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Author Topic: Ritonavir Atazanavir Truvada.  (Read 2818 times)

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Offline jupiter

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  • Posts: 89
Ritonavir Atazanavir Truvada.
« on: October 11, 2010, 04:06:28 PM »
Hi all!
I started meds 3 weeks ago with the above combo. I have been getting some side effects. Tiredness brain fog and acing joints. how long doe these normally last for? I know there is an adjustment period of a few weeks. Just wanting to know others experiences.

Offline newt

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  • Posts: 3,887
  • the one and original newt
Re: Ritonavir Atazanavir Truvada.
« Reply #1 on: October 11, 2010, 04:11:02 PM »
A few weeks at most

If they go on speak with your doc. What was your CD4 count on starting? Did your eyes go yellow at all (or indeed, are they)?

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

Offline jupiter

  • Member
  • Posts: 89
Re: Ritonavir Atazanavir Truvada.
« Reply #2 on: October 12, 2010, 05:33:48 AM »
Yes my eyes did go yellow. cd4 was around 230

Offline newt

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  • the one and original newt
Re: Ritonavir Atazanavir Truvada.
« Reply #3 on: October 12, 2010, 02:04:22 PM »

When you start combo the drugs block HIV at various points, which is how it stops it reproducing. The result: lots of dead HIV and lots of dead CD4 and other cells with bits of dead HIV in them. This is junk to your body, like any other particles left over after any infection (eg flu). Your body mobilises your immune system to clean them up. This is what causes the symptoms you are having (just like flu or a cold).

Also, other lurking ailments can  temporarily reactivate and be dealt with by the immune system now it's able to do this, a sort of clean up moment.

This can manifest as a sometimes serious condition call IRIS (Immune Restitution Inflammatory System). This mostly happens in people with CD4 counts of 100 or below, people who have a very fast drop in viral load or people with some pre-existing other conditions eg hepatitis B and C, herpes, shingles or TB.

The symptoms you describe are probably just your body adjusting to its new found strength to deal with HIV. If the fever gets bad or doesn't abate, or you become more confused etc, though, it is worth raising it with your doc. I wouldn't hesitate myself, even if just for reassurance.

The other possibility, also to raise with doc if this don't get better, is an allergy to one of the meds. This is rare. If you do have one the fever is usually sudden and high, and a rash is common.

If you're tired, sleep. Your body has basically been injured by HIV. Sleep aids recovery from injuries.

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

Offline jupiter

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  • Posts: 89
Re: Ritonavir Atazanavir Truvada.
« Reply #4 on: October 12, 2010, 03:57:11 PM »
Thank You for your help and reassurance Matt!

Im Hangin in there.

Offline newhorizon80

  • Member
  • Posts: 37
Re: Ritonavir Atazanavir Truvada.
« Reply #5 on: October 29, 2010, 06:17:37 PM »

I started this combo on 10/19, I'm in a drug study comparing the booster-- so I don't know what booster I'm on (Norvir or GS9530).

Anyway, I'm getting pretty intense yellowing in my eyes. Luckly, I started treatment while on vacation but today was suppose to be my first day back, but called off until Sunday, but may extend further. Today, I'm feeling like maybe it's starting to dissipate today, but it's still unsightly.  I've been trying to stay hydrated.

I just wanted a personal account: How long did the noticeable yellowing persist with you?
(or anyone else with starting this combo).
10/30/08: CD4: 486 VL: 13,000
04/23/09: CD4: 456 VL: 8,890
10/27/09: CD4: 358 VL: 6,260
04/27/10: CD4: 413 VL: 7,800
10/19/10: CD4: 416 VL: 26,400*
11/15/10: CD4: 499 VL: 0*
04/05/11: CD4: 521
09/20/11: CD4: 585
03/06/12: CD4: 634
05/29/12: CD4: 643
08/21/12: CD4: 968

Offline pozoz

  • Member
  • Posts: 71
Re: Ritonavir Atazanavir Truvada.
« Reply #6 on: October 29, 2010, 07:21:53 PM »
Hi newhorizon80

The yellowing took about 3-4 weeks to become unnoticable with me.

It returns occasionally (alcohol and some pain medication ie: codeine seem to be culprits for me)

Mine was very noticable, but it gradually went away.

I think once your body gets used to the Reyataz, things more or less go back to normal.

I was told to stay hydrated,drink lots of water, and try to get some sun by my doc.


Seroconverted Aug 2008
Tested Pos      May 2009
May 09 CD4 544 19%   VL 22K
Aug 09 CD4 514  19% VL 25K
Dec 09 CD4 510  20% VL 32K
June10 CD4 502  20% VL 36K
July 5th,10 Start Truvada  Reyataz Norvir July 30  CD4 360  21% VL 339
Oct  22 CD4 459  27% VL 191
Jan 2011CD4 561 33% VL U/D <40
Feb  Add Verimune lead in dose to start switch to Verimune/Truvada  
Mar 17 Viramune x2 + Truvada. Stop PIs   
Apr 29     CD4 528 33% VL U/D
July 2011 CD4 440  %?  VL U/D
Sept 2011CD4 620  %?   VL U/D
Dec 2011 CD4 531 31% VL 224
Jan 2012  CD4 576 36% VL U/D
May 2012 CD4 504 36% U/D (start Viramune XR
July 2012 576 (36%) (test request due to XR issues)
Feb  2013 629  (? %) U/D
July  2013 608 38%.   U/D
Jan  14.    576  36%.   UD


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