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low platelets, start meds follow up

Sep 22, 2005

Thank you for your reply to low plates, should I start meds? I waited over the weekend to ask my doctor the count before begining. Blood platelest 21K. I did begin Sustiva & Truvada on Monday as she advised. Should I be concerned about complecations other than bleeding from low platelets such as heart problems etc? Also since starting the meds I'm having some pain in my lower left side as well as tingling and general weired feeling in my body. Should I expect that my body is just getting used to the meds?

Response from Dr. Young

Thanks for your follow up.

Complications of low platlets are primarily bleeding-- excessive bruising for example. The thing that really gets us concerned, medically speaking isn't bruises but the possibility of bleeding in major organs, especially the brain (but usually not the heart).

As for your other symptoms, the tingling and "weird" feelings sound like mild efavirenz (Sustiva) side effects; the lower side pain is a little less clear to me at this point. I'd expect most of these symptoms to resolve over the next few days. Certainly if they don't improve, make sure to keep your doctor informed about how your doing, particularly about your side effects or symptoms.

Good luck, stay in touch. BY

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