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Need medication advice by Tuesday, your time

Feb 13, 2011

I live in Thailand, and was just diagnosed positive on Jan. 22, 2011, after testing negative at one month and three+ months after a possible exposure.

On Jan. 24, my VL = 60,883; CD4's=403

I have had symptoms since August, 2010 with fatigue and intermittent, low grade fevers.

Since I am treatment naive, my physician ordered genotyping and resistance testing - it came back today: HIV-1, with no detectable mutations; It showed 100% susceptible to ALL medications in ALL categories.

I have been reading a lot and think Atripola is a good choice for my treatment regimen. My doc has access to the three ingredients, separately, but not tucked into one tidy pill.

My question: Can I take the three drugs, individually, following the Atripola protocol; once a day, at bed time (three pills, or even possibly in two)?

Any thoughts or specifications would be VERY helpful!

Thank you!

Response from Dr. Young

Hi and thanks for your post from Thailand!

Yes indeed, Atripla is very popular here-- it is the combination of three HIV medications, tenofovir (known also as Viread), emtricitabine (Emtriva, FTC) and efavirenz (Sustiva, Stocrin). Back in the day, the combination was achieved just as you describe, namely three pills (using the cousin of FTC, 3TC) all taken once daily.

There's no reason why you can't take your three at once.

Hope this is helpful, BY

precaution and lab. test preopeatiive for HIV for cataract
Possible to be resistant to all meds? If so, how likely/rare?

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