Mar 20, 2012
HELLO DOCTOR, I AM TAKING REYATAZ,TRUVADA AND NORVIR, I AM DOING GREAT CD4 839 AND UNDETECTABLE SINCE I STARTED TREATMENT (8 MONTHS AGO) , MY DOCTOR IS CONSIDERING SWITCHING REYATAZ , I HAVE TO GO BACK ON THURSDAY 3/22 TO TALK WITH HIM ABOUT DIFFERENT OPTIONS, THE REASON WHY HE WANNA TO SWITCH IS BECAUSE MY EYES ARE VERY YELLOW AND HE IS AFRAID THAT I`LL STOP THE REYATAZ W/O TELLING HIM, I TOLD HIM THAT I WILL NOT DO THAT !!! BUT HE INSISTS ON CHANGING REYATAZ. MY QUESTION IS: WHAT IS THE BETTER OPTION OUT THERE TO REPLACE REYATAZ? DO I HAVE ANY RISK OF DEVELOPING RESISTANCE WITH THE CHANGE? PLEASE ADVISE!!!!!!!!!!!!!! AND THANK YOU FOR YOUR HELP.
Response from Dr. Young
Hello and thanks for posting.
Yellowing of the eyes is a not rare, but usually not medically serious side effect of Reyataz. About 5% of people using this regimen experience this effect.
If serious enough to warrant a switch, the most conservative way to approach this is to switch to a different protease inhibitor. Current US treatment guidelines would endorse a change to Norvir+Prezista (darunavir). Darunavir is very well tolerated and isn't associated with yellowing of the eyes/skin and would retain the same degree of viral potency.
Hope that helps, BY
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