May 5, 2002
I have a question about reverse side effects. With my doctors permission and dually agreed on close monitoring I dropped videx Ec from my three drug reg to see if some side effects dissappate over 4-6 weeks.I was in very good shape from a viral standpointe before attempting this.Here is my question,is the pi in my regime taking over and causing me to "balloon with fat" What I mean is I am only off for one week,but I gained 5lbs of flab,(the lose squeezy kind)AND it's like someone losened a valve on my muscles and deflated them.I kid you not,my calves used to have large muscles with little fat(not veiny though)and after one week off it is just giggly flesh. I know something is happening,because I have been plaqued with the "hampster pockets"under my chin since 3 months after starting videx EC,and after only 5 days off they are completely gone.There is nothing there anymore and they were huge.Does that mean those glands(salivary) were resouvirs of virus and it has already leeched back into my blood or is this some kind of immune response(good or bad)I know everyone reacts differently to all drugs.but this is weird.Also,does this mean my body isen't making it's own atp because it was getting a synethic version.Similar to stopping estrogen or cortisone,I'm so confused.Help.
Response from Dr. Boyle
hmmm...you raise some interesting issues but I'm not quite sure that I have the entire picture. First off, I'm pretty sure that dropping 1 drug from a 3 drug is a bad idea, since several studies have shown that this leads to virologic failure and resistance. As far as the fat problem, no other study I'm aware of shows that fat comes on this quickly (i.e., in a week) and I suspect that this may be related to some other factors. Also, there is no physical dependence associated with antiretrovirals and so withdrawal does not occur. I'd suggest that you call your doctor and have him/her take a look and give you some additional advice.
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