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painful feet while on med.

Apr 12, 2014

I have been on med(aluvia and truvada for eleven years. My feet are very doc says is neuropathy.will I suffer from the rest of my life? It does not stop even if I take its treatment.(Pexola). Thanks in advance. M.N.

Response from Dr. Henry

The risk for neuropathy from Aluvia (Kaletra in US) and Truvada after 10 years has not been well studied. HIV can cause neuropathy though not common if doing well on treatment with good CD4 count. I cant with any confidence recommend that a switch in HIV treatment would likely improve the neuropathy if it is drug related. An evaluation by a neurologist may be helpful to further evaluate what is the proper diagnosis and likely cause as well as suggest possible treatments that may alleviate the pain. Tricyclic antidepressants, WHO stepped pain management, gabapentin, topical treatments (such as lidocaine or capsaicin), or acupuncture all may provide some pain relief varying from patient to patient. KH

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