|Atripla and panic
Feb 10, 2012
I have been using Atripla for the last 3 years and I would say my body has tolerated it very well. But lately, I am having to wake in the night in a panic. Last night, it was even deep sense of anxiety or kind of like depression or suicidal thoughts. I was aware that one of the side effect was vivid dreams which I have but during one of the dreams, I think I woke up from the dream panicking. I am down to being undetectable, CD4 585. I am more than scared now. I would be talking with my doctor today but would love to know what the options are.
| Response from Dr. Henry
In the absence of any new stresses, medications or other new factors then your panic attacks could be a delayed (not real common but possible) effect of the efavirenz in Atripla. Switching from efavirenz to another NNRTI (such as nevirapine or rilpivirine), a boosted PI (such as darunavir or atazanavir), or raltegravir would be options to consider on at least a trial if no other likely cause is identified. K H
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