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just beginning
Apr 11, 2004

my question is of the intitial start on medication, I will begin a regimen of combivir 300mg bid and kelettra 30 mg bid or tid,(for the first 30 days) I heard they are overwhelming to the patient is this true? I would also like to know if this is a good start off combination or is their another group of meds better for this disease. finally, is there any group that may help with getting medications they are so expensive. mexico,canada,etc.

Response from Dr. Young

Thanks for your question.

Combivir (AZT/3TC) and lopinavir/ritonavir (Kaletra) is a highly recommended starting regimen for persons with HIV infection. The regimen is generally well tolerated, but can cause gastrointestinal upset in the first weeks. Other usually mild side effects can include headache and nausea. Taking care to take the medications with food can really offset the side effects.

For some persons the side effects can persist and can prompt treatment switches-- we are fortunate to have a number of options, including alternative medications of all treatment classes.

There are a number of mechanisms to assist with getting medications for those who cannot aford to purchase (nearly everyone) or don't have sufficient insurance to cover the costs. I'd ask you to speak to your local AIDS service organization (see for help.

Good luck, BY

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