out that I was HIV positive after all my tests. My doctor has put me on Truvada and efavirenz. My CD4 count is 273.
After the first week I got side effects of dizzyness. Now the problem is I don’t get enough sleep after taking my medicine. I have several questions about my medicine:
1. Do I need to change my meal timings?
2. When can I take the pills?
3. Can I go to gym for workout after taking my pills?
4. One guy said those pills I am taking have steroids thats why I don’t get to sleep? Is it true?
5. What are steroids?
6. Can I take protein supplements for my work out?
7. Will I start developing obesity? If so what treatments/diet do you suggest?
8. When can I go for a workout during the day?
9. Being positive makes me more confused about my medications and how manage my life style, what can I do?
10. People/internet all say a healthy lifestyle should make my life easier but what is healthy lifestyle?
11. I am worried about when to take my meals and my tablets and when to sleep, can you help please?
I’ve just had the results today of my drug resistance tests and have been told that I am unable to have any NNRTIs or abacavir, Trizivir and Atripla. This is the first resistance test I’ve ever had and I’ve been HIV-positive for 10 years now.
I did not see my usual doctor today and the doctor I saw didn’t really explain the consequences of this result. Are you able to give me a non clinical explanation of what this means to me please.