|Meds and a Rash
Jan 3, 2007
I have a client who recently started on truvada, reyataz, and norivr and she has a rash on her face and neck. Her hands are also swollen. What are these sides effects from , how can they be treated or will they go away on there own?
Response from Dr. Henry
Rash in the first weeks of starting potent antiretroviral therapy can be due to a drug reaction (hard to choose which of the current regimen most likely since rate of rash is low for all), immune reconstitution symptoms (flare-ups of skin problems fairly common), or some other disease process of sensitivity to other drugs or chemicals. Often consultation from a dermatologist is very helpful to sort out the diagnostic possibilities. For mild-moderate rashes I generally try to treat through without changing the HIV meds and employ symptomatic treatment (and seek early help from dermatologist when I am uncertain what is going on). KH
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