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Accidental Stick Med Options Abroad
Nov 26, 2007

I had an accidental needle stick today while training students in blood draw in Peru where I currently work. Combivir isn't available here and I'm not sure I'll be able to get my hands on much of anything with any speed. But, if I could, what would be the suggestions of other treatment regims I might follow in the coming days, are there any additional suggestions? I will be tested in 3 and 6 months. Baseline is negative as of 1 month prior, with no other possible exposures.

Response from Dr. Wohl

I can tell you what to avoid: Nevirapine (Viramune). This med has been found to cause severe reactions and liver failure in healthy HIV uninfected persons who used this drug after an exposure.

Tenofovir or AZT would be ideal and should be combined with 3TC (Epivir) or FTC (Emtriva).

Was the source patient HIV+? If unknown, get him/her tested and if negative, you have little to worry about as far as HIV.

DW



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