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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Statement about a question
Sep 12, 2006

I am responding to the following question. Truvada side effects Aug 17, 2006

I swithched from Combivir to Truvada. Can Truvada in combination with Nevirapine bring on side effects of insomnia, lack of energy, anxiety, confusion, lack of appetite?

All my counts are very good (CD4 count is above 1000 and viral undetectable) however, I experience all of the above. Please advise.

Response from Dr. Conway

Truvada is generally well tolerated and the symptoms you describe are not generally associated with its use. This being said, anything is possible. When I suspect side effects of a newly initiated medication, I would try to stop it and see if the symptoms go away. Going back to Combivir for a number of weeks is the type of strategy I would consider, but you need to discuss this with your doctor.

Both my boyfriend and I are on Sustiva/Truvada and we both suffer from the same exact symptoms as the person asking this question. we even have to take Ambien to get to sleep. One thing that helped is taking the dose at 6 pm instead of before bed. the Ambien also stops the strange dreams as well. I wanted to know if can Sustiva/Truvada can induce adhd? I have the worst short term memory since I have started and could an adhd medicine help me to stay focused if it is a side effect of my meds? I am also on bactrim.

Response from Dr. Conway

All of the side effects you describe are fairly common with Sustiva. Alhtough Sustiva does not cause adhd, the side effects it may cause can be confused with it. Taking the medication at 6 pm can help reduce the sleep-related side effects. Splitting the dose may help with the rest, otherwise you may have to think about switching medications.

"non progressor"
Red spots all over/ on Combivir/Viramune

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