May 25, 2010
i have been just recently diagnosed and my doctor has me on atripla, i was also in the hospital with pneumonia. they were giving me my atripla in the morning. should i start taking it at night instead? i have been experiencing fatigue-sleepless nights and just no energy, could this also be because i am eating before i take my meds?
Response from Dr. Young
Hello and thanks for your post.
Atripla (or any regimen that contains efavirenz) should preferentially be taken at bed time (to avoid the psychological side effects). If you have excessive side effects of efavirenz (as you describe), you could try taking the medication on an empty stomach. This tends to lower the efavirenz drug levels, decreasing the potential for side effects.
If you still have significant sleep problems or ongoing fatigue, be sure to discuss this with your healthcare team-- there might be an alternative explanation to your symptoms.
Be well, BY
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