|Truvada and lactic acidosis in colonoscopy prep
Apr 8, 2013
hi. i have a colonoscopy prep to do in the next few days. i've been taking Truvada for about 2 months now. my concern is, since preparation for a colonoscopy can cause dehydration AND Truvada does have a risk of inducing lactic acidosis should i be concerned with this happening? it kinda worries me because that is a major warning on the Truvada label. i do not have any of the listed warning risk factors, but still concerns me greatly. Thanks!
| Response from Dr. Young
Hello and thanks for posting.
Lactic acidosis is astonishingly rare and takes many weeks if not months to develop- most of the reports of LA come from the bad old ddI and d4T days, and I'm not sure if I've ever heard of a credible case attributed to Truvada.
Indeed, we definitely recommend screening colonoscopy for all people living with HIV over age 50- I would not consider the even transient dehydration from the colonoscopy prep to be of concern. Just make sure that you hydrate before the procedure.
I hope that your scope goes well. BY
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