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time it takes for Dr. to decide change cocktail

Nov 21, 2012

I am compliant and take care of myself and listen to them. But when i want off a drug that causes problems it take them forever to get me on something else. It took my recent Dr. 10 months to change my meds. I was in serious pain for over a year. In bed crying..Bone, muscle joint pain confusion fatigue..Tenofovir? I thought. I asked to change my meds many times. He said over and over it was very unlikely my meds were causing pain. I have hep c and he was going on that assumption.. Now he said i have to change now! It is very important. that i will feel better once we make the change.

My previous Dr. did the same thing. I was going insane on Atripla and he didn't come up with a new plan. I suffered for over 8 months. I suffered then and now... i have no trust anymore.

dxed in '92 have been undetectable since 1998 except a few blips.

Response from Dr. Young

Hi and thanks for posting.

I'm not sure what's caused your pain, but suffice to say that if in the end analysis, that medications are the cause, then switching does indeed make sense. Minimally, you can be certain that if the symptoms improve that one of the medications was the cause.

The bone and muscle pain that you describe is not typical for tenofovir, and it's understandable why your doctor did not reach this conclusion immediately. I have had some patients report this over the years, and an monitored switch is reasonable. Since you're essentially still on a first-line regimen, there are multiple options.

I hope that helps, please feel free to write back to let us know how things go for you. BY

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Itraconazole with combivir and efavirenz

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