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Author Topic: Atripla and hand/foot numbness  (Read 2062 times)

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Offline dshrfrshr

  • Member
  • Posts: 17
Atripla and hand/foot numbness
« on: May 24, 2011, 02:33:56 AM »
Been searching online on the subject and have read both that it could be the beginning of peripheral neuropathy, to that it could be just inflammation.  Ive been positive for about 2 years and started Atripla a year ago (undetectable with a 1000+ cd4 count last blood test) , just started to notice a numb, burning tingle in my hands and feet in the last couple months, it usually comes and goes pretty quickly, lasts maybe 10 minutes or so, and might not appear again in a week or so.  I feel the frequency has been increasing lately :S  I still have full control of them and its not exactly painful, just doesnt feel right.  Unsure if this is something I should contact my doctor about immediately, or hold off a couple months till my next visit (late July).  Atripla has worked well for me for the most part, aside from stomach issues and the spacey feeling, which arent ideal, but tolerable enough.  I dont expect a complete diagnosis here, but if anyone experienced something similar or knows if it may be the warning sign for a larger problem, Id really appreciate it  :)
12/30/08 last test -
3/09? seroconverted
6/19/09 tested +
8/10/09 cd4 504 (23.5%) vl 4155
10/14/09 cd4 504 (25.5%) vl 10550
12/24/09 cd4 573 (27.5%) vl 6555
Started Atripla, undetectable since August 2010

Offline mecch

  • Member
  • Posts: 12,891
  • red pill? or blue pill?
Re: Atripla and hand/foot numbness
« Reply #1 on: May 24, 2011, 07:39:28 AM »
When I had those little bouts of tingling and tingling and numbness, and sometimes not so little, I asked my id to check for PN.  This was in the first year or two and it happened on diffferent combos. There was no PN.  The ID said also, reiterated, that PN is unlikely, these days on these drugs.  Not impossible, but worried about by more people than should be worried.

My personal hypothesis, for my own body, is that these drugs have fleeting side effects and also because we are on them, we are more in tune to our bodies various squawks and rattles.  Especially in the first months, maybe years.  You aren't HIV+ that long, nor on HAART very long.

My suggestion is you ask the ID to do a little PN evaluation to put your mind at ease on that issue.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline newt

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  • Posts: 3,894
  • the one and original newt
Re: Atripla and hand/foot numbness
« Reply #2 on: May 24, 2011, 03:57:30 PM »
Efavirenz, one of the drugs in Atripla, affects your nervous system. Classic drug-related peripheral neuropathy come both sides same time ie both feet and/or both hands, and gets progressively worse. It is rare on the drugs in Atripla. Another thing to conisder is peripheral blood circulation, also affected by the drugs in Atripla among other things, for if this is poor it can lead to pins and needles.

Hope it gets sorted out.

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

Offline dshrfrshr

  • Member
  • Posts: 17
Re: Atripla and hand/foot numbness
« Reply #3 on: May 24, 2011, 09:26:01 PM »
Thanks for the replies :)  I've read its not that likely on atripla before, and will probably wait it out to my next visit to ask about an evaluation.  I'll try and update this thread too, really thankful to have this message board and all of you as resources.
12/30/08 last test -
3/09? seroconverted
6/19/09 tested +
8/10/09 cd4 504 (23.5%) vl 4155
10/14/09 cd4 504 (25.5%) vl 10550
12/24/09 cd4 573 (27.5%) vl 6555
Started Atripla, undetectable since August 2010


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