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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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switch to viaramune
Feb 11, 2008

I have been on Atripla since 12/28/07and my anxiety levels are increasing severely. My CD4 was 400 and VL 50,000 when I started therapy. Would I be able to switch to Viaramune at this time or should I try a different class of drugs?

Thanks in advance.

Response from Dr. Henry

Most patients can safely switch off efavirenz to nevirapine (observed closely during the first months for liver, skin, mucousal surface problems) in the setting of undectable HIV levels. Other switch choices would include ritonavir boosted atazanavir, fosamprenavir, lopinavir, saquinavir, or darunavir. KH

herpes simplex/fungal infection
Triglycerides and detectable

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