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can't sleep
Sep 5, 2013

Two weeks on Tribuss and battling to sleep, help me, my eyes are red now

Response from Dr. Young

Hello and thanks for posting.

Tribuss is a generic version of Atripla. Regimens like these that contain efavirenz can cause sleep problems (insomnia, vivid dreams). While there are other potential causes of insomnia, I'd wager that it's the efavirenz.

This side effect typically improves over time, but can persist, particularly in small body weight individuals. It may help to make sure that your taking your Tribuss on an empty stomach- this helps moderate the absorption of the medications.

If your sleep is significantly abnormal so that your daily activities or work are impaired, there are medications (such as diphenhydramine or zolpidem) that may help. If the sleep problems really are bothersome and persist, we'd consider switching HIV medications.

I hope that's helpful, BY

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