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Author Topic: Atripla Questions  (Read 4373 times)

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Offline newbieguy

  • Member
  • Posts: 197
Atripla Questions
« on: August 06, 2010, 11:57:56 AM »
Hi guys, I have a couple questions about Atripla. I am currently taking finals, and once they are over in a week or so plan on starting this medication. I have two basic seperate questions.

Firstly, about food. Most say you need to take it on an empty stomach before bed. I know I will have to modify my eating habits somewhat, because I tend to eat/snack alot in the evening before I go to bed. If I allow 2-3 hours since my last meal and Atripla is this ok? Water, juice ok to drink?

Secondly, about sexual function. I have always enjoyed a fine libido, and havent had any "issues". I am 27. I have heard some horror stories from some people saying Atripla made them impotent or caused total erectile dysfunction. Is this an issue with this drug particularly after taking it a year or two?

Thanks to all for the info.
 :)

Offline Ann

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  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Atripla Questions
« Reply #1 on: August 06, 2010, 12:07:17 PM »
Newbie, it's mainly foods with a high fat content that can heighten the side effects of the Sustiva component of Atripla. You'll have to experiment yourself with what you can eat and what you cannot eat before taking it. Many people have no trouble with food at all and some only have this problem in the early days. Water and juice are fine as they aren't high in fat.
Condoms are a girl's best friend

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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

Offline Rev. Moon

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  • Posts: 3,782
  • Smart ass faggot
Re: Atripla Questions
« Reply #2 on: August 06, 2010, 12:09:48 PM »
Hi there,

1) The main reason why they recommend that you take the pill on an empty stomach is so that any potential side effects (i.e. dizziness, and maybe the supposedly vivid dreams) are not as strong or noticeable.  At any rate you will probably go to bed after taking it.  Eating does not affect the level of absorption or effectiveness of this particular medication.

In the beginning, if you plan to eat something within an hour or two of taking this medication try to make it something lite.  In time you will be able to modify this food intake according to how you react to the pill. Many of us who are on Atripla eat whatever we want (and have a few pints every once in a while), before or after taking the pill, without any issues.

2) Nothing to worry about there. You penis, and whatever part of your brain that controls the hornies, should not be affected by this.

Good luck and health now that you're starting treatment.  Oh, and best of luck with finals.
"I have tried hard--but life is difficult, and I am a very useless person. I can hardly be said to have an independent existence. I was just a screw or a cog in the great machine I called life, and when I dropped out of it I found I was of no use anywhere else."

Offline Realist

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  • Posts: 162
    • NotDownNotOut's Blog
Re: Atripla Questions
« Reply #3 on: August 06, 2010, 12:16:04 PM »
Firstly, about food. Most say you need to take it on an empty stomach before bed. I know I will have to modify my eating habits somewhat, because I tend to eat/snack alot in the evening before I go to bed. If I allow 2-3 hours since my last meal and Atripla is this ok? Water, juice ok to drink?

I talk about my experiences here: http://forums.poz.com/index.php?topic=33757

Ann is correct regarding fat content but it levels off when you get used to it and I really don't have many issues at all.

Secondly, about sexual function. I have always enjoyed a fine libido, and havent had any "issues". I am 27. I have heard some horror stories from some people saying Atripla made them impotent or caused total erectile dysfunction. Is this an issue with this drug particularly after taking it a year or two?

Only been on Atripla for 4 months but had quite the opposite effect. ;D
23/02/10 Tests confirmed
25/02/10 13100 220 24%
12/03/10 19800 372 19%
26/03/10 Atripla
30/04/10 58 286 23%
28/05/10 45 222 21%
25/06/10 UD 301 23%
24/09/10 UD 283 22%
01/12/10 UD 319 23%
11/03/11 UD 293 28%
10/06/11 UD 423 24%
23/08/11 UD 389 26%
28/02/11 UD 315 34%

I blogged it all http://notdownnotout.blogspot.com

Offline phildinftlaudy

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  • Posts: 2,961
  • sweet Ann what you think babe...
Re: Atripla Questions
« Reply #4 on: August 06, 2010, 12:20:44 PM »
Hi Newbie:

Most of the side effects subside within a couple weeks of using Atripla.  As for the not eating two hours before taking it - this is just to assist in avoiding some of the side effects.  I eat right before I take it, when I take it, right after I take it... you get the picture.  I also like to drink my Coronas and will take it right before, during and after.

I agree with  Ann, the fat content of the food has a lot to do with it - I ate five pieces of Popeye's spicy chicken the other night (Louisiana style -- yum yum) and did it like 4 hours before taking my dose and I still had more pronounced, vivid dreams than usual.  

But, if I eat something with lower fat right when taking my dose, I rarely get the dreams anymore.

You just have to feel it out.... As everyone's experiences are slightly different and what does not seem like a bother to me, may be bothersome to you.  

Keep us informed on how it is going.

-Phil
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline M267

  • member
  • Posts: 1
Re: Atripla Questions
« Reply #5 on: August 19, 2010, 03:16:12 PM »
OK i been talking Atripla for about a year and a half, think it is a great med my viral load is no detectable CD4 about 500, yes sometimes feel a little tired i guess is normal not related to my med, was diagnosed with cancer, went under chemo for about 8 months, now i am cancer free, feel better than ever, i have not missed a single pill so i guess it helps a lot, eat right just using common sense, low fat foods feel so much better after.

And for the sex thing men i have the wildest sex drive ever, so don't worry about it.

I'm 32 yo.....

Offline newbieguy

  • Member
  • Posts: 197
Re: Atripla Questions
« Reply #6 on: August 19, 2010, 05:50:09 PM »
OK i been talking Atripla for about a year and a half, think it is a great med my viral load is no detectable CD4 about 500, yes sometimes feel a little tired i guess is normal not related to my med, was diagnosed with cancer, went under chemo for about 8 months, now i am cancer free, feel better than ever, i have not missed a single pill so i guess it helps a lot, eat right just using common sense, low fat foods feel so much better after.

And for the sex thing men i have the wildest sex drive ever, so don't worry about it.

I'm 32 yo.....

First off, congrats on being cancer free! yay! sounds like you are doing great on atripla. My cd4 is around 500 now, so I hope that gives me a head start. Definately good to hear your sex drive is ok, one of my worries was that the med would kill my libido. But the responses here make me feel a lot better that my woodies wont go away  :)

Offline Tempeboy

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  • Posts: 358
  • Like St Francis of Assisi I am wedded to Poverty
Re: Atripla Questions
« Reply #7 on: August 19, 2010, 07:08:43 PM »
First off, congrats on being cancer free! yay! sounds like you are doing great on atripla. My cd4 is around 500 now, so I hope that gives me a head start. Definately good to hear your sex drive is ok, one of my worries was that the med would kill my libido. But the responses here make me feel a lot better that my woodies wont go away  :)

Wishing you good wood, keep us 'posted'!

Helpful resource - http://positivelife.org.au/files/1_Efavirenz.pdf
Roughly roundabout somewhere in the eighteenth or nineteenth century, Sodomite begat Homosexual out of moral, medical and legal models, bequeathing him Identity, who inbred with Nuclear Family and Industrialism to spawn Homophobia.

Dean Kiley

Offline northernguy

  • Member
  • Posts: 1,347
Re: Atripla Questions
« Reply #8 on: August 20, 2010, 12:22:45 AM »
Look on the bright side, snacking just before bedtime isn't great for your health!  As to libido, Atripla made me hornier and has given me some great boners.
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

Offline Sad Dreamer

  • member
  • Posts: 1
Re: Atripla Questions
« Reply #9 on: September 18, 2010, 08:48:34 AM »
i have been taking atripla for a month and a half and have not seen any extreme changes. when i finally found out that i was positive it was almost too late. my cd4 was 20 and my viral load was 460,000, and my body felt like it was shutting down. the dr put me on azithromyicin and bactrin along with the atripla. i am affraid to drink alcohol because my wife read that drinking two or more alcoholic beverages a day effects the way atripla works. any suggestions on on alternatives, what is the response of smoking marijuana?

Offline phildinftlaudy

  • Member
  • Posts: 2,961
  • sweet Ann what you think babe...
Re: Atripla Questions
« Reply #10 on: September 18, 2010, 05:44:39 PM »
i have been taking atripla for a month and a half and have not seen any extreme changes. when i finally found out that i was positive it was almost too late. my cd4 was 20 and my viral load was 460,000, and my body felt like it was shutting down. the dr put me on azithromyicin and bactrin along with the atripla. i am affraid to drink alcohol because my wife read that drinking two or more alcoholic beverages a day effects the way atripla works. any suggestions on on alternatives, what is the response of smoking marijuana?
I've been on Atripla for about 9 months or so ---- I drink my Coronas regularly (last night had a few too many --- hangover today, but I digress) - they haven't affected the way Atripla works for me -
I get my latest lab results Monday - which I will add to my signature line - but I haven't seen any negative effect from drinking alcohol while on Atripla.
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline newbieguy

  • Member
  • Posts: 197
Re: Atripla Questions
« Reply #11 on: September 22, 2010, 11:10:54 PM »
Hey everyone, thought I'd post an update since today I saw my doctor for the first time since starting Atripla last month. I have to say, that in the last 2 weeks or so, things have gotten WAY better, and Im feeling pretty good, was kinda worried about the grogginess/sleepiness I was having when I first started treatment, but it really DOES seem to have gotten better with time. Now, I hardly notice any effects at all from it (no weird dreams or anything). I decided to stay with Atripla for now, and got my refill. If it aint broke, dont fix it right? Had my first set of labs today too since starting, so wish me luck!!  :) I did mention to her that my libido seemed a bit less than before, but I attribute that to my body getting used to the medecine, since my last testosterone test was great. She went ahead and tested it again though just to check. Overall, Im doing great, and even got my flu shot while I was there. MAJOR eye candy in the clinic today too, lots of flirting all-round!  :)

xo

 


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