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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Are any of my current meds worsening my neuropathy?
Feb 23, 2008

I have peripheral neuropathy, which is largely ignored. I usually walk in sandals, even in winter. It is progressing, slowly. Meds: Truvada, Viracept, Actigall (ursodiol), Provigil 100mg QD, Seroquel 25mg HS, Klonopin 3mg TID, and as of today Wellbutrin SL, 100mg QD. I have Hepatitis B (reached a VL of 21,000,000 but now undetectable, and HIV is undetect., CD4=200. Amitryptilline did not help, and Neurontin makes me suidical (they say I'm borderline/bipolar, too). Is there anything that screams "Neuropathy" to you? Thanks, Sylvester

Response from Dr. Henry

The FTC in Truvada rarely causes/aggravates peripheral neuropathy. Have you had nerve conduction studies/EMG/neurology consultation to more precisely evaluate your foot pain? Treatment of pain with analgesics can usually at least blunt the discomfort-you don't list any. I often seek help from a pain or complementary medicine specialist when faced with severe peripheral neuropathy particularly when there is no clear drug cause or treatable condition at the root of the problem. KH

Kaposi sarcoma at < 500 CD4 count?

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