Hi Steve, how are you doing?<\/p>\n
Why do you think there is drug resistance? Atripla is not recommended as PEP. This is more a result of the potential side effects of Atripla rather than its ability to prevent HIV transmission.<\/p>\n
Atripla contains efavirenz. This drug can cause mood disturbances which is the reason it is not offered as PEP. As you have completed the course of Atripla for at least 28 days Atripla would have still been able to prevent HIV transmission.<\/p>\n
Is there a reason you think this sex worker is HIV positive?<\/p>\n
A white tongue can be caused by doxycycline. The antibiotic can put you at risk for other infections while you are taking the course. Have you mentioned this to your doctor?<\/p>\n
Have you noticed any other symptoms aside from the muscle aches? and if they are not painful do you know anything else that could have caused this e.g., more exercise, increased tiredness, dehydrated?<\/p>\n
A self test antibody test is only accurate from 90 days after the last dose of PEP. You can use a 4th generation test. These look for antigens and antibodies. These tests will be accurate from 42 days after the last dose of PEP.<\/p>\n
You should not be worried about the symptoms you have in relation to HIV. The white tongue is likely explained by doxycycline and muscle aches are common and alone they do not suggest HIV.<\/p>\n