|Alternative to Isentress
Apr 25, 2010
I am currently on a regimen of Sustiva and Combivir. My viral load is undetectable and CD4 count is around 600; however, my triglyceride level has been confirmed and has gone through the roof! My doctor has suggested that I switch from Sustiva to Isentress because it will assist with lowering my triglyceride level; but my insurance copay for Isentress is approx 10 times that of Sustiva. What do you suggest, as an alternative to Isentress, that will assist in lowering my triglyceride level?
| Response from Dr. McGowan
Thank you, yours is a common problem in which the insurance companies charge a proportion of the total cost as a copay for all "brand" medicines. Of course almost all of the most effective HIV meds are not available as generics so it is a shame that insurance companies take advantage of patients in this way. Be that as it may, an alternative would be to use a medication to target the triglycerides such as gemfibrozil or fenofibrate.
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