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Author Topic: Changing Atripla to the morning , any advice?  (Read 2413 times)

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Offline azprince

  • Member
  • Posts: 153
Changing Atripla to the morning , any advice?
« on: April 21, 2010, 08:21:51 PM »
after being on Atripla for the last year, and because my sleeping has turned into a pain in the brain ;D with dreams that make me feel that I was not sleeping but rather fighting, I decided to switch to the morning time, my question is :
How should I do it, should I skip the night dose and start tomorrow, I am undetectable btw
after one year will I face the dizzy feeling if I take it in the morning, I read that usually this feeling  stops after weeks of taking it, but I dont know , since I used to sleep immediatly after taking my pill

I would appreciate any recommendations
Thanks
I have to admit : the good thing is that from now on;  I have no option but to succeed , still its ok to worry :))

Offline DanKenny

  • Member
  • Posts: 147
Re: Changing Atripla to the morning , any advice?
« Reply #1 on: April 22, 2010, 02:32:09 PM »
Welcome to the AM club. I take mine in the morning ... have done so since 2007. 

So it can be done, as soon as you start very early -- usually around 6am, and then by 10am, you should be ok.  Do not eat either before or at least 2 hrs after the meds.

I advice you to slowly ease yourself into the routine:

-- 4am for the first day
-- 5am for the second day
-- 6am during the third day.

You will be fine. 

MannyNoela

 
My Progress:

09/07:   771   ~    <50     ~   29%
03/07:   493   ~    227      ~   22%
02/07:   Began Meds ~~ ATRIPLA
01/07:   315   ~   45, 000  ~   18%
10/06:   350   ~   32, 430  ~   22%
04/06:   440   ~   23, 997  ~   24%
07/05:   621   ~   36,000   ~   24%
01/05:   842   ~   2306      ~   28%
07/04:   615   ~   3370      ~   27%
04/04:   674   ~   739        ~   26%
11/03:   439   ~   2800      ~   22%
Infected probably around 1997 / Diagnosed 2002

Offline azprince

  • Member
  • Posts: 153
Re: Changing Atripla to the morning , any advice?
« Reply #2 on: April 22, 2010, 03:15:11 PM »
Welcome to the AM club. I take mine in the morning ... have done so since 2007. 

So it can be done, as soon as you start very early -- usually around 6am, and then by 10am, you should be ok.  Do not eat either before or at least 2 hrs after the meds.

I advice you to slowly ease yourself into the routine:

-- 4am for the first day
-- 5am for the second day
-- 6am during the third day.

You will be fine. 

MannyNoela

 

Thanks,
So, you dont recommend taking it later than that early, say what if I woke up at 10? will the dizziness subside after certain time or no?
I have to admit : the good thing is that from now on;  I have no option but to succeed , still its ok to worry :))

Offline tommy246

  • member
  • Member
  • Posts: 435
Re: Changing Atripla to the morning , any advice?
« Reply #3 on: April 24, 2010, 05:47:02 AM »
i take mine at night and know what you mean about feel like your fighting and not sleeping. I missed my first dose (started nov 09) two weeks ago so took it in the morning and there was no dizziness like i had in the early weeks i just felt a little bit stoned for maybe 3 or 4 hours . I am contemplating changing to mornings as well i think the best time to start would be a weekend to see how you feel. The good thing about atripla is also if you sleep in a little its not a problem if you take your pill a couple of hours later occaisionally.Let us no how you get on
jan 06 neg
dec 08 pos cd4 505 ,16%, 1,500vl
april 09 cd4 635 ,16%,60,000
july 09 ,cd4 545,17%,80,000
aug 09,hosptal 18days pneumonia cd190,225,000,15%
1 week later cd4 415 20%
nov 09 cd4 591 ,vl 59,000,14%,started atripla
dec 09  cd4 787, vl 266, 16%
march 2010  cd4 720 vl non detectable -20  20%
june 2010  cd4  680, 21%, ND

Offline azprince

  • Member
  • Posts: 153
Re: Changing Atripla to the morning , any advice?
« Reply #4 on: April 24, 2010, 09:32:24 AM »
So far its going good, just a little disorientation for three hours, but nothing too big to deal with , hope it get better , at least now I sleep with no crazy dreams  ;D
I have to admit : the good thing is that from now on;  I have no option but to succeed , still its ok to worry :))

Offline tommy246

  • member
  • Member
  • Posts: 435
Re: Changing Atripla to the morning , any advice?
« Reply #5 on: April 24, 2010, 12:28:57 PM »
Are you having a better quality of sleep , and what time are you taking your tablet now
jan 06 neg
dec 08 pos cd4 505 ,16%, 1,500vl
april 09 cd4 635 ,16%,60,000
july 09 ,cd4 545,17%,80,000
aug 09,hosptal 18days pneumonia cd190,225,000,15%
1 week later cd4 415 20%
nov 09 cd4 591 ,vl 59,000,14%,started atripla
dec 09  cd4 787, vl 266, 16%
march 2010  cd4 720 vl non detectable -20  20%
june 2010  cd4  680, 21%, ND

Offline azprince

  • Member
  • Posts: 153
Re: Changing Atripla to the morning , any advice?
« Reply #6 on: April 26, 2010, 08:46:59 AM »
Much better sleeping, I take them when I wake up, say at 8 , sometimes if I wake late I take hem when I wake up,  he only problem with morning pills is that if I wake up late if I have to wait long before my breakfast other wise I will feel dizzy...
but at least my sleeping is much better , no more crazy dreams  ;D
I have to admit : the good thing is that from now on;  I have no option but to succeed , still its ok to worry :))

Offline ruralguy

  • Member
  • Posts: 141
Re: Changing Atripla to the morning , any advice?
« Reply #7 on: May 01, 2010, 09:33:58 AM »
I take it when I wake up, first thing, even if wake then go back to sleep.

But generally, I take it when I get up.  Then about 30 minutes passes while I shower and dress, then eat breakfast.  I have now side effects at all.  Once recently I even took it right after breakfast and had no side effects.

As far as making the change, my doc suggested tow approaches:

- move it ahead 2 hours a day (so 26 hours between doses) till you get to the time you want

- or, move it back, so take on at night as normal, then again in the morning about 12 hours later

I chose the 2 hour increment.   The morning dose simply fits my routine better.  I also think I sleep better.
tested positive June 19, 2009
7/3/09 vrl 9000 cd4 - 300
8/14/09 cd4 - 350, 20%
started Atripla 9/14/09
10/5/09 vrl undetectable, WOW so fast!
12/28/09 vrl undetectable, CD4 - 615  27% cholesterol down, kidney function normal
4/26/10 vrl undetectable, CD4-600, kidney and liver numbers normal
9/9/10 vrl undetectable, CD4-685
1/3/11 vrl undetectable, CD4-700
all 2011 and Jan 2012 visits vrl undetectable CD4 ranged from 715-645
5/7/2012  vrl undetectable, CD4-615, all liver, kidney, lipids, heart functions, etc normal


On Atripla:  "Your mileage may vary"

Offline newt

  • Member
  • Posts: 3,885
  • the one and original newt
Re: Changing Atripla to the morning , any advice?
« Reply #8 on: May 01, 2010, 01:21:11 PM »
All this fiddling with +/- 2 hrs is unnecessary. I'd just choose a day and switch. After 5 days the drugs will be at a level where this is safe as a one-off if your viral load is under 50 copies.

There is of course no obligation to take Atripla/efavirenz at night on an empty stomach, it's just a suggestion. It will work regardless.

- matt
"The object is to be a well patient, not a good patient"

Offline azprince

  • Member
  • Posts: 153
Re: Changing Atripla to the morning , any advice?
« Reply #9 on: May 02, 2010, 09:34:18 AM »
I read somewhere that the tolerance time for Atripla is +-8 hours, ...
So I did switch to the morning and I do think its much better for me,  of course the ideal situation would be no meds at any time but ehh ;D
I have to admit : the good thing is that from now on;  I have no option but to succeed , still its ok to worry :))

 


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