Apr 7, 2003
Hi I have been on treatment for a long time - since '93. I have had mixed results. Not great numbers - but no really significant OI's. I have been on most all meds and have am resistant to all. My question is: I recently had what I assumed was the flu. Sort of sore all over and a very high tempature. That all passed - I treated it with Thera-flu. My Dr did some tests and it turns out that some of my labs looked weird. I was underhydrated, my sodium was low and my potasium was high. (I should note that I am on Kaletra, Invarase, Norvir, 3TC, Videx and Viread. ) My Dr had me stop the Viread as he thinks he recalls that the strange labs that he saw with me were also something that he had heard happend to some folks who had serious complications with Viread. I am worried about this as the Viread and Videx are the 2 drugs that I show some sensitivity to. Also of significance is that he did a unrine analysis last week and it showed that I had a urniary tract infection. I am currently taking a anitbiotic for this. So, to make a long story short. Do you think the infection could have messed up my numbers. And, do you think I should stay off the Viread. Thanks
Response from Dr. Boyle
A significant urinary tract infection can cause some laboratory abnormalities, although these are usually different from those most notably associated with the potential renal toxicity of Viread (tenofovir). You don't provide enough information (in particular regarding serum creatinine and phosphate levels and the urinalysis) to make any specific comments regarding whether your doctor was correct or not, but you should discuss this with him/her. Given your lack of treatment options, absent a clear and significant problem related to Viread, I would consider trying it again under careful supervision.
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