|Rash with Sustiva/Truvada
Nov 16, 2005
I began drug regimen on 10/12/05 of Sustiva(600mg at night)and Truvada in the morning. I have been on this regimen now for approximately one month. Aside from continuing problems with quality sleep, my main concern now is a rash that has developed on my back, upper arms, neck and face. It is quite itchy at times. I have been using a Benadryl gel which helps for awhile. Which drug is the most likely culprit in causing the rash? The rash developed about a week ago by the way. Would taking Benadryl orally help? Other than the rash, I am feeling fine at this time. I know this med combo is the best for first time HIV med users like me. HELP!!!
| Response from Dr. Henry
Often rashes in the area your described could also be due to flares of seborrhea or eosinophilic folliculitis (sometimes associated with immune reconstitution. Seeing a dermatologist to sort out often is helpful. Besides antihistamines, often oral or topical antifungals is helfpul and are local steroids. If your rash is due to a drug Sustiva would be most likely in my experience but I generally have not observed drug rashes to be distributed like what you describe. KH
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