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Foods You Can Eat When You Take Crixivan

October 1997

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

When Crixivan® (indinavir) was first approved by the F.D.A., individuals who took this potent inhibitor of HIV protease were told to take it two hours after -- and one hour before -- eating a meal. This restriction was imposed because foods, especially fatty foods, interfere with the absorption of this drug. The F.D.A. continues to recommend that Crixivan be taken on an empty stomach for maximum absorption, and people who take this drug are strongly encouraged to drink at least six glasses of water during the course of the day, to reduce the slight chance that taking Crixivan will lead to the development of kidney stones.

In an ideal world, it would always be possible to take Crixivan on a completely empty stomach and at precisely the assigned dosing intervals. In the real world, people get hungry at odd hours, and their daily schedules change. To accommodate these realities, the HIV/AIDS Dietetic Practice Group, a division of the American Dietetic Association, has developed a list of low-fat and no-fat snacks that you can take along with your Crixivan dose -- or with any other medication that must be taken on an empty stomach -- if you need to eat at a scheduled dosing time. That list appears below. All of these foods are available in your neighborhood supermarket, and all of them are restricted in their fat, protein, and carbohydrate content.

It is exceedingly important that you limit yourself to the serving size indicated on the chart. If you eat more than the recommended amount of any given snack, you may reduce the effectiveness of the dose of Crixivan you take with that snack. For this reason the A.D.A. encourages you to use standard measuring cups and measuring spoons when you are serving yourself one of the snacks on this list.


Food Serving Grams of
Carbohydrate
Grams
of Protein
Grams
of Fat
Calories
1. Nabisco™ Newton Cobbler bars 3 bars 54 2.4 0 180
2. Fig bars and juice 2 fig bars
1 cup juice
50 1.5 2.5 224
3. Cream of Rice with skim milk, raisins, and brown sugar 1/2 cup cooked Cream of Rice
1/2 cup skim milk
2 tsp. brown sugar
1 Tbs. raisins
36 5.6 0.4 168
4. Snack Well™ wheat crackers with fat-free cream cheese and juice 8 Snack Well™ crackers
2 Tbs. fat-free cream cheese
1/2 cup of soda or juice
34 5.7 0.1 161
5. Pretzels and soda 1 cup pretzels
1/2 can soda or juice
59 4.4 2.0 275
6. Jello with canned fruit and Nabisco™ ginger snaps 1 cup jello
1/2 cup canned fruit
3 Nabisco™ ginger snaps
31 4 2.1 158
7. Applesauce and Nabisco™ ginger snaps 1 cup applesauce
2 Nabisco™ ginger snaps
62 1.3 1.9 252
8. Bagel and juice 1/2 bagel (no seeds or nuts)
1 cup juice
55 3.7 0.8 241
9. Spaghettios in tomato sauce and soda 1 cup Spaghettios
1/2 can soda or juice
61 5.3 2.1 282
10. Corn tortilla with steamed rice and salsa 1 corn tortilla
1/2 cup rice (prepared without butter or oil)
3 Tbs. salsa
35 4.1 1.5 169
11. Citrosource™ or Resource™ Fruit Beverage supplement 1/2 box = 1/2 cup 18 4.4 0 90
12. Rice cakes with jam and juice 2 rice cakes
2 Tbs. jam
1 cup juice
79 1.4 0.8 324
13. Tomato soup, oyster crackers, tea with milk and sugar 1 cup tomato soup (prepared with water)
6 oyster crackers
1 cup tea
2 Tbs. skim milk
1 tsp. sugar
25 3 2.2 126
14. Powerbar™ with Gatorade™ 1/2 bar
8 oz. Gatorade™
36 5.0 1.3 173
15. Cereal with skim milk and banana 1/2 cup dry cereal*
1/2 cup skim milk
1/2 medium banana
31-45 4-5 1 to 2 150-180
16. Spaghetti (prepared without butter or oil) with tomato sauce and juice 1/2 cup cooked spaghetti
1/2 cup tomato sauce
1 cup juice
65 4.9 0.9 279
17. Toast (no added butter or margarine) with jam and tea or coffee with skim milk and sugar 1 slice bread
2 Tbs. jam
8 oz. tea or coffee
1 tsp. sugar
2 Tbs. skim milk
57 3.8 1.2 250
18. Plain popcorn (low-fat or fat-free, no butter or oil added, air popped or microwavable) and soda 3 cups popped corn
1 can of soda or juice
53 3.0 0 226
19. English muffin with jam (no butter or margarine) and regular or herb tea with sugar 1 English muffin
1 Tbs. jam
1 cup herb or regular tea
2 tsp. sugar
49 4.4 1.0 226
20. Rice (prepared without oil, butter or margarine) with vegetables and soy sauce 1/2 cup prepared rice
1/2 cup steamed vegetables
1 Tbs. soy sauce
28 5.6 0.5 136
21. Fruit (not coconut or avocado) 1 cup or 1 medium 20 to 50 0 0 to 0.5 73
22. Angelfood cake with canned fruit or berries and coffee 1 medium slice angelfood cake
1/2 cup berries or canned fruit
8 oz. coffee
2 Tbs. skim milk
1 tsp. sugar
50 5 0.7 218
23. Miso soup with a rice ball 8 oz. soup
1 plain rice ball
(about 1/4 cup cooked rice)
33 5.7 0.9 164
24. Noodles (prepared without oil, butter, or margarine) and steamed vegetables 1/2 cup cooked noodles
1/4 to 1/2 cup steamed vegetables
25 4.9 1.5 130
25. Low fat or fat free vegetable soup and bread (without butter or margarine) 1 cup soup**
1 slice bread (no added nuts or seeds)
19 4.6 2.1 120
26. Quaker™ Low-fat Chewy Granola Bar 1 bar 22 2 2 110
27. Dried fruit (without coconut or nuts, seeds, or banana chips) 1/2 cup dried fruit 52 2 0 220
28. Snack Well™ Cereal Bar 1 bar 29 1 0 120
29. Fruit roll-up 1 roll-up 12 0 1 50
30. Dry toast (no butter or margarine) with jelly, apple juice, and coffee with skim milk and sugar 1 slice bread
1 Tbs. jelly
1 cup apple juice
1 cup coffee
2 Tbs. skim milk
1 tsp. sugar
52 4 1.1 250
31. Jello™ Snack Cup 1 snack cup 23 5.1 0.4 89
32. Fat free pudding cup 1 pudding cup 21 3 0.4 90
33. Popsicle (juice based, not ice cream based) 1 each (2 fl. oz.) 11 0 0 43
34. Corn tortilla with cucumber, tomato, lime juice, and green onion 1 corn tortilla
1 medium tomato
1 medium cucumber
1 green onion
3 Tbs. lime juice
30 4.2 1.2 130
35. Matzoh and salsa 1 Matzoh board
1/4 cup salsa
23 3.5 0 120
36. Baked potato and salsa 1 medium baked potato (no skin) 36 3.5 0.3 162
37. Jicama, raw 1 cup 10 1 0.2 46
38. Pita bread (white, not wheat) 1 whole pita 33 5.4 1.1 165
39. Health Valley™ Fat-Free Breakfast Bar and juice 1 bar
8 oz. juice
50 2 0 210
40. Kellogg's Rice Krispies Treats™ crispy marshmallow squares and juice 1 square = 0.78 oz.
8 oz. juice
45 1 2 200
*Choose a cereal that contains less than 2 grams protein or fat per 1/2 cup serving. Examples include Corn Pops™, Froot Loops™, Golden Grahams™, Chex™, rice puffs, Cornflakes™, Wheaties™, Special K™, Cocoa Puffs™, Cheerios™, Frosted Mini-Wheats™, Raisin Bran™, Total™, Shredded Wheat™. Do not choose a cereal with added nuts, granola, or Cracklin Oat Bran™ Cereal.
**Choose a soup that contains less than 1 gram fat and less than 3 grams protein per 1-cup serving.

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This list was developed by Sabina Beesley, M.S., R.D., Project Coördinator of the Chicken Soup Brigade in Seattle, working with Marcy Fenton, M.S., R.D., of AIDS Project in Los Angeles, and Joya Melissa of Project Angel Food in Los Angeles.


A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!



  
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This article was provided by San Francisco General Hospital. It is a part of the publication AIDS Care.
 
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