i have been on atripla for over year. i have horrible dreams as one of the side effects of the meds. i also notice that my memory has got down. i can't seem to remember names, city where my cousins live, i will forget words that i just used a few sentences ago, i would stop my work and think hard what is the next step to do. are these normal side effects or i am just getting older. i didn't have these problems before i switch med. my doc says, the concentration level my diminish. are people on atripla have the same predicament as i do? i need some input before i decide to switch meds with the doctor again. thank you. stefano

There seem to to be a small subset of patients on Atripla who have persistent central nervous system side effects from the efavirenz. Dream, sleep abnormalities, and sometimes memory problems been reported by patients. If no other obvious explanation then consideration of a pilot drug switch (such as efavirenz to a boosted protease inhibitor, raltegravir, or nevirapine) and observe for several months what happens to your dreams and memory. A complete neuro-psych evaluation is often helpful to eatablish where you are at cognitively. KH