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Author Topic: Atripla - begining of treatment - night shift :-(  (Read 1327 times)

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Offline kevinincape

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Atripla - begining of treatment - night shift :-(
« on: March 13, 2012, 09:00:33 AM »
Hi guys,

I ve been Poz since Feb 2011 (seroconversion was very symptomatic), 2 months ago (almost a year later) my CD4 were 489 and viral load 30000, so my doctor and I wondered about starting a treatment... but in the end we decided to give it another try of 2 months to see...
Last week i went for the blood test, and found out that my CD4 are now 300  :o (quick decrease in 2 months!!!!) which didn't surprise me cause I went through a lot of small symptoms in the last 2 months (diarrhea, bleeding gums, oral candidiasis...), so now let's start Atripla!
However, I work shifts, I'm off the next 2 days, but on Thursday night i have to start night shift (10pm to 6am). If I start treatment tonight and take the pill at around 11 pm before going to bed for 2 days then on the third day, Ill have to wait 6am (end of shit) to take the pill, meaning i ll take the pill 7 hours late than the normal frame of 24 hours, would it be bad? Or better wait Friday morning to take my first pill at 6 am?  This night shift of 5 days would be the last one ever, after I ll do shift but not at night... or maybe should I wait these 5 days of night shift to be done to start treatment?

Sorry about these questions, I m just wondering about the compliance of the drug, and I don't wanna fuck it up from the beginning... :( but at the same time the CD4 r decreasing very quickly apparently (although I m feeling very good these last 4 days, exercise almost every day)

If you can help me, thanks in advance for your responses...

It's my first day on this website, very nice, very helpful!!!!

Stay well  8)


Offline zach

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Re: Atripla - begining of treatment - night shift :-(
« Reply #1 on: March 13, 2012, 09:39:03 AM »
others can probably answer better than i can as to what you should do, i can only speak of my own experience. i also work a rotating swing shift. i take my atripla at a set time, every day. i don't adjust that time to fit work, savings time, life, etc... every day, same time, no matter what or where.

Offline Ann

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Re: Atripla - begining of treatment - night shift :-(
« Reply #2 on: March 13, 2012, 11:51:21 AM »
Hi Kevin, welcome to the forums.

What makes the most sense to me is to wait until you're finished with the night shift before starting treatment. Your numbers aren't all that terrible and you can wait one more week. Better to get off to a good start rather than messing around with your dosage time. Once you've been on treatment for a few months and your viral load is undetectable, you will have more lee-way, but it's best to adhere more strictly to a set time in the beginning.

Good luck!
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Offline kevinincape

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Re: Atripla - begining of treatment - night shift :-(
« Reply #3 on: March 13, 2012, 01:43:45 PM »
Thanks Ann for your advice... I ll wait another week then... better to have a good start ;)

Zach: do you sometimes take your pill and go to work for a night shift but eat too? no side effect? i guess u ve been taking them for a long time... at the beginning of the treatment were you on shift too?

thanks guys :P
« Last Edit: March 13, 2012, 01:46:25 PM by kevinincape »

Offline zach

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Re: Atripla - begining of treatment - night shift :-(
« Reply #4 on: March 13, 2012, 02:29:47 PM »
kevin, i was diagnosed 2 years ago. i've always worked swing shifts. in the beginning of my treatment, when side effects were more pronounced, i would avoid fatty meats. but now i can eat or not, sleep or not, work or not, its just part of my normal routine now.

i didn't catch the part about your shift being temporary, in which case i agree with ann as long as your doc is cool with delaying.

either way you choose to go, best of luck to you


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