Apr 8, 2007
Doctor; My triglyceride level when i'm on hiv meds is 2-3 thousand. w/o meds around 150. what's the best way to resolve this?
| Response from Dr. Young
Thanks for your post.
It would certainly seem like your HIV medications are responsible for your markedly elevated triglycerides (a condition called hypertriglyceridemia).
Many HIV drugs contribute to this--indeed at least one drug from each of the commonly prescribed classes (nukes, non-nukes and protease inhibitors) can elevate trigs. Some of the ritonavir (Norvir)-boosted PIs are thought to be the worst culprits, but efavirenz (Sustiva, Stocrin) and d4T (Zerit) are examples of other commonly used meds that are known to elevate trigs.
While diet changes and medications can lower triglycerides and cholesterol, if your value is in the thousands, it's more likely that a HIV treatment switch is in your future. Talk to your doctors about what might be the best treatment options for you-- the answer depends on what previoius medications you've been on, any issues of drug resistance and toxicity.
Hope this helps, BY
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