Oct 27, 2006
Dear dr.Henry, It's amazing how you and your colleagues find the time for us next to your normal work. Thank you so much! Abt the hair loss: I'm a woman, doing well on the meds (undetectable/CD4910). For several years I've been on Kaletra and 2xp/d Combivir. Since August 2005 I'm on Viramune (2xp/d 200mg), Viread (1x245mg)and Epivir (1x300mg). After abt 5 months my hair had noticeably gotten thinner and has for some time now started to really fall out! I read your answers connecting hair loss with lamivudine which I used to get in Combivir 2x150mg, and now get 1xp/d 300mg in Epivir. Would it help solve the hair loss to switch (back) to twice a day 150mg? I'm anxious abt switching meds, you see. Searching further in the forum, I read in Dr Conway's answers (jul 17 06, feb 4 04) he finds not the lamivudine but more so the retrovir part of Combivir and tenofovir/Viread the possible cause of hair loss. Now I'm confused! Please help, thank you.
| Response from Dr. Henry
Both the zidovudine and the lamivudine in Combivir occasionaly are associated with hair loss. In my own experience it has more often been the lamivudine (3TC). I don't have much sense regarding whether the problem might lesson if switched from 3TC to FTC (emtriva) which is a similar drug structurally. Have you seen a dermatologist for consultation? Are there other family members with a similar hair loss pattern (can be familial in some cases)? KH
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