Q and A

Question

Questions about Tribuss

I was diagnosed with HIV in January 2013 during regular HIV testing. My CD4 count was 91 and my GP put me straight on Tribuss.

I’ve never been sick of any illness since July 2012. I’d like to know about Tribuss. What do I do if I forgot to take the pill and remember only the next day?

I have also been given Trixazole (Bactrim). Should I take the pill as well?

And what mult-vitamins will be good for me?

Answer

Hi,

I’m sorry to hear about your recent diagnosis but I’m glad to hear how well you are feeling. Do you have any support to deal with finding out you have HIV?

Tribuss is a combination pill which contains three antiretrovirals (ARVs). These are efavirenz, FTC and tenofovir. This is a very widely used combination for treating HIV. Tribuss is a generic version of Atripla. Other generic versions include Trustiva, Tribuss or Odimune. You can read general information about this drug on our HIV meds page.

If you realise you have missed a dose, take it as soon as you remember. BUT, if you only realise when you’re going to take your next dose, do not take a double dose.

Bactrim/Trixazole are antibiotics which your doctor has given to make it less likely that you will get ill with infections like pneumonia. These are recommended for anybody with a CD4 under 200 and it’s important that you keep taking these. In some countries it is recommended to continue taking these antibiotics as long as your CD4 count is still below 350.

Multi-vitamins don’t treat HIV. Unless you have a vitamin deficiency there is unlikely to be any benefit from taking a multivitamin and they are essentially a waste of money. You are better off spending your money on a healthy diet which will do more to keep your body strong than a multivitamin.

303 comments

  1. Pls

    Hi it been few weeks now m on tribuss and there is water coming out of my vagina and I have warts around my clit also I was wondering if I could get any help?

    I also noticed that where the urine come out its pretty swollen and I have some sort of cysts please help (am scared)

  2. Lisa Thorley

    Hi Gift,

    Oratane contains isotretinoin. Isotretinoin could potentially interact with the efavirenz that are included in tribuss. Therefore, you may need to change ARVs or use another medication for your acne. Please talk to your doctor about this.

    They will be able to look this up at the following site:

    http://www.hiv-druginteractions.org/checker

  3. gift

    Hi
    I have started taking my tribuss is it advisable to carry on with my oratane treatment what will be side effects

  4. Lisa Thorley

    Hi Zinhle,

    Its common for women who are pregnant to be given folic acid, so please don’t worry. Vitamin C will not cause neither you, nor your baby any harm.

    Because you’re pregnant you may find our HIV and pregnancy guide helpful:

    http://i-base.info/guides/pregnancy

  5. Zinhle

    Hi I found out was HIV positive when I was 23 weeks pregnant. They gave me atroiza pills. When I went for my second visit they also gave me folic acid and vitamin c without explaining anything.Should I be worried about my health and the baby.

  6. Lisa Thorley

    Hi Anonymus,

    How are you coping with your diagnoses? Are you able to get any support?

    Atenef and tribuss are a generic version of Atripla. Therefore, they are the same drug, but have different names. The following link explains this, and also how you should take them.

    http://i-base.info/guides/1561

    Because you’re new to treatment, you may find our Introduction to ART guide helpful:

    http://i-base.info/guides/starting

  7. Anonymus

    Hi, I’ve recently tested positive and been on ART for almost a month now. I was given atenef at hospital. When I got to the clinic I was given tribuss wont that cause any problems for me..?
    Do I take them after a meal or before a meal..? please help!!

  8. Lisa Thorley

    Hi Ann,

    How long has your mother been on the HIV and TB meds? What was her weight before she started meds? Does she have any other health conditions?

    If you could get back to us, I’ll be able to help you.

  9. Ann

    Hi there,

    My Mother is on Nucotrim together with Isoniazid and Tribuss. Is it normal for her to be so sleepy and wanting to sleep all day? Weakness, breathlessness etc. Her CD4 count was 126, weight 41kg. So worried for her… Thanks…

  10. Lisa Thorley

    Hi No name,

    Missing one day of tribuss will not effect you, or your baby.

    Please see question 4 here:

    https://i-base.info/qa/what-are-the-most-asked-questions

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