Thanks for taking the time to answer this question. Ever since i started taking viramune and truvada I've been feeling bloated and feeling weird. My liver function tests are normal however my eyes sting and my head has this pain that will not go away. I was originally on stocrin but couldn't sleep. My doc says he's not sure if its the viramune as he hasn't seen anyone wih my symptoms. I'm putting weight on around my midsection FAST but go to gym 3 days a week, have a controlled diet (Most of the time). My VL has been undetectable for 2 years and i've been on viraune for 5 months. The other day i went to him I had what i call an attack. It felt like everything in my body was on overdrive, I was having palpetations my face was burning and i felt like my stomach was going to burst. unfortunately by the time i got there it settled down but i felt sick for the next week. This happens every 6 weeks or so. Is it just spring (I'm in australia) or could it by the viramune or could it be something else? He meantioned switching me to a PI to eliminate viramune to see if it all settles down.

Again thanks for taking the time to answer the question.

Intermittent symptoms as you describe would rarely be due directly to the nevirapine. Nevirapine is also a fairly fat friendly drug for the most part so when combined with Truvada not many regimens likely to have less of a fat effect. Stress, panic attacks, thyroid abnormalities and other conditions can cause symptoms like you describe so full evaluation is recommended including history and physical examination. KH