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Author Topic: Weird Atripla Dream  (Read 877 times)

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Offline PozBrian

  • Member
  • Posts: 200
Weird Atripla Dream
« on: May 23, 2011, 12:03:34 AM »
I've had the usual vivid atripla dreams, usually they are pretty innocuous.  Last night however was a doozy. Not a nightmare exactly, but certainly not a happy dream. In it I was in jail. I don't recall why, I don't think it really matters. Anyway a period of time seemed to pass where I kept to myself, took my meds and generally got along.

Then I started to get sick. Every time I turned around, something else was wrong. As my health declined and I got more and more grief from both the prison staff and other prisoners. Actually that's not quite accurate. It was more as if I wasn't there, and my frustration level increased along with my perceived invisibility. Until one point where I was in a wheelchair, with a catheter, being taken to some place unknown by another prisoner who got into an discussion about me with a staffer, both of whom were talking as if I wasn't there. At this point in my dream, I snapped a bit and grabbed the guy who was pushing me in the wheelchair buy his shirt collar and started shaking him and screaming "I'm right here, don't ignore me!" That feeling if not those exact words. Then I noticed that the person I was shaking was hooked up to oxygen and looked very much like a very nice neighborhood gentleman who died recently. In fact the tavern around the corner from my house is named after him. I immediately felt an appropriate amount of guilt for assaulting him and woke up.

I've had one other dream, that I don't remember, from which I woke with a start with the same sort of unease. I'm sure a psychoanalysts out there could find all sorts of symbolism. I know I do and it's been 30 years since I've had a psychology class! I feel somewhat better writing this down. But I'm not sure what to do about it.

For those who are nervous about atripla's side affects, don't let my weird dream put you off. The benefits it has provided me are more that worth the occasion weird dream.

Anyway that's all expect my CD4's were over 500 for the first time in April!  ;D Only took 2 years. :-\

Brian

3/8 CD4: 495, 31%, VL UD
2/1 CD4: 564, 20%.VL UD, switching to Issentress & truvada
10/11 CD4: 446, 29%, VL UD
7/11 CD4: 873, 35%, VL UD
4/11 CD4: 573, 34% VL 0
12/10 CD4: 405, 30% VL UD
9/10 CD4: 416, 31% VL UD
5/10 CD4: 393, 29% VL: UD
02/10 CD4: 423, 37% VL: UD
11/09 CD4: 379, 25% VL: UNDETECTABLE!!
10/09 CD4: 245, 25% VL: 87
9/09 CD4: 246, 24% VL: 49!
8/09 CD4: 277, 26% VL: 115
7/09 CD4: 346, 24% VL: 221
6/09 started Atripla
5/09 CD4: 326, 16%  VL:125000
4/09 HIV +, CD4: 397, 16%  VL:195000, PPD reactive

Offline komnaes

  • Member
  • Posts: 1,893
Re: Weird Atripla Dream
« Reply #1 on: May 23, 2011, 02:15:54 AM »
I know I may not be the appropriate person to tell you this Brian, as I have resisted switching sustiva for months (I was on it and epizcom, and as you know the CNS side effects like nightmares are caused by the sustiva in atripla) until the dreams got so bad that I had developed a certain level of reluctancy before going to bed (as I knew I would have bad dreams).

From my experiences, nightmares do not have to be really monstrous (don't know, like being chased by zombies.., etc).. the what I can "emotional" nightmares are often more damaging. The one you described I think falls into this category - you were in a situation that reflects and even magnifies some of your anxieties. Frequent dreams like this not only affect the quality of your sleep, they continue to have residual effects during your waking hours. In my case they even caused mild depression, and from what I have heard from others this side effect can even cause personality changes, usually make people become more irritable, etc.

It's good to know that the dreams you have been experiencing are infrequent - but should they become more frequent there's absolute no reason why one should stick to atripla (or any combination with sustiva) if there are other options. As to your question of what to do about the dreams - I can tell you I went through counseling, which helped somewhat initially, meditation and small amount of exercises to relax my body and mind, eat or not eat before taking the pills, etc.. none of them worked.

And just less than 2 weeks after I switched, the dreams are now almost completely gone. Now I wake up with more energy than any point of time since I started taking sustiva (around the same time as you). So my conclusion is - if it's chemically induced, you can only do so much to reduce the dreams and mitigate other CNS side effects. I am not saying it won't get better, but just be reminded that for some of us it won't get any better.

Just my two cents.. best of luck, Shaun
Aug 07 Diagnosed
Oct 07 CD4=446(19%) Feb 08 CD4=421(19%)
Jun 08 CD4=325(22%) Jul 08 CD4=301(18%)
Sep 08 CD4=257/VL=75,000 Oct 08 CD4=347(16%)
Dec 08 CD4=270(16%)
Jan 09 CD4=246(13%)/VL=10,000
Feb 09 CD4=233(15%)/VL=13,000
Started meds Sustiva/Epzicom
May 09 CD4=333(24%)/VL=650
Aug 09 CD4=346(24%)/VL=UD
Nov 09 CD4=437(26%)/VL=UD
Feb 10 CD4=471(31%)/VL=UD
June 10 CD4=517 (28%)/VL=UD
Sept 10 CD4=687 (31%)/VL=UD
Jan 11 CD4=557 (30%)/VL=UD
April 11 CD4=569 (32%)/VL=UD
Switched to Epizcom, Reyataz and Norvir
(Interrupted for 2 months with only Epizcom & Reyataz)
July 11 CD=520 (28%)/VL=UD
Oct 11 CD=771 (31%)/VL=UD(<30)
April 12 CD=609 (28%)/VL=UD(<20)
Aug 12 CD=657 (29%)/VL=UD(<20)
Dec 12 CD=532 (31%)/VL=UD(<20)
May 13 CD=567 (31%)/VL=UD(<20)
Jan 14 CD=521 (21%)/VL=UD(<50)

Offline PozBrian

  • Member
  • Posts: 200
Re: Weird Atripla Dream
« Reply #2 on: May 23, 2011, 09:13:11 PM »
Thanks Shaun,

What you describe, mild depression, irritability, etc. describe a lot of what I've been experiencing over the last year or so.  I've talked with my Dr about this and she has suggested switching regimens.  I just haven't been willing to switch off a one-a-day pill to more pills twice a day.  What did you switch to and hHow long did it take to get used to the new pills?  I've got a pretty full summer work schedule and can't afford time off to get used to new meds.

Brian
« Last Edit: May 23, 2011, 09:17:19 PM by PozBrian »
3/8 CD4: 495, 31%, VL UD
2/1 CD4: 564, 20%.VL UD, switching to Issentress & truvada
10/11 CD4: 446, 29%, VL UD
7/11 CD4: 873, 35%, VL UD
4/11 CD4: 573, 34% VL 0
12/10 CD4: 405, 30% VL UD
9/10 CD4: 416, 31% VL UD
5/10 CD4: 393, 29% VL: UD
02/10 CD4: 423, 37% VL: UD
11/09 CD4: 379, 25% VL: UNDETECTABLE!!
10/09 CD4: 245, 25% VL: 87
9/09 CD4: 246, 24% VL: 49!
8/09 CD4: 277, 26% VL: 115
7/09 CD4: 346, 24% VL: 221
6/09 started Atripla
5/09 CD4: 326, 16%  VL:125000
4/09 HIV +, CD4: 397, 16%  VL:195000, PPD reactive

Offline Ac75088

  • Member
  • Posts: 228
Re: Weird Atripla Dream
« Reply #3 on: May 23, 2011, 10:59:55 PM »
My atripla dreams mainly consist of me in my childhood..when I was innocent...I usually wake up distraght and sad over it
01-12-08 Tested poz cd4 700 vl 8,000
04-25-11 Lowest cd4 count of 415 vl high at 250,000
05-03-11 Started Atripla
05-16-11 Hospitalized and treated for 2 weeks (neurosyphilis)
07-05-11 CD4 count 585 VL 550
10-04-11 CD4 count 700 VL 75
02-03-12 CD4 count 799 VL UD
08-08-12 CD4 count 838 VL UD

Offline Ann

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  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Weird Atripla Dream
« Reply #4 on: May 24, 2011, 09:54:41 AM »
I just haven't been willing to switch off a one-a-day pill to more pills twice a day.

Brian, there are other once-a-day combos, although they mean taking more pills, but it's only once a day. It shouldn't be a big deal. One very well tolerated once-a-day combo is Reyataz, Norvir and Truvada. I can relate to not wanting to take meds twice a day as I'm crap at remembering the second dose and for that reason I have chosen the combo I just mentioned for my first-line therapy when the time comes. (I refuse to take Sustiva - I'm prone to psych side-effects so I won't even go there with Sustiva.)

Please talk to your doctor about what other once-a-day combos he thinks would be a good fit for you.

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