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Recent Posts

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Hi All,

It looks like due to kidney function issues (increasing Serum Creatinine and Urine Microalbumin), my ID has decided to change my medications. I am still waiting for one final set of kidney function tests, but he has indicated that he is looking to drop Teevir (Atripla) - due to Tonofovir issues - and replace it with Abacavir and one more pill.

I have been on Teevir since I was diagnosed in 2014 - a little over two years and have had no issues, until now. I went to undetectable state within two weeks of starting Teevir and I remain undetectable. Now that a change is looming, I had a few questions that I thought I might ask folks here, besides doing whatever research I can do on the internet.

1) What should I expect when I change from one medication to another? Is it as easy as one medication just taking over fighting the HIV virus from the other? Will my body become resistant to Atripla, in the case I need again later?

2) I had several side effects when I started on Teevir for the first few weeks and then they went away. What side effects, if any, are the most commonly associated with Abacavir and how long do they usually last, until the body gets used to it?

3) I have read about how Abacavir might create heart problems (I just got all heart tests done last month and all is fine), but my ID says that is not true. What is the common opinion around about this particular drugs long-term effect on the heart or any other adverse long-term effect?

4) Which other drug is usually taken along with Abacavir, since it does not include all three drugs to fight HIV? I am used to a one-pill regimen and have not missed a single dose yet. Does it matter if I switch from a single-pill to two pills a day regimen?

5) Since Atripla is no longer used for treatment, could I possibly look at this change as a positive change even if Atripla has helped me remain undectable so far? Somehow, I am reluctant to let go but if it is hurting my kidneys I *need* to change it, so looking for anything positive to convince myself :)

6) I live in India and there is a limitation of drugs available in India, as opposed to the US. Is this a good change option for my geographic location? Are there any other options that anyone from India (or those who know about what is available in India) can recommend I ask my ID?

7) How long after changing the meds should I get my labs done to check if the new regimen is working?

I'm sorry for asking so many questions, but any and every help will be tremendously appreciated.

Once again, thanks - this forum has always been helpful and I'm grateful for that.

Living With HIV / Re: Cannot contain my joy!
« Last post by FES on Yesterday at 10:39:38 PM »
I am so happy to see these kind of postings!!  I can not wait till I can post that my VL is undetectable which we are hoping that will be the case on Monday, if not at least by next month.

Off Topic Forum / Re: Got a nice complement at my doctors office.
« Last post by harleymc on Yesterday at 10:01:19 PM »
i have to eat chocolate standing up.

Lose weight using this one weird trick...

Living With HIV / Re: Diagnosed 3 months ago
« Last post by harleymc on Yesterday at 09:48:18 PM »
Congratulations on your results.

No idea about the sweating. Fatigue is common(just look at all the adds for thing to ingest to give you energy - advertisers don't spend up big if there's no market) , a lot of it unrelated to HIV it'll probably time to get to the root of the fatigue.

My haem count has been off the scale low on a couple of consecutive tests 6 months apart. As I'm a vego I'm now supplementing with iron and b12. I have no idea if it's placebo effect but it seems to be working for me.
Living With HIV / Re: It's That Time Of Year Again
« Last post by FES on Yesterday at 09:47:10 PM »
Flu shot and pneumonia shot received on September 15th.  The flu has already had 10 confirmed cases by the state in my area, sounds like it maybe a rough year.  I receive the vaccine every years and I was a bit concerned this time since I was newly diagnosed and my CD4 was at 177 however after talking to my provider she explained that it was not going to hurt me simply because the vaccine is only a dead virus in the shots.  Now she did say for me to NEVER take the nose mist because of it being alive.  I think I had read some where that the mist was not even going to be distributed but I could be wrong on that statement. 

I was a little tired for about 3 days after the shoot but feel great again.  That is what it was always like for the past 15 years for me.  So go vaccine and stay safe!
Living With HIV / Re: Concerned, upset with lab count.
« Last post by harleymc on Yesterday at 09:40:14 PM »
I have an undetectable viral load. My cd4s jump around between the 100 and 150  range and have been doing so for about 5 years now. But i think you'll do a lot better than that, given your early results.

If we look at your results, you have more than 8 times your nadir count and you have 80% of your highest ever count which was more than 11 times your nadir. That's good progress for early days.

Living With HIV / Re: Should I Disclose?
« Last post by harleymc on Yesterday at 09:24:40 PM »
Personally I think the ethics around disclosure/ non disclosure with sex partners are much more nuanced than others here.

But if you want something ongoing then disclose in a manner that is safe for you.
Living With HIV / Re: Should I Disclose?
« Last post by Lightfighter on Yesterday at 09:11:46 PM »
For what it's worth in my book face to face is the best way.  There's no way to misconstrue anything that way. Also, it affords you the opportunity to dispel any false information regarding our condition that he may have and think is true.

If it's gone this long, again, in my book, waiting until you see him again and telling him face to face is the best method.

Nobody is attacking you like rabies, hell, if it was rabies just five shots and you're good.  ;)

You asked for our opinions. It's apparent that I and zach, have a passionate feeling about situations such as yours. Rather than swell up like a wedding dick and shut down, why don't you think about it critically and analyze why we may feel that way and see it from our perspective.
Living With HIV / Re: Should I Disclose?
« Last post by tarantula on Yesterday at 06:44:47 PM »
No, I don't want to discuss with people who attack others like rabies, instead of attempting to have a proper conversation. Other than that, I'm open to any kind of advices and answers for my post. That's all. Thanks, zach.

tarantula - welcome to the forum.

you have already said in so many words that you understand perfectly what you have to do.  you just can't muster up the spine to do it just yet, and that's perfectly normal and ok, but it doesn't change the fact that you already know your options based on your own rule book - one offs with strangers and saying nothing, or maybe something more with someone and that means disclosing.  Yep, you know that's what it boils down to.

Hey mecch. Thank you for your kind answer. I was thinking about it throughout the whole week and about to burst within many thoughts. Especially after posting here, reading your and other friends' comments has sparked a sense that I will never be able feel relieved until I disclose him. Whenever he texts me to see me again, I will most probably confess it . I wish I could talked to him face to face but this idea freaks me out. I don't have the balls for it. Unfortunately, I will do it on the phone.
Living With HIV / Re: Should I Disclose?
« Last post by mecch on Yesterday at 06:29:54 PM »
tarantula - welcome to the forum.

you have already said in so many words that you understand perfectly what you have to do.  you just can't muster up the spine to do it just yet, and that's perfectly normal and ok, but it doesn't change the fact that you already know your options based on your own rule book - one offs with strangers and saying nothing, or maybe something more with someone and that means disclosing.  Yep, you know that's what it boils down to.
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