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Author Topic: changing your med schedule to adapt to a different time zone  (Read 1731 times)

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Offline NY2011

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I recently traveled to SE Asia from NYC, USA, and I'm on Atripla. I prefer to take it at night, because it knocks me out during the day. Being that there is a 12 hr time difference from where i traveled, I'd like to get back on schedule here. Is it better for me to: (a) take my next pill 12 hrs from the last one to get back on schedule immediately, or (b) to space it out by 30 hours for the next two days(?).

When I initially arrived in Asia, I took two pills within 12 hrs, the first day, to get on schedule right away.  I felt fine. That was 12 days ago. Do you think that doing it again is too risky within a short period of time?



 
« Last Edit: July 29, 2012, 04:19:57 AM by NY2011 »
10/26/2011 - SEROCONVERSION (hi fever+rash)
10/31/2011 - CD4= 154  VL>500,000 
10/31/2011 - started on Truvada+Prezista+Norvir
12/14/2011 - CD4= 750 VL=6412 (45%)
01/27/2012 - switched to Atripla
04/23/2012 - CD4=1,221 VL= 140  (47%)
06/22/2012 - CD4=1,224 VL= ud    (49%)
12/18/2012 - CD4=1,031 VL= ud    (51%)
09/16/2013 - CD4=1,151 VL= ud   ( 49%)
03/26/2014 - CD4=1,050 VL= ud

Offline Ann

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Re: changing your med schedule to adapt to a different time zone
« Reply #1 on: July 29, 2012, 04:43:28 AM »

Do you think that doing it again is too risky within a short period of time?


Not at all. The only thing you'd be risking is a temporary increase in side-effects. As it didn't happen the first time, chances are it won't happen this time either.

Atripla is very forgiving regarding the occasional missed dose, so whether you take it sooner or take it later shouldn't matter, as long as you keep taking it.
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Offline emeraldize

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Re: changing your med schedule to adapt to a different time zone
« Reply #2 on: July 29, 2012, 09:02:48 AM »
Recently, an ID doc advised a friend of mine on Atripla to just wait, take the dose at the usual time at the destination and do the same on the return leg home.

Offline mikeyb39

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Re: changing your med schedule to adapt to a different time zone
« Reply #3 on: July 29, 2012, 09:06:02 AM »
yeah i agree with Ann and EM, when i was on Atripla i had the same issue and changed the timing a cuple time with no issues.   My doc advised me to take it as normal like you were back in your home country.  he didn't advise to take it twice
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD
09/05/2014  cd4-850 , VL-UD

Offline leatherman

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Re: changing your med schedule to adapt to a different time zone
« Reply #4 on: July 29, 2012, 09:53:25 AM »
we've had this kind of discussion plenty of times here. ;) Since all HAART regimens only need to have a 95% adherence rate to be effective, none of these regimens require us to stick exactly to some arbitrary time schedule. The easiest thing to do is always take it within 4-6 hours of the time you've scheduled yourself to normally take it. Since you'll normally be taking it at your "regular" time (probably more than 98% of the time you'll be "on schedule"), the few times you change time zones, stay out too late, or simply forget to take your meds, shouldn't be enough to ever mess things up.

For example if you take it with dinner, then you could take them anywhere from 4pm to 10pm each night; at bed time, you could take them from 9pm to 3am. Why you could actually even just skip the meds altogether, for one day, if you are too worried. :D Any of these options are actually better than taking a medication too close together and overdosing yourself. ;)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline bocker3

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Re: changing your med schedule to adapt to a different time zone
« Reply #5 on: July 29, 2012, 10:27:58 AM »
I travel fairly frequently and always take my Atripla between roughly 9:00-11:00 pm.  In whatever time zone I happen to be in.  There is no need to over think it.
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline Cojo

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Re: changing your med schedule to adapt to a different time zone
« Reply #6 on: July 29, 2012, 09:55:35 PM »
A timely post for me. I am travelling from Canada to Europe in a few weeks. I am on Truvada and Isentress, so to get both in synch is a little trickier. Would you still suggest that I start on the time zone I land in with 9 am and 9 pm?
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD

Offline bocker3

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Re: changing your med schedule to adapt to a different time zone
« Reply #7 on: July 29, 2012, 11:12:04 PM »
A timely post for me. I am travelling from Canada to Europe in a few weeks. I am on Truvada and Isentress, so to get both in synch is a little trickier. Would you still suggest that I start on the time zone I land in with 9 am and 9 pm?
I don't know much about Isentress, but if it were me, yes - I would stick to my "normal" time.  If you are used to taking it at 9:00, IMO, it is a good idea to stick to your normal routine.  Far less chance of forgetting.

Have a good trip.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline emeraldize

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Re: changing your med schedule to adapt to a different time zone
« Reply #8 on: July 30, 2012, 12:03:31 PM »
I don't know much about Isentress, but if it were me, yes - I would stick to my "normal" time.  If you are used to taking it at 9:00, IMO, it is a good idea to stick to your normal routine.  Far less chance of forgetting.

Have a good trip.

Mike

Agree. I'm on I/T, too. Em

 


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