Question
Which ARVs cause less insomnia?
19 December 2023. Related: All topics, Side effects.
Which ARVs cause less insomnia?
Answer
Hi, how are you doing?
The most common ARV to cause insomnia is dolutegravir. To avoid this it is recommended to take dolutegravir based combination in the morning to help this side effect wear off before bed. It can also improve the longer you take the medication.
Efavirenz does not cause insomina but it can lead to nightmares causing problems staying asleep and having a good nights rest. This is avoided by avoiding taking it along with high-fat meals. This side effect is less common than the insomnia associated with dolutegravir.
As with most drugs, insomnia is a common side effect and will hopefully wear off the longer you are on treatment. Of all HIV medication, dolutegraivr as the largest association but this is manageable by adjusting your treatment time.
To help with this your doctor may suggest improvements with sleep hygiene and/or prescribe a medication to help with sleep.
Josh.
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