|Severe Feet Tingling
Jun 28, 2004
Hi Doc, This is my 4th week on 3TC, Zerit & Efarivenz. Two days back I started having severe tingling sensations on both feet. No other side effect. These can be really uncomfortable, foot massage does not help for long. Could this be a side effect of the meds? How bad can it be and how can i minimise the tingling?
Thanks in advance
| Response from Dr. Henry
It is unusual but not unheard of to experience drug related neuropathy within weeks of starting HIV meds. Both D4T and to a much lesser extent 3TC can cause that. A careful examination by your HIV specialist and/or neurologist should be able to sort out if your symtoms and exam findings are consistent with drug related neuropathy. HIV, diabetes, and other conditions can also cause a distal sensory neuropathy. Usually drug related neuropathy begins in the toes and moves up the feet. Neuropathy can become terrible for some patients so it is not a trivial matter at all. How to minimize the tingling depends on the cause. If it if felt to be due to one or more of the HIV drugs then a switch to an alternative drug is a good idea sooner rather than later. KH
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