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SLEEPLESS IN THE NIGHT Feb 4, 2013 Hi Doctor,How are you .I hope you are well and good.You have responded once for me for a question which is subjected as sub:"CD 4 COUNT DRASTICAL DOWN(RECOVERED)" in the recent times. Now I am facing problems with no proper sleep in the nights(Most of the days).I am in medication and TRUSTIVA(ART) at 9 PM in the night.I am on diet to reduce weight.As i am working and supposed to present in duties in the morning,i am in helpless situation.I have no other problems with my health.Could you please suggest me what shall i do.I am in desperate situation doctor please help me with any suggestion.I appreciate for your quick response, Thanks, Nani |
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| Response from Mr. Vergel
 Nani Trustiva can cause sleep disturbances due to one of its components (Sustiva or Efavirenz). Talk to your doctor about switching you to a regimen that does not contain efavirenz. You will probably sleep much better then. You can also try taking the drug on an empty stomach 2 hours before breakfast to see if that helps. If you are taking it at night, make sure it is after at least 2 hours after eating. Food increases blood levels of efavirenz, which can create more sleep disturbances. Good luck Nelson | ||||||||
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