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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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To dream or not to dream
Nov 9, 2004

My son is HIV + 1 1/2 years. He is physically and mentally doing great. He is on sustiva and combivir. Eventhough he doesn't fall into the category of starting meds his dr. started him as an hit them hard early. Anyway, he has been telling me about some very bad nightmares that he has been having for the past 2 weeks, so vivid and so gruesome. He dreams of his legs being chopped off and worse. However, he says his waking hours are wonderful, he feels calm and happy and that he can't understand why he is having such horrible nightmares. He doesn't attribute it to the Sustive b/c he has been on it for over a year and a half. Everything else is fine - could this be a possible side effect of the medication? Thanks you in advance.

Response from Dr. Henry

Sustiva can cause vivid dreams which may be more frequent with high levels in the blood. Taking more food/fats with Sustiva can increase the levels. Switching to AM dosing helps some patients. There are often other HIV drugs than could be used instead of Sustiva if that is determined to be a likely cause of the dreams he is reporting. KH

Oppourtunist infection
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