The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Choosing Your MedsChoosing Your Meds
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  • Email Email
  • Glossary Glossary


Nov 2, 2003

Dr. Wohl, My Dr. wants me to start meds soon. My CD4 count is hovering between 350 and 320. My VL is 16,000 and my percentage is 16. He said I'm ready to start and suggested starting before I start seeing symptoms. I was tested for resistance and I have all options open to me at this time. He mentioned some starting regiments, most incluting Sustiva. One regimen he suggested was Trizivir. He stated that studies show that by taking this, I will still have a multitude of options should I develop resistance. I'm not sure if I want to start with this as it seems very dangerous from what I have read...Hypertension which may lead to quick death. How does this medication keep my options open should I develop resistance? Is this a three in one treatment?

Thank you,


Response from Dr. Wohl

Dear EW,

Trizivir is a medication that is 1 pill taken twice a day but contains three drugs: AZT+3TC+Abacavir. This drug is a triple combo of nucleoside reverse transcriptase inhibitors (also called 'nukes').

Evolving data indicate that triple nuke regimens are not as potent or durable as regimens which include a non-nucleoside reverse transcriptase inhibitor (e.g. Sustiva or Viramune) or a protease inhibitor.

While triple nuke therapy may arguably provide increased opportunities for subsequent therapy, you are more likely to need subsequent treatment with this initial approach.

As far as toxicity, Trizivir has actually proven itself to be well tolerated. Abacavir can lead to a hypersensitivity reaction (sort of like an allergic reaction) in 5-10% of people but this remits with withdrawal of the drug.

Triple nukes with a non-nuke or a protease inhibitor may be fine as an aggressive strategy. DW

research triangle clinical trials

  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS



This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint