May 29, 2002
I hear so much (and have seen)the effects of facial wasting.My problem is the oppisite.My face has gotten very full and round. I only take antivirals,a p.i and viread,recently switched from sustiva to viramune)the swelling happened sometime during the sustiva treatment.I also had ALOT of problems with sustiva, so I switched.Does facial swelling indicate a drug allergy? If I was allergic to the sustiva is this going to be an ongoing problem with viramune? I"ve only been off sustiva 4 days, so It's too soon to see any difference I guess. I also sometimes had this horrible body smell when I would sweat came out of all my pores,when I would absorb too much sustiva(food related),it was truly disgusting.
Response from Dr. Henry
What is going on depends on some details of the face swelling. If localized to the cheeks you may have swelling of the parotid glands. Some hormone problems (excess steroids) can cause that. Facial swelling can be a part of a drug reaction syndrome with watering eyes, rash, and other findings sometimes present. If Sustiva is causing a particular problem switching to Viramune may (but not always) result in improvement. KH
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