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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Hair Loss and Norvir
Apr 30, 2004

I have been on Norvir, Invirase and ziagen since 1/02. As of 5/03 I have noticed a significant change in the texture and thickness of my hair. Whenever I wash my hair it comes out in lng strands and I find hair on my pillows as well. Due to severe neuropathy in 11/03, my doctor put me on bextra and cellcept and switched me to Zerit. I was unable to tolerate, so was placed on Kaletra in 2/04.I am still experiencing hairloss at a very rapid rate. Is there anything that I can do to lessen or stop it, other that switching out meds. My CD4 as of 3/04 was 396 and viral load of 80.

Response from Dr. Henry

For a minority of patients hair loss with certain drugs is a major issue. Other than looking at other drugs options (depending on past treatment history, resistance status), hormone status (thyroid/testosterone), nutrition, local scalp condition (? dermatology input)-- I don't have any wonderful recommendations. For some patients it is the NRTIs (ie Ziagen) that seems to be the problem (trial and error basis) so I sometimes have them on double boosted PI regimens or other NRTI spraring approaches. Anyone out here is cyberspace who has other suggestions? KH

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