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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Bloating nausea and vomiting
Dec 28, 2011

Before starting my ARV treatment i had stomach problems acidity with gas which used to go with antacid medications proton pump inhibitors and ranatidine. I started my ARV treatment after my CD4 count was at 74. I am on triomune 30 and bactrim BD. i Have nausea and vomiting and diarrhea. The vomiting is sometimes mixed with blood at the end of a vomiting episode. I have been put on Domperidone 10mg tid and ranatidine 150mg bd please help me on what i can do and how to handle these side effects.

Response from Dr. Henry

Sounds like a challenge. An assessment for H pylori or other infection is recommended as well as consideration of an ulcer or some serious esophagus problem. In US we might consider use of metoclopramide, prochlorperazine, and/or marijuana for symptom control. The upper GI side effects for Triomune compare favorably to other regimens though a switch in regimen (if that is an option at all where you live) would be a consideration if no other cause of the symptoms is identified. For many regimens the initial side effects often will diminish after 2-4 weeks. Looking for other problems like lactic acidosis, diabetes also recommended. KH

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