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. Simon Collins

    Hi

    Tribuss is a generic version of Atripla and contains three active HIV drugs.

    HIV treatment reduces levels of HIV in your body and this lets your immune system (ie CD4 count) repair itself and increase.

    Sometimes this is enough to overcome other health problems, for example warts.

    i-Base can’t comment directly on you situation though because we don;t know how mild or severe the warts are, and where about there are on your body.

    I sounds like your doctor may be giving you good advice, but if they don’t improve over the next few months, or they are severe, then ask your doctor about alternative options for treatment.

    If they are relatively small and mild, then letting your body heal then my itself this will giver you longer protection against them coming back again.

  2. Khula

    I am having a genital warts due to HIV and my Dr has put me on Tribuss treatment, when i asked him about treatment for genital warts he told that let me not worry, these pills will let the body heal itself and remove the genital warts automatically. Is that true because I’m worried about these genital warts, they embarrass me a lot?

  3. Simon Collins

    Hi

    If your doctor has recommended ARVs then this is because the benefits of treatment are no likely to be much more important than the small risks from treatment.

    Similarly, the risks of not starting treatment are likely to be much higher than the small risks from starting.

    Everyone worries about side effects before starting treatment, but most people find that treatment is much easier than they first thought.

    Isoniazid is an antibiotic used to treat or prevent TB. If your doctor prescribed this is it likely to also be important.

    If you have worries then this is something to talk to your doctor or nurse about.

    Both HIV and TB are serious infections and both can be treated with very effective drugs.

    Your CD4 count is very unlikely to increase without the starting HIV meds.

  4. Dineo

    Hi i jst need to know how dangerous is it if i dnt proceed with the tablet named norstan isonniazid.i have been diagnosed to hiv and my doctor told me my cd4 count is down to 295.i am afraid to start arvs.is it posible for it to be up again without taking treament?i am just so afraid.please help

  5. Simon Collins

    Hi

    Please see this link for more information about having a baby if your partner is negative.
    http://i-base.info/guides/pregnancy/what-to-do-when-one-partner-is-hiv-positive-and-the-other-is-hiv-negative

    In the UK, once viral load has been undetectable on treatment for 6 months or longer, couples usually decide to conceive naturally. The link and the following pages contain important details about how to do this.

    Please also talk to your doctor about your plans.

    Also see the many previous questions that are already answered online about this subject.
    http://i-base.info/qa/faqs

  6. KM

    I got diagnosed with HIV about 3 yrs ago & have recently started taking ARVs. I feel great nonetheless.
    I just want to know, what are the procedures in getting pregnant if one partner is positive and the other negative? Are these options offered in public hospitals?
    I’d like to have a child of my own soon

  7. Rebecca McDowall

    Hi Precious,
    It is possible to have a high CD4 count and a high viral load at the same time. Because you’re pregnant it’s important that you find out what your viral load is if this is possible. This is the best way to know how likely your baby is to be infected. Because you are on treatment there is a very good chance that your viral load will be low enough to protect your baby- usually the viral load drops very quickly and is ‘undetectable’ after the first 3 months on treatment. Making sure you take your meds everyday is the best way to protect your baby.

    This must be very stressful time for you- do you have any support to help you deal with this?

  8. Precious

    Hi again!
    thanks for you response it helped too much. Well, I have been diagnosed and it was found that my CD4 is 585, I don’t know whether to be happy about this since I don’t know my viral load. Is it possible though to have a high CD4 and a high viral load at the same time? I really don’t want my little one to get HIV, please advice!!! I am willing to do whatever it takes to keep my baby healthy.

    Thank you

  9. Rebecca McDowall

    Hi Simon,
    Tribuss and Atroiza are the same drugs- they are made by different companies which is why they have different names. They may look or taste different from each other but they work in the same way and are both equally effective.

  10. simon

    i want to know that tribuss and atroiza are doing the same job

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