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Elevated LFTs on Atripla
Oct 19, 2010

Hello, I have had elevated LFTs (all liver enzymes around double normal levels) for around a year now whilst on Atripla. My GP has ordered Hep C tests which come back negative. He has now ordered a new test which goes into more depth to test for Hep C and CMV infection. I have had a liver ultrasound which was unremarkable. My question is how common is it that the efavirenz in Atripla can cause elevated LFTs in positive patients with no co-infection? Is it harmful to stay on the same drug regime with LFTs at double normal levels? I am very frightened about getting Hep C.

Response from Dr. Henry

Modest elevations in liver enzymes can be seen with Atripla though often other conditions (most often fatty liver but viral or other forms of hepatitis also fairly common as is drug effects such as alcohol ) contribute in a significant manner. If due to one of components of Atripla often elevations are mild and well tolerated. KH

acute hiv
Low viral load, but low CD4 and calcium channel blockers

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