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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Diarhea & Gas
May 29, 2008

I have taken Sustiva & Truvada for at least four years and have been undetectable with the last test indicatiin a jump from 4.+ to 5.+ CD4 count. I just recently switched to Atripla and for about a month + I have had tremendous amounts of gas and diarhea. Every time I eat or drink something it is almost an instant reaction or at least within one hour. Is there anything I can do to stop this. I understand that sometimes this can happen as a result of the the medication. Would stopping the meds be an option or not? Also because of the incomplete digestion I have lost too much weight already and really concerned.

Thank you, Bruce Stokes

Response from Dr. Henry

A few other patients have noted increased stomach/gut problems when switching from Sustiva + Truvada to Atriple (the HIV drugs are the same but there may be somewhat different packing/filler chemicals). I would consider switching back to the Sustiva + Truvada if a clinical evaluation doesn't find any other possible explanations. Generally don't recommend stopping effective HIV treatment due to increased risk for clinical events and concern about resistance (when stopping efavirenz). KH

Arthritus type symptoms
Does Sustiva give a drug use result upon testing

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