Sep 20, 2006
I developed twitching in my upper right arm now for 4 weeks, some twitching in left arm and back of left leg near calves. I currently switched from Sustiva/Truvada to Viramune/Truvada four days ago. Twitching is happening. There is no pain involved...but the twitching scares me. What can I do next? My vl is 0.75 and cd4 is 359. Could this be lactic buildup? thank you again for putting up with my repeated request. help
| Response from Dr. Henry
Lactic acidosis would be very unusual with your current regimen. Muscle twitching on left side only might suggest some sort of nerve irritation/compreesion in spinal cord or brain but since you have had twitching in right arm as well it is hard to imagine a localized process involving that many regions. Electrolyte abnormalities (Ca, Mg, K+) or renal problems might be a consideration. I assume you have had a general evaluation from your HIV specialist and/or a neurologic evaluation? KH
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