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Atripla and Resistance
Jun 16, 2007

Hello Dr, I have been taking Atripla since Jan. 2007 and i have very little side effects and my viral load has decreased from 98,000 to under less than 300 as of April 2007.My cd4 also raised from 335 to 455 in that same time frame. I have not missed a dose since being prescribed Atripla. Here is where the problem is. I started a new job recently and i only have enough pills to last me until July 14, 2007 and my new health plan won't kick in until August 1, 2007 and for some reason my old insurance changed and atripla is no longer covered. Is there something i could do within that two week window if i don't get this health coverage settled. I was thinking taking half a pill one day and then a whole pill the next so the atripla will remain in my system instead of running completely out and have nothing no meds for two weeks. Will this cause resistance?...Please Help

Response from Dr. Holodniy

Aghhh, that's a problem. It would not be advisable at all to halve the dose of atripla. Less of these drugs on board can rapidly promote the development of resistance. Of the two choices, it's probably better to stop for two weeks and then restart. No way to work with your old insurance via COBRA benefits or with your doc to find another two weeks of Atripla? Try the Atripla patient assistance program: http://www.needymeds.com/papforms/atripl1099.pdf.



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