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missed 2 doses of Atripla
Apr 25, 2013

Hi Doctor, I am writing to you because i'm getting quite concerned about having taken a dose of Atripla 15 hours late last week and then missed two consecutive doses for the past two days. I am visiting my family abroad and i have contracted severe gastroenteritis (norovirus i've been told) which prevented me from taking one dose of Atripla last week, and then because i had to postpone my return to London i have run out of medication for two consecutive days, i just managed to get some this morning, enough to cover me till i get back home to Britain. Nontheless I'm worried that this occurrance will make me develop resistance to my treatment. i got diagnosed with Hiv in 2003, my viral load was over a million and i still remember too well how ill i was, but i've been on treatment ever since and undetectable since after few months of starting it. Last time i saw my Specialist in January 2013 my viral load was still undetectable and my cd4 count was 765. I wonder if i should go straight to repeat my tests as soon as i manage to get back to London or if i should wait till my next appointment in June. kind regards A.

Response from Dr. Young

Hello A and thanks for posting.

I wouldn't think that the 2 missed doses of your medications should cause any problems. No need to get early follow up testing at all.

Hope that the norovirus is resolving.

Safe travels, BY



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