Oct 26, 2012
I have managed to get my viral load to undetectable, but still have to take 1,200 mg of Azythromicin once a week. Why is it that some weeks it doesn't effect my stomach at all, and other weeks causes really bad diarrhea. I always eat yogurt that day, but doesn't seem to help some weeks. It's gotten to the point that I won't leave the house because the diarrhea is so uncertain - and don't want to be far from a bathroom.
Response from Dr. Henry
Azithryomycin is often a variable gut bomb with no clear recommendation about how to blunt/minimize the stomach side effects. Hopefully your CD4 count will increase enough so that the azithromycin can be stopped (often used for MAI/MAC prophylaxis). If any reader has a helpful reference or anecdotal experience for helping out with stomach problems with azithromycin please post! KH
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