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liver metabolism and protease inhibitors
Mar 10, 1997
I have been on Norvir/AZT/3TC for the past 13 months and in that time my
cholesterol level has jumped
from 89 prior to treatment to 358. Prior to HIV infection, the level never
exceeded 150. My doctor and I are
now concerned over this development and how to treat it. He wants to avoid
more drugs. I am taking
enough now. I have avoided the fatty diet that many take to aid in dealing
with the Norvir. The combo
treatment has done its job in the HIV area as my Tcells were 2 and now 108
and the viral load is undectable.
Just trying to find out what others are doing in similiar situations. Thanks
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Response from Dr. Cohen

High triglycerides (which will make your cholesterol high, too) is quite
common when you're on protease inhibitors, including ritonavir. In the
average young adult, it's probably not a big problem, but if (for example)
you were an older man with cardiac risk factors (high blood pressure,
smoking, diabetes) it might be cause for concern.
It has not generally been recommended you use lipid lowering agents to lower
the cholesterol and triglycerides, but everyone admits that we don't know
very much about this problem.
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