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Pins and needles every night
Jul 27, 2011

Hello Doc, I've been on Atripla for 6 months, also on TB medications; Rifampicin + isoniazid+pyrodoxine, and extra 200 mg evafirenz, which will be stopped by my doctor next week. I reckon this last 3 weeks, i have pins and needles on my arms and legs every night while i'm sleeping, so it's really hard for me now to have a good sleep. is this symptom caused by medications or blood clots or sign of heart disease? FYI,My cd4 was 50 on January this year and now 437 ( 23%), VL now 93 and don't have history of hepatitis or heart problems before I've already got 2 shots of Hepatitis B vaccination and will get 3rd shot later in October.

Thank You

Response from Dr. Henry

Pins and needles sensations in all extremities could be do to a variety of issues such as efavirenz effect, neuropathy (if HIV or drug related usually more in toes/feet than locations you describe), metabolic abnormalities, stress/anxiety, hyperventilation, and others. A good medical evaluation should sort out some of the likely causes. Your efavirenz and TB meds could be playing a role so those symptoms should improve soon after stopping if that is the case. KH

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