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Oct 30, 2013

Hi Doc I was on truvada and naverepine for a year and it was not working was changed to aluvia and truvada can i change to atripla.

Response from Dr. Young

Hello and thanks for posting.

The answer depends on why the medication wasn't working. If it was because of side effects, then Atripla might be a possibility. On the other hand, if you were switched off of nevirapine because of increased viral load (if you were adherent) and drug resistance, then because of cross drug-resistance issues, it's probably unlikely that the efavirenz part of Atripla will be effective.

The best way to know the answer in your case is if drug resistance testing was performed. The results of this test will tell if nevirapine resistance generated efavirenz resistance.

I hope that helps, BY

tpha positive

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