|To sleep, perchance to dream...
Jul 7, 2006
...ay, there's the rub.
Dr. Horwath, this may be a strange question, but I'm asking it in all seriousness. I've been on Sustiva-Emtriva-Viread for 2.5 years now, with good results. Undetectable for 2 years now, and relatively minor side effects. Also in generally good spirits, especially since adding Lexapro to my regimen last fall.
I do, however, still have the occasional restless night's sleep due to those "vivid dreams" everyone's always talking about. Though I'm aware of them less than I was at the onset of treatment, they definitely still happen with regularity. And since I was never one to remember many of my dreams, I suspect that I'm actually having vivid dreams every single night and just not recalling them in the morning. Though the dreams themselves don't generally cause me much trouble, I am a little worried about their long-term ramifications...
Now, I'm no expert -- and I realize that a little knowledge can be a dangerous things! -- but I've read that dreams are an important way in which the mind works out the problems of the day. So I can't help but wonder if my conscious mind is being deprived of the therapeutic down-time it requires because my dreams are being artificially distorted by the drug.
Am I worrying needlessly, or might there be some validity to this apprehension? And if the latter, have there been any studies that address this issue?
| Response from Dr. Horwath
You are worrying needlessly. There is no direct evidence on the psychological function of dreams, nor any evidence that a drug effect that changes dream quality or quantity has adverse psychological effects.
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