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Started Truvada & Sustiva
Feb 22, 2005

On last Thursday night I started the Truvada and Sustiva regiment. I had some issues adjusting to the feeling that I was high/drunk at night but that is slowly getting better. What I have noticed is that when I wake up in the morning I feel sick to my stomach but as soon as I eat something the feeling goes away. Is this a common occurrence and if so will this eventually go away? Also, when I get up for work today at 4:30 I still felt tipsy and this lasts for several hours into the morning where as over the weekend I was sleeping till 7/8 and did not really have this tipsy feeling. I have been taking the meds at 9:30 and not sure if I should try to move them up to 9 or even 8:30.what are your thoughts?

Response from Dr. Pierone

The morning tipsy feeling that many people get after starting Sustiva usually goes away with time (but not always). Taking the evening dose a little earlier may help the situation. I suspect that the morning nausea will resolve in time as your body gets used to the medication. If this continues more than a week or 2 longer and does not show signs of letting up then the regimen may need to be adjusted.

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