|Feet driving me crazy in the evenings
Jul 16, 2004
I have been on meds for 4 years. Tingling in my feet started early on while I was on Zerit, Epivir and Sustiva. I demanded that I be taken off the Zerit about 30 months ago and it was repalced with AZT. Still no relief. I have now had the AZT replaced by Abavacir, but again still no relief. The discomfort usually starts in the evenings and last untill about 2 a.m. My t4 count has gone from 260 to amost 900 and my viral load was undetectable for a long time after starting at 25,000, but it is now jumping around 200 to 700. I am 72, and before being diagnosed noticed terrible itching in my feet at night time. The doctor has put me on Gababapentin, 600 mg at bed time. I have started taking it around 6 p.m. thinking it might give me more relief. Do you think I should increase the Gabapenetin, and I have also thought of switching the 3tc to something else. What I don't know, what do you suggest. I think the Gabapenentin may give me some relief, but sometime think it is just mental.
| Response from Dr. Lee
It may be that the discomfort you experience is caused by other problems such as circulation difficulties, diabetes, etc. rather than simply the HIV & Anti-retrovirals. (Especially as you had some symptoms prior to starting the meds.) Gabapentin is a good treatment as well as some other therapies such as other low dose anti-seizure meds, antidepresants such as imipramine, etc. Talk to your doc. It is less likely that further changes in your antiretrovirals will really give you a "fix".
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