Mar 27, 2013
I am currently on Atripla with a 908 CD4 count /VL <20. My employer indicated that they may do random drug testing where we will have to go to a lab and give a urine or blood sample. What do I tell the lab when I give them the sample so a false dope reading does not surface? Do I just say do a confirmatory test? Perhaps switching to Complera or Stribild would be an option to avoid controversy? I would not want to pursue that alternative because of how successful Atripla has been for me. Your advice would be most appreciated. I was diagnosed in 8/99 with a baseline VL of 36,000 and a CD4 count of 370. I was on Combivir and Ziagen for 10 years before switching to Atripla in 9/09. I never had a detectable VL or fell below 500 T cells once I started treatment in October of 1999.
| Response from Dr. Young
Hi and thanks for posting.
I wouldn't use this issue as a reason to switch medications, though there might be a host of other reasons, perhaps related to the tolerability or side effects of the efavirenz.
I hope that's helpful, BY
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