|switch to viramune?
May 14, 2005
Dear doctors , would it be advised to switch to viramune with 1100 t cells. I am currently on lexiva/truvada(since january) and tolerating it ok, but,I am accumalating fat around my stomach(gained 20 pounds).I was on sustiva could not take it.please advise. thankyou.
| Response from Dr. Pierone
Protease inhibitors like Lexiva have been linked to a greater risk of abdominal fat accumulation (lipohypertrophy). A switch to Viramune might be effective, but with such a high CD4 count there would be a greater chance of liver toxicity. This raises the next question - why are you on antiretroviral therapy with such a high count and do you actually need to be on medications at all?
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