|Which medication is better???
Jul 21, 2010
I have a relative diagnosed with HIV and is on Nevirapine, Lamivudine and Zidovudine (Zilodine). Of late is experiencing swollen and painfully stomach muslce and no appetite.wasting in the leg and hands. Which medication can you recommend. She also tried Nevirapine, Stavudine Lamivudine (Trioumine) but stopped because the wasting was too fast followed by bad dreams and lack of sleep or appetite. Please advise what is the best medication to take. I am writing from Africa
Response from Dr. Henry
Sounds like a challenging/frustrating situation. If tenofovir or abacavir is available that might be considered instead of the zidovudine. In the absence of HIV level and CD4 testing (often not available in Africa) it can be tough to know if HIV has become resistant to the available meds. A stomach evaluation and efforts to maintain good nutrition/body weight are important. If there is a HIV or primary doc involved with your relative's care this needs to be discussed with her/him. KH
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