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Generic or Branded

Dec 30, 2008


I am HIV positive from the Philippines and my CD4 is 140+ and already on medication (tenofovir, lamivudine and efavirenz) all generic, during my first month I was on Stocrin (the branded efavirenz) and my white blood count went up, until I decided to take the generic efavirenz and my blood count went down, is there any effect or it doesnt matter if i take the generic or branded? By the way I am also on interferon (pegasys) for Hepatitis B.

Hope to hear from you soon.

Happy Holidays!

Response from Dr. Young

Hello and happy holidays to you,

There shouldn't be any significant differences between your branded and generic forms of efavirenz; at least with regard to your total WBC count. I'd wonder if the differences in your WBC count has something to do with the timing of your Pegasys dosing-- it wouldn't be surprising to me if one of the tests was performed shortly after a Peg dose that your WBC levels could have been influenced.

Best of health to you in the new year, BY

VERY erratic blood test results
Re resistent to Atripla

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