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Ask the Experts about Managing Side Effects of HIV Treatment
My doctor switched me from Atripla (2 years undectectable) to a new combo because of a recent viral load jump from undectectable to 2,600. The new combo is:
Zidovudine - 300 mg 2x / day
Viread - 300 mg 1x / day
Reyataz - 300 mg 1x / day
Norvir - 100 mg 1x / day
I've had problems with fasial wasting in the past but it was under control with the Atripla. What is the potential for fascial wasting with this new combo?
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Response from Dr. Henry
There may be a modest increased risk for facial wasting due to the zidovudine but there is very little data published on your particular combination. Aging, lower CD4 counts, and uncontrolled HIV replication may contribute to facial wasting so use of a more effective regimen can have mixed effects so often hard to sort out or predict what will happen for an individual patient. KH
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