|Atripla rash spreading on day 3 - quitting Atripla?
Dec 2, 2011
Hello, I have had a rash from Atripla starting on day 8 of treatment. Today, on day 11 the rash rash crawled up my face and I feel it might be best to give up on the Atripla. My doctor was ready to take me off it yesterday, but I wanted to give the antihistamines a chance and get through the darn rash. Well, as we decided, if the rash got worse of spread any further or affected soft tissue areas, I would stop. So I think that tonight will be my first night off the Atripla... Today is Saturday and I won't get a chance to see him until Monday, I worry being off the meds for 48h will hurt my immune syster (CD4 219 at start and VL 5119). This is the first HIV medication I have ever taken. I am dissapointed and scared. My rash doesn't look good and I feel I have a lesser chance at finding a good combination of meds now that I've experienced this toxicity issue with Atripla. When is a rash bad enough that requires stopping HIV meds? What other meds can offer a good perspective for me now that this has happened? Thank you for your kindness and attention.
Response from Dr. Henry
Atripla rash results (occurs in up to 25% of cases) is severe enough to cause patients to stop taking Atripla in small subset (typically < 2%). Most often efforts are made to treat through the rash (stop for sure if very severe and/or involve mouth, eyes, mucousal surfaces). If I decide to stop Atripla I often switch to regimen with low rash risk (ie ritonavir + atazanavir + Truvada). KH
boils and hiv
Lymph nodes and antiretroviral meds
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.