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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Atripla, Feel Fatigued. Alternative Medicine?

Have been on atripla for the last 2 Years. CD for count has gone up from 200 to 600. Viral load undetectable. But Atripla still makes me feel fatigued. (Also on septrin once a day) Which other regimen can I safely switch to and prefferably one day pill if possible. I have several doctors here but they keep giving confilicting opinions. One told me I would have to take like seven tablets , another three. Another said it s not safe while even another one says there no problem switching to any other regimen.
Sat, 13 Apr 2013
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Ayurveda Specialist,  's  Response
1. Atripla is a fixed dose combination drug for the treatment of HIV infection, and contains three drugs (emtricitabine-tenofovir-efavirenz), and is once a daily pill.
2. check for any renal and hepatic insufficiency with creatinine clearance and liver function test.
3. FATIGUE along with tiredness,gastro intestinal distress and skin discoloration are the common side effect of this drug.
4. any severe side effects like hallucinations,depression, sleeplessness?
5. while this combination is helpful in reducing viral load and improving CD4 count, as also suggested by your history,still some patients have difficulty in tolerating the side effect of atripla mainly efavirenz.
6. new alternative 'Complera' contains rilpivirine instead of efavirenz, along with other 2 mentioned drugs, and has shown to be a valid and safe alternative.
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Homeopath,  Dr. Anil Bihari's  Response
I think if u recovered safely then why u want to change i this , see as per ur fatigued it is normal response , but if u like might take homeopathic treatment for it , but only from good classical homeopath , who took all your detail of disease and yourself also . best wishes for ur health ..
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Homeopath,  Dr. Amlendu Tripathi's  Response
hi kwokwoya
thanks for your query
you have problem with your immune system and you need a medicine which affects you to your whole body system homeopathy is such form of treatment where we see the patient not just particular disease if homeopath will study your physical as well as mental symptoms and the medicine given you will act to your immune system and your body itself will take care of you so i advice you to see a good homeopath... homeopathy can be taken along with your current medication it help to cure your complain
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On Atripla, Feel Fatigued. Alternative Medicine?

1. Atripla is a fixed dose combination drug for the treatment of HIV infection, and contains three drugs (emtricitabine-tenofovir-efavirenz), and is once a daily pill. 2. check for any renal and hepatic insufficiency with creatinine clearance and liver function test. 3. FATIGUE along with tiredness,gastro intestinal distress and skin discoloration are the common side effect of this drug. 4. any severe side effects like hallucinations,depression, sleeplessness? 5. while this combination is helpful in reducing viral load and improving CD4 count, as also suggested by your history,still some patients have difficulty in tolerating the side effect of atripla mainly efavirenz. 6. new alternative Complera contains rilpivirine instead of efavirenz, along with other 2 mentioned drugs, and has shown to be a valid and safe alternative.