Q and A

Question

Sometimes i have to take my Tribuss at different times – is this OK?

I’m working day and night shifts. I’ve been told to take my Tribuss at night when i’m doing day shift. When ‘ doing nights i take my pill in the morning before i go to sleep. Is this OK?

Answer

Hi,

Tribuss is usually recommended to be taken at night because you avoid side effects. This is because you will be sleeping when drug levels are highest and side effects are more likely to occur. These have to do with efavirenz, one of the drugs in Tribuss.

If you take your HIV meds at different times on different days you run the risk of developing resistance. This means your meds will not work effectively.

Because of this in UK people that do shift work do not use Tribuss. There are other meds that do not have to be taken before you sleep. Your clinic or doctor should be able to talk to you about any that are available.

More information about adherence.

More information about Tribuss.

26 comments

  1. Josh Peasegood

    Hi Themba, have you had problems taking Trisbuss before? As you are now only experiencing these symptoms after 8 years of being on Trisbuss, it is unlikely that Trisbuss is the cause.

    Has anything changed recently e.g., do you know your viral load/CD4 count and/or do you have other health problems?

  2. Themba

    8 years of Tribuss working shifts I now developed drowsiness and dizziness even when I am awake even my blood pressure is troublesome now please help

  3. Lisa Thorley
  4. sipho

    hi
    can test again for hiv cause i am positive and i am in use of tribuss,is it possible turn negative?

  5. Roy Trevelion

    Hi Sbusiso,

    This sounds fine. Most people aim to take their ARVs at a particular time. But you have a window of at least an hour on either side of your chosen time.

    So for example, if you aim for 20:30 it’s fine to take your ARVs anytime between 19:30 and 21:30. There’s more info at this similar Q&A.

  6. Sbusiso

    Hi my name is S and im taking my ARVs in different time of each night for exampe today i will take it at 20:00 & tomorrow 21:10 is there a problem pls help

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