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Truvada Reyataz Norvir

Jul 18, 2011

Hi! Im 21 and been HIV+ for about three years.

I just recently started back on my three pill regemin after taking a recommended break from my doctor for a year.

Everything been going standard until i lost insurance coverage and i been working towards getting treatment another way.

For the past month, i been taking my left over pills but ran out of Novir. I been taking the Truvada and Reyataz but I am afraid whether it is working for my body? What may happen for my viral load?

Response from Dr. Young

Hello and thanks for your post.

Taking only Truvada (tenofovir/FTC) and Reyataz (atazanavir) without the boosting Norvir (ritonavir) is not recommended, as the tenofovir component of Truvada has a negative drug interaction with atazanavir (lowers levels to unacceptable levels).

I'd definitely suggest talking with your doctor about possible solutions- these could include exploration of your eligibility for patient assistance programs for all three medications, but especially ritonavir, asking if there are community drug banks or a switch to an alternative NRTI combination (ie., Epzicom) that could be dosed with Reyataz without Norvir, or a complete interruption of HIV medications until your access issue is resolved.

For now, I'd definitely want to know your HIV viral load; advise strongly to take your medications with food (and avoid antacids; factors that can further lower Reyataz levels). Speak to your healthcare provider about your situation and solutions that might work for you.

Hope that helps. Be well, BY

About to start HIV treatment

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