|Past TBI & Atripla
Nov 30, 2011
Hi, I was in a car accident about 20 years ago and ended up with a TBI that compromised my vision. About 8 years ago I was diagnosed with HIV and put on Atripla. Recently we purchased a 60 inch LED flat screen TV. There are 5 of us living at home and who frequently watch TV -- I am the only one who gets nauseous and debilitating migraines while watching the TV. I recently saw my PCP who gave me some vestibular exercises to try, but that only made things worse -- I threw up the first time I tried! I have a friend who is a neurologist, and she suggested I try Neurobiofeedback, but the provider on my insurance that does Neurobiofeedback is closed to new patients until February. I just wondered if maybe the nausea & migraines while watching TV might be a side effect of Atripla? I have also noticed an increase of motion sickness while driving - Dramamine is my friend when I travel to work and is effective in thwarting nausea & migraines while watching TV but should I really have to take medicine just to relax with my family and watch TV or a movie? My VL is undetectable and CD34% is WNL. In addition to Atripla I am also taking Celexa for bi-polar depression, as well as Fish Oil and Men's Multivitamin and Vitamin D. Any advice you can provide is appreciated. Thank you.
| Response from Dr. Henry
It is possible that the efavirenz may be contributing to an underlying problems related to your earlier brain injury. A trial on an alternative regimen (ie switch the efavirenz to another NNRTI such as rilpivirine or nevirapin, or to a boosted PI or raltegravir-choice depends on individual factors/assessment)for several months may be worth discussing if problem persists. KH
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