Jul 5, 2012
I have an AIDS diagnosis 60 CD4's and 117K VL in the beginning). I have been taking Reyataz, Truvada & Norvir since 2008 without one missed dose. Today my CD4's are 699 VL undetectable. I had a major heart attack in Oct 2011. When I woke up from the drug induced 4 day coma I was on lipitor. My AIDS Dr. told me that Lipitor was the ONLY one of the statins that I could take because of my HAART regimen.
Around May 2012 I realized I had worn a hole at the foot of my sheets the size of a stop sign. My cardiologist said to leave Lipitor off for 2 wks to see if the restless leg stopped. Upon discontinuing Lipitor not only did the restless leg stopped, but upon awakening the next day my mood was exceedingly better. I felt better mentally and my joints did not ache.
I should also say that I suffer from depression and am on Zoloft and Rememron. These meds typically treat the depression quite effectively. I did not realize how bad I felt taking the Lipitor and attributed it to post Heart Attack. I thought I would feel that way for the rest of my life. Until I took those 2 weeks off, which has now turned into a 2.5 month break.
My latest Lipid panel (post Lipitor break) showed that my HDL is 30 Triglycerides 230 and LDL 117. I am now on Lovaza 2mg twice daily to "protect me while we restart lipitor". I took it for 2 days and an employee at the clinic told me, "You are not the person that I have known for the past 2 months".
My AIDS Dr. suggested that we try weining me back onto Lipitor by taking 10mgs on Mon for 3 weeks. Then up it to Mondays and Fridays. Then add Wed and so on until I can take the full dose. The problem now is that I feel like crap on Tuesdays and by Wednesdays feel normal again. After this week I will feel like crap on Saturdays too....Until eventually I feel bad all the time. Furthermore,I will have to replace sheet sets on a never ending basis.
I have talked to other patients who are on the same regimen with near perfect lipids; but they struggle with adherence. I have had no adherence problems; however, I was the one in the helicopter fighting for my life. Possibly because I am the one who took my medication on time, every time.
Could you please explain to me why Lipitor is my ONLY choice of cholesterol medication? Especially since I feel horrible when I take it. Thank you so very much for your time.
Response from Dr. Henry
Rosuvastatin and other statins (such as pravastatin) can often be used while taking your HIV regimen. Diet, exercise, aspiring, fish oil, and other modalities can also be useful to manage lipid and/or cardiovascular risks (hopefully your blood pressure is OK, you dont have diabetes, and dont smoke cigarettes). KH
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