Burning and Tingling in hands and feet

Question

Hello Doc Keith,

Please answermy question and let me feel reassured. I am on atripla since march 2009 and my v/l is undectable and CD4 count is over 500, but when I sit I feel a burning sensation in my feet and tingling in my hands.. what could possible be causing this? Is it a side effect from atripla that is unknown?

Answer

HIV drug related neuropathy can be seen with Atripla no not common (<< 5%). Almost always drug related neuropathy involves the toes/feet well before the fingers/hands are involved so what you describe would be unusual but possible from the Atripla. A thorough clinical and metabolic evaluation is recommended to sort out other options (ie diabetes, thyroid, vitamin deficiencies, other non-HIV drug effects). KH