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Author Topic: I am back! Previously tryingforhope with a question about chlamydia  (Read 1070 times)

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Offline momoftwo

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  • Posts: 78
For some reason I was not able to log on here for like forever although I did lurk as much as possible. I finally decided to not be lazy and re-register.
I am currently 34 weeks pregnant with a little girl. The cocktail is working okay although I have not gained any weight with the pregnancy and my appetite is barely there.
I am having huge issues with OBGYN's. So far I have seen three different drs. and want to switch again. Just when I thought I would not be judged for HIV with the OB I have now, he pretty much termed me a slut after finding out that I was positive for chlamydia again. I tried to ask him if it was possible that the med did not work in Oct and he told me no and that the only way to get re-infected was to have sex with someone who was infected. Considering I am only having sex with one partner and we are using the female condom I am not sure how I got re-infected. We both took the med in OCT.
Then today before I took the med again I read in the pamphlet that antacids reduce the effect of the med. Well in Oct I was popping them like candy so I am sure that I must have reduced the effect.
Could it also be harder to fight because of my HIV? My CD 4 was always above 400 and my viral load was never more that 5,000.

Offline Central79

  • Member
  • Posts: 527
Re: I am back! Previously tryingforhope with a question about chlamydia
« Reply #1 on: April 22, 2007, 07:58:38 AM »
I'm sorry you're having problems with your doctors.

HIV shouldn't make your chlamydia any harder to treat as far as I am aware. But I know that lots of drugs reduce doxycycline from working. There are also tons of interactions between HIV medicines, esp ritonovir, and antibiotics.

The other thing your doctor should be doing is retesting you after your course of antibiotics to make sure you are clear. If he's not doing that, he has no right to suggest that you are getting re-infected.

M.
Diagnosed January 2006
26/1/06 - 860 (22%), VL > 500,000
24/4/06 - 820 (24.6%), VL 158,000
13/7/06 - 840 (22%), VL 268,000
1/11/06 - 680 (21%), VL 93,100
29/1/07 - 1,020 (27.5%), VL 46,500
15/5/07 - 1,140 (22.8%), VL not done.
13/10/07 - 759 (23.2%), VL 170,000
6/11/07 - 630 (25%), VL 19,324
14/1/08 - 650 (21%), VL 16,192
15/4/08 - 590 (21%), VL 40, 832

Offline Ann

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  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: I am back! Previously tryingforhope with a question about chlamydia
« Reply #2 on: April 22, 2007, 08:07:17 AM »
Hi momoftwo, welcome back!

Antacids can interfere with the absorption of quite a few medications, so this is quite likely the cause of your chlamydia recurrence. As the original medication failed, you might need a different antibiotic this time as the bug you have may have developed resistance. Please discuss this with your doctor.

If he still gives you attitude after you explain about your antacid use, then I think I'd want to ditch him too. He really should have warned you about antacids - especially since so many pregnant women do tend to use them.

If your partner also happened to be using antacids in October, it may be a good idea for him to get checked out again as well. While condoms will offer good protection against chlamydia, chlamydia is very easily transmitted and as you still have an active infection, it wouldn't hurt for him to be checked out anyway. You don't want to run the risk of him re-infecting you and besides, chronic chlamydia can cause permanent damage.

With your good CD4 count, hiv shouldn't be an issue in clearing the chlamydia infection.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline J.R.E.

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  • Posts: 7,124
  • Joined Dec-2003 Living positive, since 1985.
Re: I am back! Previously tryingforhope with a question about chlamydia
« Reply #3 on: April 22, 2007, 08:33:20 AM »
Hello,

Just for future reference, regarding HIV meds and antacids or hearburn medication  :

http://aids.about.com/od/generalinformation/a/heartburn.htm


Heartburn Meds and HIV Drug Interactions
From Mark Cichocki, R.N.,
Your Guide to HIV / AIDS.


Do your heartburn drugs react with your HIV drugs?
Some of the most widely prescribed medications are those used to treat heartburn (GERD). Most are now available over the counter at your local pharmacy; some even in prescription strength. However, drugs for heartburn aren't without their precautions. Many have been found to interact with HIV medications, in most cases decreasing the effect of the HIV medication. But how do you know which are safe to take and which should be avoided. Below is a brief reminder of which heartburn drugs can be taken with which HIV medications.


Antacids
Examples:

Maalox
Mylanta
Tums
Rolaids
HIV meds that may have problems when taken with antacids include:

Lexiva (fosamprenavir) - should be taken at least 1 hour apart from antacids
Crixivan (indinavir) - should be taken at least 1 hour apart from antacids
Rescriptor (delavirdine) - should be taken at least 1 hour apart from antacids
Reyataz (atazanavir) - should be taken two hours before or one hour after antacids


H2 Blockers
Examples:

Axid
Pepcid
Tagamet
Zantac
HIV meds that should not be taken with H2 Blockers include:

Crixivan (indinavir)
Rescriptor (delavirdine)
HIV meds that may be taken with H2 Blockers but with caution include:

Reyataz (atazanavir) - take at least 12 hours apart from H2 Blockers
Lexiva (fosamprenavir) - may be used but with caution

Proton Pump Inhibitors
Examples:

Aciphex
Nexium
Prevacid
Protonix
Prilosec
HIV meds that should not be taken with Proton Pump Inhibitors include:

Crixivan (indinavir)
Rescriptor (delavirdine)
Reyataz (atazanavir)

HIV meds that may have problems when taken with proton pump inhibitors include:

Lexiva (fosamprenavir) - can be used with Proton Pump Inhibitors but with caution

If you are taking any medications for heartburn or GERD; either prescription meds or over the counter, notify your doctor before starting any HIV medication regimen.





Ray
« Last Edit: April 22, 2007, 07:13:30 PM by J.R.E. »
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 6/4/14,  t-cells are at 423, Viral load <40

 Current % is at 13% 

  
 62 years young.

Offline momoftwo

  • Member
  • Posts: 78
Re: I am back! Previously tryingforhope with a question about chlamydia
« Reply #4 on: April 22, 2007, 05:51:43 PM »
Thank you for these replies! I did not know that antacid interfered with HIV medication. At the momment I have been careful taking them but I do take prilosec every night with round two of combivir and viracept.
I did try to argue with the dr. about trying another med but he insisted that I try to take this the zithromax again and see what happens. I made an appt with my primary care dr. on Wednesday who also specializes in patients with HIV. I am going to ask him if he thinks that I should take this zithromax before I take it.

 


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