May 21, 2002
My doctor has dicontinued one med from my three drug reg for a short period 3-4 weeks max to see if a side effect improves.At this time we will look at the viral load.I'm still taking a pi and nnrti.How much jeporady am I in of losing the whole regime(and all the nnrti's)I was undetectable before,but I've been so freaked out about what's going on internally I am afraid this will have an impact too(I'm obsessing on replication like 24 hours a day.)Also,if my cd4's are impacted and dropping from the stress, will that mmake replication happen faster.I agonized over this decision, but the side effect had such a major impact on my emotional health,I reverted to staying locked in my room all day and crying(this has been going on for 14 months)anti depressents did not help and I didn't know what else to do.
Response from Dr. Little
Well - I think you need to tell your doctor what an emotional toll this change is taking on you. It is very hard for me to say what the risks may be of a 3-4 week treatment interruption (presumably of your NRTI drug) without knowing your viral load and CD4 cell count. You might do quite well if your viral load has been very well controlled on your current regimen (before the NRTI was stopped) and the potency of the remaining NNRTI and PI is sufficient. Since I cannot completely reassure you though without this information, I would suggest you talk to your doctor about possibly replacing the drug in question with another while you wait to see if the side effect wears off.
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