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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
           
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Changing meds
Feb 16, 2008

I am about to change my HIV meds ( sustiva, 3tc and viread) because am ready to have a baby. what other combination of meds would you recommend I talk to my doctor about?

Response from Dr. Henry

Depending on your CD4 count (not used as much if CD4 count > 250), nevirapine is used as a substitute for efavirenz as are a variety of boosted protease inhibitor regimens (I have had good success with ritonavir boosted lopinavir, atazanavir, and saquinavir). Often zidovudine (instead of tenofovir) is used in pregnancy due to proven effectiveness though I have used tenofovir + FTC or 3TC or abacavir+ 3TC as the nuke backbones with generally good results 3TC. KH



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