The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Choosing Your MedsChoosing Your Meds
Rollover images to visit our other forums!
  • Email Email
  • Glossary Glossary

complera and still vivid dreams
Mar 24, 2012

Dear Doctor, I was on Atripla for a year, even though I had great results I had such vivid and intense dreams, I used to feel like I was never sleeping so I had to switch to Complera 3 months ago. And unfortunately NOTHING has changed.Yes, my tcells are upto 758, with undetectable viral load, but dreams are still very intense. I'm so tired all the time cause no matter how long I sleep, usually 9 hours, I never feel rested. My dr checked my testosterone and it was 210, so he put me on 10mg Cypionate injection every other week and that didnt do the trick. Still tired, very low energy, NO sex drive,i mean NONE, erectile dysfunction, weight gain, etc. So I stopped injections after 4 months. What should I do? I just wanna feel normal, energized and sexual since I'm only 37.Thank you for your reply in advance.

Response from Dr. Young

Hi and thanks for posting.

Sorry to hear that you're having difficulty with side effects.

While Complera has fewer of the sleep/dream side effects than Atripla, such effects have been reported. It's also relevant to ask if there might be other causes, such as depression or anxiety.

Similarly, there are a lot of reasons other than medication that can cause people are fatigued or have difficulty sleeping- these include sleep apnea, anxiety, or life habits (like late night caffeine, exercise or working on the computer). It does seem like your testo level was low (and there are other reasons why you'd like to have these normal, like for bone health). The lack of improvement in your overall symptoms points to other reasons why you're feeling tired too. We'd consider doing a sleep study in some patients with your symptoms to see if sleep apnea or restless leg syndrome were playing a role.

In short, I'd wonder if another switch (even for a short while) will help sort out if the HIV meds are causing problems with sleep and dreams. We'd consider continuing Truvada (tenofovir/FTC) and a switch to a protease inhibitor, or the twice daily third agents maraviroc or raltegravir-- with close clinical symptom and laboratory monitoring.

Hope that's a starting point. BY

can I come off HIV meds at all?
Sustiva, Combivir switching to Atripla

  • Email Email
  • Glossary Glossary



This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint