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Author Topic: Atripla and food  (Read 9566 times)

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Offline HollyStar

  • Member
  • Posts: 344
Atripla and food
« on: February 03, 2009, 01:38:18 AM »
Hi everyone,

I'm on Atripla and pretty much take it on an empty stomach. How long does it take for the meds to absorb? Can I eat 30 minutes or an hour after I take the pill or will that be like taking the pill with food anyway? I just don't want to increase the side-effects of the meds but...I'm hungry, lol.
Diagnosed  July 28th 2003

'I don't want to get to the end of my life and find that I just lived the length of it. I want to have lived the width of it as well.' -Diande Ackerman

'Why not go out on a limb? Isn't that where the fruit is?' -Frank Scully

'If your ship doesn't come, swim out to it.' - Jonathan Winters

Offline YaKaMein

  • Member
  • Posts: 368
Re: Atripla and food
« Reply #1 on: February 03, 2009, 02:02:47 AM »
Hey Holly,
Generally, the stomach's empty two hours after a meal. But, That's for a meal. Eating something small like a piece of fruit or a cracker will pass through faster. Most Atripla's effects are enhanced with fatty foods or greasy meals. Don't starve yourself by all means. I know you're trying to avoid any effects. I feel for you if you're having any.

Keep a little journal of what you've eaten and times taken and see what does better or worse for any effects.

I don't seem to have any effects so I swallow mine with a Snicker's ice cream bar. I Could use a fun hallucination now and then. LOL
09/11 Endocrine Consult
08/11 CD4 328 14.9% VL 0
 Disc'd Bactrim DEXA -3.1 Tscore
03/11 CD4 338 14.7% VL 0
11/10 CD4 300 14.3% VL 0 <20copies
07/10 CD4 336 14.0% VL 0 DEXA -2.7 Tscore
03/10 CD4 308 13.4% VL 0 Vit D normal
01/10 Began FOTO
11/09 CD4 274 13.7% VL 0 Chol 173 Trig 131
07/09 CD4 324 13.5% VL 0 DEXA -3.1 Tscore lumbar
03/09 CD4 207 10.9% VL 0
11/08 CD4 227 10.3% VL 0 Chol 176 Trig 156
04/08 CD4 228 9.5% VL 0
01/08 CD4 194 9.0% VL 0
09/07 CD4 176 8.3% VL 0
03/07 CD4 130 9.5% VL 0 Chol 261  Trig 227
12/06 CD4 109 6.4% VL 0
09/06 CD4  88 5.5% VL und desens'd rtd to Bactrim
08/06  Began Atripla
07/06 CD4  59 5.0% VL 145 Chol 117 Trig 104
06/06  Bactrim rash, X2 Dapsone
 EFV & Truvada Chol 128 Trig 131
05/06 CD4  6 (2.0%) VL 78667 only V179D mutation Dx PC MAC

Offline Lou-ah-vull

  • Member
  • Posts: 948
Re: Atripla and food
« Reply #2 on: February 03, 2009, 03:00:21 AM »
Atripla affects everyone differently.  I generally have no effects even if I have eaten within an hour of taking the pill.  I must admit I have never tried something high fat...but I have had fruit, low fat snacks, even popcorn with virtually no discernable effect.  I always take Atripla right before bedtime.

Gary
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline David_CA

  • Member
  • Posts: 3,246
  • Joined: March 2006
Re: Atripla and food
« Reply #3 on: February 03, 2009, 08:15:18 AM »
I had bad side effects with Atripla when I ate freshly roasted peanuts a  couple of times.  This was a few weeks after starting it, and when I took it at night.  Now, I take Atripla in the morning and it's on a totally empty stomach (I've just woken up when I take it).  No matter what I eat right after taking it, I now have no side effects.  Food interactions with Atripla seem to subside with time.

David
Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
You must be the change you want to see in the world.  Mahatma Gandhi

Offline HollyStar

  • Member
  • Posts: 344
Re: Atripla and food
« Reply #4 on: February 04, 2009, 01:10:19 AM »
Thanks guys!!! I take my pill a couple of hours before I actually go to sleep. It seems to help me stay asleep longer. I avoid nuts in the evening as they are high in fat right? Like you YaKaMein, my bf can eat half a cake and a few scoops of ice cream with his Sustiva and he doesn't complain. I don't want to find out if I can make the side-effects worse though by experimenting. I think I might try small amounts of low fat foods around pill time. I rarely go more than 4 hours without eating something, even if it's a handful of nuts or a glass of milk.

P.S. I asked my ID Doctor about taking it in the day time and he said out of all the patients he looks after only one takes it in the day without effects. Lucky you David ;) .
« Last Edit: February 04, 2009, 01:12:05 AM by HollyStar »
Diagnosed  July 28th 2003

'I don't want to get to the end of my life and find that I just lived the length of it. I want to have lived the width of it as well.' -Diande Ackerman

'Why not go out on a limb? Isn't that where the fruit is?' -Frank Scully

'If your ship doesn't come, swim out to it.' - Jonathan Winters

Offline David_CA

  • Member
  • Posts: 3,246
  • Joined: March 2006
Re: Atripla and food
« Reply #5 on: February 04, 2009, 08:38:10 AM »
Thanks guys!!! I take my pill a couple of hours before I actually go to sleep. It seems to help me stay asleep longer. I avoid nuts in the evening as they are high in fat right? Like you YaKaMein, my bf can eat half a cake and a few scoops of ice cream with his Sustiva and he doesn't complain. I don't want to find out if I can make the side-effects worse though by experimenting. I think I might try small amounts of low fat foods around pill time. I rarely go more than 4 hours without eating something, even if it's a handful of nuts or a glass of milk.

P.S. I asked my ID Doctor about taking it in the day time and he said out of all the patients he looks after only one takes it in the day without effects. Lucky you David ;) .

There are several of us here on the forums that take it in the morning http://forums.poz.com/index.php?topic=12153.0.  On the weekends, when I sleep later, I take my meds early and go back to bed.  That gives me a little reminder of what it was like to take Atripla before sleeping.  I wouldn't let something like side effects from Atripla keep you from eating!  ;)  Give yourself a week or so to adjust to it.  Then, try small amounts of various things and see how you feel.  I think that as our bodies adjust to the drugs, food-related side effects sort of disappear.  Good luck with it!

David
Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
You must be the change you want to see in the world.  Mahatma Gandhi

Offline jayjax

  • Member
  • Posts: 83
Re: Atripla and food
« Reply #6 on: February 06, 2009, 10:21:23 PM »
Thanks for all the commends here.  I was always wondering about "eating on an empty stomach". when i first started taking Atripla.

I did this like clock work every night for the first month I started Atripla.  Even though I had no side effects, I was finding myself hungry and constantly trying to take meds  3 hours after I ate (on an empty stomach).  It just didn't work.  I soon found out that it all depends on the person, so I went back to eating my night time stanck (like cereal or some fruit).  I've also heard  that you should avoid high fat content foods before taking Atripla, as this seems to elevate the side effects of sustiva -- it all depends on the person too. Needless to say, I'm happy with eating my normal meal in the evening and a snack before I go to bed.  I always take my Atripla after brushing my teeth (like clock work every night). It's now a part of my daily routine!


08 Oct 08:  Diagnosed
18 Oct 08:  1st Lab Work: CD4 - 268, VL 7,000
18 Nov 08:  Started Atripla
28 Jan 09:   CD4 - 195, VL 70
05 May 09:  CD4 - 201, VL = Undetectable
16 Aug 09: CD4 - 235, VL = Undetectable
30 Nov 09 CD4 - 300, VL = Undetectable
30 Mar 10 CD4 - 305, VL = Undetectable
27 Jul 10 CD4 -  301, VL = 100
13 Aug 10 -- Switched to Truvada/Reyataz/Norvir
30 Sep 10 --  CD4 598, VL = Undetectable

Offline PositivelyYours

  • Member
  • Posts: 133
Re: Atripla and food
« Reply #7 on: February 07, 2009, 12:05:47 AM »
Hello All,

I have been on Atripla almost three months now and I must say that I have not experienced any problems with side effects after eating.  I generally take my pill on an empty stomach, but since I go to bed so early and I take my pill at the same time every night, it is sometimes difficult not to eat. I wouldn't advise eating a steak dinner an hour or so before taking Atripla, but a bowl of cereal or something along the line should be okay.
PositivelyYours

Diagnosed: 08/10/2006
08/31/06 CD4:240/VL:39,000
09/12/06 CD4:359/VL:50,000
11/16/06 CD4:509/VL:76,000 (Flu Shot)
02/13/07 CD4:270/VL:69,000
02/17/07 Developed the Shingles
02/20/07 CD4:326/VL (Not Tested)
03/20/07 CD4:484/VL:54,000
06/19/07 CD4:488/VL:51,000
09/18/07 CD4:372/VL:27,000
10/09/07 Took Flu Shot
12/18/07 CD4:408/VL:85,000
03/18/08 CD4:394/VL:116,000 (Still No Meds)
05/22/08 CD4:412/VL:63,000
08/13/08 CD4:362/VL:67,000
09/23/08 Took Flu Shot
10/15/08 CD4:340/VL:54,000
11/14/08 Started Atripla @ 9:45 p.m.
1/30/09 CD4:641/VL:<48 Copies
5/07/09 CD4:667/VL: Undetectable
12/02/09 CD4:759/VL: Undetectable
03/05/10 CD4:537/VL: Undetectable
03/16/10 Rec'd TB Skin Test, Pneumonia & Hep B Vac
04/15/10 Hep B & Tetanus Vac
6/10 CD4: 748 VL: Undet.

Offline Longislander

  • Member
  • Posts: 2,486
Re: Atripla and food
« Reply #8 on: February 07, 2009, 12:06:38 PM »
I always took my Atripla at night, whether I just ate or not, and usually snacked on pretty much whatever I had around. 

BUT, after a few too many times finding myself upstairs all snuggled into bed, having forgotten to take the pill, I stayed in bed one night and decided to take it the next morning ( which was a Saturday). I've been taking it in the morning now for a few weeks, and I like that much better. I think I sleep better at night, and am less tired/irritable in the morning.
infected 10/05 diagnosed 12-05
2/06   379/57000                    6/07 372/30500 25%   4/09 640/U/32% 
5/06   ?? /37000                     8/07 491/55000/24%    9/09 913/U/39%
8/06   349/9500 25%              11/07 515/68000/24     2/10 845/U/38%
9/06   507/16,000 30% !          2/08  516/116k/22%    7/10 906/80/39%
12/06 398/29000 26%             Start Atripla 3/08
3/07   402/80,000 29%            4/08  485/undet!/27
4/07   507/35,000 25%            7/08 625/UD/34%
                                                 11/08 684/U/36%

Offline David_CA

  • Member
  • Posts: 3,246
  • Joined: March 2006
Re: Atripla and food
« Reply #9 on: February 07, 2009, 03:06:48 PM »
I've been taking it in the morning now for a few weeks, and I like that much better. I think I sleep better at night, and am less tired/irritable in the morning.

I think that part is what I like about morning dosing best.  I sleep better.  The Atripla dreams, while not too annoying, did seem so involving that I didn't feel as rested in the morning when I got up.  Now, after an Adderall and a visit to the gym, I really can't even tell I've taken anything.


Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
You must be the change you want to see in the world.  Mahatma Gandhi

Offline Steinway

  • Member
  • Posts: 60
Re: Atripla and food
« Reply #10 on: February 07, 2009, 04:53:29 PM »
Hello,  I've taken Atripla for over a year now.  I take it while I'm actually laying in bed and ready to fall asleep.  My stomach would be empty at that time for a few hours.  I take the pill and fall asleep.  I don't seem to have any side effects.  No grogginess the next day unless I take a sleeping aid or nyquil or something.  (p.s.  don't take nyquil.  It messed up my liver)  Good luck, Steinway
It is with passion, courage of conviction, and strong sense of self that we take our next steps into the world. Remembering that first impressions are not always correct. You must always have faith in people, and most importantly, you must always have faith in yourself.
~E. Woods

 


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