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Author Topic: Should I take other two meds or skip the whole shebang?  (Read 1606 times)

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Offline loshan

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Should I take other two meds or skip the whole shebang?
« on: May 18, 2009, 12:20:05 AM »
Due to a pharmacy screw-up, I am out of meds for the next two days. I did everything right....called in the refills a week early, etc, etc. but the bottom line is that the pharmacy didn't get them, didn't realize it and can't get them until tomorrow after 1pm.
I made a commitment to drive an elderly friend 100 miles to the doctor tomorrow and will be leaving early and getting home too late to pick them up tommorrow (I live in a very rural area and 45 miles from the nearest pharmacy).
Now here is the real question....I am on Truvada/Norvir/Reyataz. My partner is on Truvada/Norvir/Lexiva. The pharmacy had his meds, but not mine (called in on the same day.....go figure). So, should I take his Truvada/Norvir until I can get my meds filled and then add the Reyataz back in? Or should I forgo taking them all til they come in?
Need advice fast since medtime is coming up soon!
Thanks for any help
loshan

Offline Inchlingblue

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Re: Should I take other two meds or skip the whole shebang?
« Reply #1 on: May 18, 2009, 12:41:15 AM »
I would research this online a little to make sure (maybe call your doctor tomorrow and ask his opinion) but what makes the most sense to me is to take his entire combo Truvada/Norvir/Lexiva. If you have no resistance to Lexiva, it should be fine.

I would definitely not take Truvada/Norvir alone, this might cause you to have resistances and then screw it up as far as being able to continue on your combo.

Can't someone pick up the Rx for you tomorrow so you can have it when you return from trip?

Offline loshan

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Re: Should I take other two meds or skip the whole shebang?
« Reply #2 on: May 18, 2009, 12:52:28 AM »
No one I know is going to town tomorrow (already asked) and I wouldn't ask them to make a 90 mile round trip just for me.

Offline Dennis

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Re: Should I take other two meds or skip the whole shebang?
« Reply #3 on: May 18, 2009, 12:52:51 AM »
I'm also on Truvada/Reyataz/Norvir. I was advised by my dr it's best to miss a full and complete dosing rather than take an incomplete dose.

I'm sure once or twice won't hurt. However, if done consistently could lead to Resistance.

Offline loshan

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Re: Should I take other two meds or skip the whole shebang?
« Reply #4 on: May 18, 2009, 12:57:33 AM »
I will call the doctor in the morning, but I was concerned about tonight. I don't think taking Lexiva for only a dose or two is really a good idea.....but I could be wrong. Thanks for the thought though :)

Offline Ann

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Re: Should I take other two meds or skip the whole shebang?
« Reply #5 on: May 18, 2009, 04:53:13 AM »
No one I know is going to town tomorrow (already asked) and I wouldn't ask them to make a 90 mile round trip just for me.


Loshan, hun, sometimes that's what friends are for. I know that if one of my mates was in the spot you're in, I'd jump in the car in a heartbeat, even if it was a 180 mile round-trip. I mean, after all, you're helping someone else with a medical problem, let someone help you in turn. (you can always offer to pay for gas, or return some sort of other favour)

Hope this all works out ok for you.

Ann
« Last Edit: May 18, 2009, 04:56:42 AM by Ann »
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"...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

Online mecch

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Re: Should I take other two meds or skip the whole shebang?
« Reply #6 on: May 18, 2009, 05:03:34 AM »
I dont have a solution for your present problem but a suggestion and possible solution for the next time this might happen.
Figure out a way to get some additional reyataz and lexiva. Even a weeks supply would help you each, cause in a pinch you can share out your truvada.  Some people see to be able to get away with building up stock, some are monitored down to last pill, which seems to be your case.  Pity.  So I have extra reyataz.
If you want a week of rezyataz and you can't figure out a way to build a stock, I will send a week of it to you.
Remember you have to rotate stock, so don't leave old drugs sitting around for a year for the emergency.
Let me know by private.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline loshan

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Re: Should I take other two meds or skip the whole shebang?
« Reply #7 on: May 19, 2009, 05:28:35 PM »
Thanks everyone for your help. We ended up spending last night in the city due to a clogged fuel filter on my SUV (but she got her halo removed and was ecstatic to be in only a padded neck brace with no screws in her skull for the first time in five months, so it was worth it).

I called the doctor on the way in Monday morning and he told me, "take them all or take none" and DO NOT do temporary substitution on the Lexiva. Then he told me to stop by the office and they gave me a weeks worth of samples for the reyataz as a "backup". AND, due to our unexpected overnight stay, I was able to stop by the pharmacy on our way home (about halfway between here and Spokane and pick up all but the Norvir (this time a "freight" issue).

Mechh, I try to always build up a stock. My partner has been on his regimen for 3 years and I have built up a 3 month "cushion" of his meds and always use the oldest first. However, this was an unusual situation as this is my first month on a new regimen (changed from Atripla) and new insurance, so I had no chance to get the "back room" stocked before I ran into a problem. Now, with a few extra days worth of Reyataz and a significant backlog of Truvada and Norvir, I think I will be alright from here on out.

Ann...I know I would make the trip for anyone else also. But I just hate to ask and put anyone out if I can figure a way around it.

I will add to this that I am very pleased so far with the new regimen. The atripla was having negative effects on my liver as well as intermittent problems with the "sustiva dreams" and ongoing poop issues. The dreams and pooping (couldn't go for three days, then two days of running for the bathroom) problems went away within a week and we will see how the liver numbers are on the next blood draw.

The only problem so far is a rash caused by increased sun sensitivity.....I bought spray on SPF 50 and two light weight, long-sleeved sun blocking shirts for gardening while we were stuck in town overnight, hopefully an easy fix.

Again, thanks everyone for your suggestions and input. I lurk on here alot, but never feel like I have much to add and can usually search and find the answers I am looking for without bothering anyone. So, it is nice to know you guys will help out anyone, not just regular posters!

Loshan  :-*


Offline Ann

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Re: Should I take other two meds or skip the whole shebang?
« Reply #8 on: May 20, 2009, 05:35:23 AM »
Hi Loshan, thanks for the update.

I'm glad things worked out well for you. Whew!

Don't think of coming here to ask anything as "bothering" anyone. It's not. Don't ever be afraid to ask anything.

Try to remember that there's a huge difference between constantly asking for favours and asking for the odd one when you're in a bind. And also, please try to remember that many people take great pleasure in helping others when it's something important to the person being helped. It's like the old saying - 'tis better to give than receive. Don't deny your mates the chance to help you out now and then. Think of it as a bonding exercise if nothing else.

Anyway, I'm glad this all turned out alright. It's funny how sometimes a problem (like a dodgy fuel filter) can turn out to be a blessing in disguise.

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

 


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