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Question regarding high bilirubin and Reyataz

Dec 31, 2006

Hello. I am on 300mg Reyataz, 100mg Norvir, and Truvada. I have a total bilirubin result that hovers around 3. I do understand this is a side effect of the Reyataz. Other than the occasional yellow tint of my eyes--which isn't hugely noticable, I am fine. I was just wondering if there ever was a point where the bilirubin would get high enough for there to be cause for concern or is high bilirubin with Reyataz always okay no matter what the result? I can handle a slight yellowing now and then (as long as I don't turn extremely yellow) since I am tolerating the medicines very well, but I wasn't sure if there ever was a point I should worry. Thank you for your time.

Response from Dr. Holodniy

The safety data for reyataz looks pretty good thus far. Almost all folks are able to tolerate an increased bilirubin without problems. Some times it gets quite high and people have to be taken off it, mostly for cosmetic reasons. However, there are other factors like hepatitis virus infections, other liver problems, or medications, which can make the bilirubin increase more with reyataz.

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