|Sustiva and Truvada/Herbal therapy updates
Jul 25, 2007
I was prescribed Paxil for mild anxiety but turned to St. Johns Wort in the last few months because it works so much better for me with no side affects. I have just learned from reading about SJW that it could interact with my Sustiva and Truvada regimine that I have been taking for years with great results. Should I be freaking out. I feel so much better with SJW how significant is the risk. Is there any more recent information available about the possible interaction.
| Response from Dr. Young
Thanks for your post.
I'd be very cautious about using St. John's wort and HIV medications, including efavirenz (Sustiva). This is because there is a theoretical (not well studied) interaction between the two that could reduce the levels (and potency) of efavirenz.
I wouldn't be freaking out, but I'd discuss the use of any supplement with your doctor before starting out. If your viral load remains undetectable, there's little harm done, but I wouldn't gamble with my HIV medications; there are likely safer alternatives for treatment of mild anxiety.
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