is Questran safe for lipids
Mar 16, 2002
I have been on Vericept, d4t, and 3tc for 5yrs. Have had on going prob. with lipids. Statins work fast but cause knee pain. Have slight elevated liver enzymes. My Dr. wants to give me Questran / Cholestyramine for lipids is this safe with my med? My chholesterol is 271 and triglceride 465
Response from Dr. Henry
Cholestyramine is usually used when the LDL fraction (Bad cholesterol) is elevated. I would be concerned about the drug binding to your HIV meds in the gut and decreasing absorption. In general use of cholestyramine in the setting of high lipids on HIV drugs is not recommended. If the triglycerides are high then the cholesterol elevation is often in the VLDL fraction (not LDL). Fenofibrate or clofibrate can be helpful. Long-acting niacin is soon to be studied by the ACTG for this. Switching your HIV meds around (off D4T and Viracept) could help depending on what you get switched to and what your treatment options are. Exercise and diet can also help. KKH
Get Email Notifications When This Forum Updates or Subscribe With RSS
- What Do You Do If You Accidentally Inject Yourself With Hiv Needle?
- Acidophilus For Candidiasis
- What Can Make Hiv False Positive Results?
- Can You Get Hiv From Eating Feces?
- Can You Get Hiv On The First Time You Have Sex With An Infected Person?
- Time Between Hiv Infection And Onset Of Disease Symptoms
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.