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Ask the Experts about Lipodystrophy and Wasting
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Zerit + Kaletra vs. Emtriva + Kaletra
Apr 15, 2004

After one year of treatment with Zerit + Kaletra + Covaricil I started showing lipoatrophy on my face. I asked the doc to change my regimen, but he only replaced Zerit with Emtriva.

Is that good enough to limit the development of lipoatrophy or should I also replace Kaletra? What would you suggest replacing Kaletra with?

My VL is undetectable and CD4 of about 600.

Thanks,

GB

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   Response from Dr. Moyle

Coviracil and Emtriva are the same thing. So I am a littel confused. Are you just taking emtriva+ kaletra? Generally we need 3 drugs to treat HIV so just dropping d4T is a bit risky. Generally it would be replaced with either abacavir or tenofovir Replacement of the Kaletra with atazanavir/ritonavir may also be a good option in the long term regards Graeme Moyle



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