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Ask the Experts about Managing Side Effects of HIV Treatment
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Nightsweats and Atripla
Oct 12, 2007

After two months on Atripla, viral load is undetectable, CD4 is 300 and rising - have noticed something I've not experienced before: nightsweats.

Sometimes they are intense, sometimes moderate. Is this something due to the medication or should I be concerned there is something else going on?

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   Response from Dr. Henry

Night sweats in the setting of HIV infection/recently started on antirtrovirals-can be a clue to a hidden infection, can be due to immune reconstitution, or other conditions. Your HIV specialist is best suited to evaluate that important complaint. Carefully checking your temperature and recording it will be helpful for your doctor. The Atripla would generally not be directly causing the night sweats though efavirenz can cause persistent sleep problems (< 10% patients) that in some patients that could occasionally contribute to night sweats. KH



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