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Author Topic: travel with meds: time zone changes? when to dose?  (Read 1624 times)

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Offline schnitzer

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travel with meds: time zone changes? when to dose?
« on: May 26, 2007, 02:42:20 AM »
i had a question about how to dose my medications?

i'm going on vacation to london. I live in vancouver..  london is 8 hours faster..

i normally dose at 10pm, before i goto bed..  this means i'll have to dose at 6am london time??

how does that work?

i'm currently taking sustiva & truvada.

Offline sdcabincrew74

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Re: travel with meds: time zone changes? when to dose?
« Reply #1 on: May 26, 2007, 04:07:33 AM »
I am a flight attendant and travel all over the planet for work.  Different time zones every day.  Since I am not in one place often, I try to take my pills at the time I would take them at home, no matter what time it is where I am.  If I am staying anywhere for any length of time (more than 2 days) I will take a dose early to get to my normal time (which for me is dinner time).  So the first night or two in London I would take my dose "early" at 10PM and go to bed then be on that schedule.  Careful coming home ... that is a little harder and usually takes me a few days to get back to my normal time as I do not like going more than 28-29 hours in between dosing.  I am on a once a day cocktail too ..... I hope that makes sense.
The difference between an overnight and a layover is luck!

Offline schnitzer

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Re: travel with meds: time zone changes? when to dose?
« Reply #2 on: May 26, 2007, 10:39:57 PM »
ok.. the dosing would be easy.. but i'm taking sustiva..  - which makes you drowsy and sleep..  could be quite a challenge if i'm planning a day trip in europe..

Offline budndallastx

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Re: travel with meds: time zone changes? when to dose?
« Reply #3 on: May 27, 2007, 09:29:33 AM »
Newt answered this question for someone else.  Here is his response, http://forums.poz.com/index.php?topic=12265.0

Meds since: 11/20/2006
Sustiva / Truvada
12/08/2008 VL:<48 CD4 622 (38%)   
9/8/2008 VL:<48 CD4 573 (30%)
5/2008 VL:<48 CD4 464 (30%)
1/2008  VL: <50  CD4 425(28%)
9/2007   VL: <50  CD4 465 (27%)
6/2007   VL: <50   CD4 443 (26%)
3/2007  VL: <50   CD4 385 (25%)
12/2006 - VL: <50   CD4: 384 (25%)
11/2006 - VL:  22K  CD4: 208 (18%)

Offline vegaslocal39

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Re: travel with meds: time zone changes? when to dose?
« Reply #4 on: June 19, 2007, 11:09:41 PM »
It may be too late for me to chime in, but when I was taking Sustiva/Truvada (I take Atripla now), I went to Germany from my home (Vegas).  My doc advised me to just take them at bedtime when I arrived in Europe.  My doc said that the very occasional missed dose is not a big deal.  I believe his exact words were something like, "As long as you are at least 95% compliant, you'll be fine."

I might miss a dose or two per year, so it worked fine for me (per my labs).

But of course, you need to check with your doc.

Offline milker

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Re: travel with meds: time zone changes? when to dose?
« Reply #5 on: June 19, 2007, 11:35:39 PM »
I may be completely wrong (because I'm not on meds and I haven't studied that yet), but I think the very important timing of the meds is related to

1) the time it takes for the med to be active in your body
2) your body's clock

If you change time zones, you change both, but I think the body's clock is more important, so I would adapt pill time to the new time. I may be completely wrong, so feel free to chime in.

Milker.
mid-dec: stupid ass
mid-jan: seroconversion
mid-feb: poz
mar 07: cd4 432 (35%) vl 54000
may 07: cd4 399 (28%) vl 27760
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oct 07: cd4 353 (24%) vl 29993
jan 08: cd4 332 (26%) vl 33308
mar 08: cd4 392 (23%) vl 75548
jun 08: cd4 325 (27%) vl 45880
oct 08: cd4 197 (20%) vl 154000 <== aids diagnosis
nov 2 08 start Atripla
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apr 23 09: cd4 604 (29%) vl 50 woohoo :D :D
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