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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Bedwetting - Atripla?
Aug 10, 2007

Ever since I've started medications for my HIV, I have occasional episodes where I urinate in my sleep. It often occurs with a dream that I have to use the bathroom but I don't actually wake up to go. I've never had this issue before. The other night, I woke up to a wet bed but I don't remember any dreams about it. And it's getting more frequent. I know since I've started taking Sustiva (or now, atripla) I've had intense dreams. Could this medication be causing me night time confusion? Could there be another cause? This is really embarressing and I can't imagine if this happened with someone else in the bed!!


Response from Dr. Henry

Certainly efavirenz can cause lingerine significant sleep/central nervous system side effects in a minority of patients (< 10%) continuing after the first 4 weeks. It seems possible that in your case the alterred sleep may result in loss of bladder control. If your HIV specialist can't find any other explanation than a trial of a different HIV regimen may be considered to see if the problem improves/resolves. KH

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