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Treatment for nausea

Jul 9, 2003

Dr. Wohl,

My T cells are within normal and VL undetectable by Amplicor 1.5. I am treatment naive, but have many unpleasant symptoms every day. There are two that I would appreciate your advice on:

a. What drug would you recommend for very bad nausea?My doctor has tried different meds (like Ondansetron)), but they don't help the nausea. Cancer has been ruled out.

b. My skin often feels like it is burning and it sometimes feels a bit itchy. Can this be caused by HIV? Can you recommend any systemic meds/treatment? (it is in too many places to make topical treatment easy).


Response from Dr. Wohl

Nausea can be due to a number of different factors including other medications or agents (even herbal) that you might be taking, gastrointestinal problems, stress and rarely a brain lesion.

Your skin condition also can be due to a number of different problems ranging from an allergy to connective tissue diseases like lupus.

It sounds like your symptoms have been investigated but still no cause found. If so, it may be related to HIV. I care for a woman with a CD4 cell count that has always been above 500 who gets cramps and diarrhea when she is not on HIV therapy.

It may not be completely insane to ask your clinician for a trial run of HIV therapy to see if this changes your symptoms. Of course, treatment can bring on a host of new symptoms including the ones you have already but a kinder gentler regimen depending on your viral load can probably be devised. DW

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