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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Jun 6, 2013

Hi Doctor, i have been trying to lower my cholesterol since 2010 and it seems i am failing. I am on crestor, but for the past 4 weeks i haven't taken it i was trying to lower it with healthy diet. I am on Atripla, since November 2009 before i was on Stocrin and Truvada before Virummune and . Kindly advise if it is caused by my treatment or something else because i eat healthy - most raw veggies, fruits , and do not take an fat, sugar etc. I do indulge once in a while. I am 50 years and i am starting to panic. Do i have to be on cholesterol medication for the rest of my life?

Response from Dr. Henry

I assume you have had a dietician evaluation of your diet and family history of lipid assessment? If your drugs are contributing significantly unlikely to be from the Truvada.Efavirenz often results in higher cholesterol levels than nevirapine. Other than nevirapine options may be limited depending where you are living. In US we might consider trying raltegravir to replace the efavirenz. Using Crestor or other statin long term is still a reasonable option. KH

Viraday/Atripla vs Efavirenz+Lamivudine+Abacavir
taking pills late

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