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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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strbild weight gain?
Jun 24, 2013

I've been on stribild since October 2012.. My cr cl started at 107 and has gone down to 89 and has been stable since march 2013.. Here is my problema.. I have gained 20 # in the past few months and cannot figure out why? no change in eating patterns.. etc.. exercise the same. etc.. 53 yrs old.. 218 and 6 ft. Usually I never go over 200 lbs ever.. Now, I did a google search of stribiild and weight gain . and it shows up as a side effect.. Anyone know of this? had the problem? I dropped atripla because the few times during the night when I had to wake up to let the dog out. etc, I was in the thick fog and didn't like that and I thought how exciting, this new quad drug.. had I known it was just 3 meds plus a booster , I wouldn't have been so excited. I do like to take my meds at bedtime as I;ve done it for so long... any suggestions?

Response from Dr. Henry

20 pound weight gain after going from Atripla to Stribild has not been commonly observed. Weight gain when starting an effective HIV regimen is common (though typically 5-15 pounds) due partially to a return to health effect (not applicable if switching from one effective regimen to another). That weight gain after starting effective HIV treatment is generally what is referred to in literature and package insert -exaggerated weight gain after switching again is unusual (happens but not at all commonly). My confidence level that weight would easily decrease with another switch in low-modest (? Complera as an another simple option). Occasionally patients will feel do much better on a new regimen that they eat more as a sign of feeling better-if any reader has similar experience or knows of related literature please post. KH

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