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Author Topic: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?  (Read 3122 times)

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Offline newbie76

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  • Posts: 238
SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« on: December 17, 2007, 12:14:02 PM »
I have a problem with my meds.

Since about 2 weeks now I feel like the pills get stuck at the back of my throat. Approximately where the neck meets the chest.

Last night I drank 2 iters of water and ate a kiwi and an apple almost without chewing to try and push them down but I still had this feeling.

My bf says that perhaps the pills had in fact gone down but I could still "feel" them there because they touched the walls of my throat while in transit. I am not sure.

My question is: can Sustiva and Truvada be cut in half for easier swallow? Or have they got some kind of slow-release coating which you shouldn't interfere with?

I am worried that the pills will reach the stomach much later than they're supposed to and consequences could be serious.

Any advice please?
25th Apr 07: The worst day of my life
27th Apr 07: cd4 202 14%
30th Apr 07: cd4 126 18% VL 110000
19th May 07: Started Truvada/Sustiva
20th Jun 07: cd4 218 25% VL 435
13th Aug 07: cd4 374 20% VL 64
20th Dec 07: cd4 435 24% VL <50
20th Oct 08: cd4 725 31% VL <50
30th Nov 09: cd4 725 30% VL <50
01st Nov 10: cd4 755 33% VL<50
11th Nov 11: cd4 754 32% VL<50
01st May 12: cd4 864 40% VL<50
01st May 13: cd4 615 VL 609 :-/
14th May 13: VL <50

Offline Miss Philicia

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  • Posts: 24,142
  • celebrity poster, faker & poser
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #1 on: December 17, 2007, 12:59:07 PM »
How can you eat an apple without chewing and swallow it, but you can't a pill?  Sounds psychological to me, which even if so I realize that doesn't help you obtain your goal, but I guess it's something to work on.

Look for Queen Akasha's recent similar thread:

http://forums.poz.com/index.php?topic=17425

I'd tend to go with newt's answer that the pills are not designed to be broken, and I'd be wary of really considering that a long term answer.
"Iíve slept with enough men to know that Iím not gay"

Offline newbie76

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  • Posts: 238
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #2 on: December 17, 2007, 01:12:27 PM »
No, I don't think I have explained myself properly!

I have no problem swallowing the pills. The problem is that the pills seem to get stuck at the back of my throat, after I have swallowed them.
25th Apr 07: The worst day of my life
27th Apr 07: cd4 202 14%
30th Apr 07: cd4 126 18% VL 110000
19th May 07: Started Truvada/Sustiva
20th Jun 07: cd4 218 25% VL 435
13th Aug 07: cd4 374 20% VL 64
20th Dec 07: cd4 435 24% VL <50
20th Oct 08: cd4 725 31% VL <50
30th Nov 09: cd4 725 30% VL <50
01st Nov 10: cd4 755 33% VL<50
11th Nov 11: cd4 754 32% VL<50
01st May 12: cd4 864 40% VL<50
01st May 13: cd4 615 VL 609 :-/
14th May 13: VL <50

Offline Miss Philicia

  • Member
  • Posts: 24,142
  • celebrity poster, faker & poser
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #3 on: December 17, 2007, 02:56:53 PM »
No offense, but like you're boyfriend is telling you:  they went down, you just THINK that they didn't

I'm sure everyone has felt this at some point, but they've gone down.  I'd still not start slicing up your pills.
"Iíve slept with enough men to know that Iím not gay"

Offline newbie76

  • Member
  • Posts: 238
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #4 on: December 17, 2007, 03:12:30 PM »
No offence taken! I surely hope you and my bf are right!!! Thank you anyway, I will try with some yogurt tonight!  :)
25th Apr 07: The worst day of my life
27th Apr 07: cd4 202 14%
30th Apr 07: cd4 126 18% VL 110000
19th May 07: Started Truvada/Sustiva
20th Jun 07: cd4 218 25% VL 435
13th Aug 07: cd4 374 20% VL 64
20th Dec 07: cd4 435 24% VL <50
20th Oct 08: cd4 725 31% VL <50
30th Nov 09: cd4 725 30% VL <50
01st Nov 10: cd4 755 33% VL<50
11th Nov 11: cd4 754 32% VL<50
01st May 12: cd4 864 40% VL<50
01st May 13: cd4 615 VL 609 :-/
14th May 13: VL <50

Offline minismom

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  • Posts: 2,608
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Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #5 on: December 17, 2007, 03:49:24 PM »
I asked about cutting a 600mg susteva in half and was told that I should NEVER cut them in half or crush them.  Funny thing is, they were given to us by a pharmacist who told us to cut them because mini only needs 300mg and they were having problems getting her 100mg capsule to go with her 200mg capsule.  We quit giving them to her.
www.watoto.com
www.MotherBearProject.org
"Whichever way you throw me, i will stand"
"Don't worry about the world coming to an end today...it's already tomorrow in Australia"  Charles Schultz

Offline a2z

  • Member
  • Posts: 193
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #6 on: January 05, 2008, 03:57:54 AM »
Newbie, I had the same sensation as you.  Turns out I had a hiatal hernia, which according to my ENT is not in and of itself serious, as well as a swollen throat from stress/reflux.

If you can get to an ENT, in the meanwhile try the following:

Swallow some water BEFORE swallowing the pill
Take your pill with some applesauce

If you have swelling/reflux the way I did, the doctor may give you some medication that'll likely reduce stomach acid.  Make sure it isn't contraindicated with the pills you are taking.

Good luck.


I have a problem with my meds.

Since about 2 weeks now I feel like the pills get stuck at the back of my throat. Approximately where the neck meets the chest.

Last night I drank 2 iters of water and ate a kiwi and an apple almost without chewing to try and push them down but I still had this feeling.

My bf says that perhaps the pills had in fact gone down but I could still "feel" them there because they touched the walls of my throat while in transit. I am not sure.

My question is: can Sustiva and Truvada be cut in half for easier swallow? Or have they got some kind of slow-release coating which you shouldn't interfere with?

I am worried that the pills will reach the stomach much later than they're supposed to and consequences could be serious.

Any advice please?
Dates are blood draw dates:
9/4/14: CD4 948, 37.9%, VL 150
5/23/14: CD4 895 --.-% VL UD - Truvada/Isentress
09/21/09: CD4 898 27.0% VL 120 - back on track, same meds.High level enzymes, but less so
06/15/09: CD4 478 21.8% VL 1150 - high liver enzymes... looks like I may not be resistant
05/22/09: Fixed insurance, resumed medicine
04/17/09: Ran out of medicine, could not resolve insurance problems
04/01/09: CD4 773 28% VL 120 - high liver enzymes
12/01/08: CD4 514 23% VL 630
10/17/08 started Reyataz, Norvir and Truvada. -- possibly minor neuropathy, but otherwise okay.
9/10/08: CD4 345 17%, VL > 78K
8/18/08: CD4 312 18%, VL > 60K (considering meds)
12/19/07: CD4 550 28% VL > 100K (no meds yet)
Diagnosed 10/23/07

Offline MitchMiller

  • Member
  • Posts: 479
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #7 on: January 05, 2008, 11:38:52 PM »
Some pills can be cut and some can't.  You should call the pharmaceutical company's info line.  Some pills are coated to affect how they are absorbed in the stomach.  The only VL blip I ever had occurred after I started cutting my 600mg Sustiva in half.  After I stopped, I went back to undetectable and have been there ever since (taking meds now almost 5 years).

Offline newbie76

  • Member
  • Posts: 238
Re: SUSTIVA + TRUVADA: CAN THEY BE CUT IN HALF?
« Reply #8 on: January 06, 2008, 05:57:37 AM »
Thank you for the replies.

I have talked about it with the nurse and I told her that I now dip my meds in honey before putting them in my mouth and I swallow them with an Actimel and she thought this was the best thing to do. She also didn't recommend cutting them but she said that if the problem persits they'll have to push a little camera down my throat to check for obstructions.
25th Apr 07: The worst day of my life
27th Apr 07: cd4 202 14%
30th Apr 07: cd4 126 18% VL 110000
19th May 07: Started Truvada/Sustiva
20th Jun 07: cd4 218 25% VL 435
13th Aug 07: cd4 374 20% VL 64
20th Dec 07: cd4 435 24% VL <50
20th Oct 08: cd4 725 31% VL <50
30th Nov 09: cd4 725 30% VL <50
01st Nov 10: cd4 755 33% VL<50
11th Nov 11: cd4 754 32% VL<50
01st May 12: cd4 864 40% VL<50
01st May 13: cd4 615 VL 609 :-/
14th May 13: VL <50

 


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