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New to Reyataz/Epzicom ALT AST up
Aug 23, 2009

Hi, 8 years on Trizivir/Kaletra, switched 6 weeks ago, ALT went from 37 to 117, AST from 19 to 83, No Hep history, have had all my shots and boosters. Lipids are great now but do I have to choose between lipids and liver or am I just acclimating? Tommy

Response from Dr. Henry

It would be unusual for Epzicom/Reyataz to cause isolated bump in transaminases when switching from Trizivir/Kaletra(usually see an increase in bilirubin). I would monitor further and if those elevations are sustained or go higher would look into other possible causes before concluding that it is a drug effect. KH

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