Meds, Mind, Body & Benefits > Mental Health & HIV

Atripla out..... suggestions for replacement - mental health?

(1/3) > >>

Pricho01:
So long story short Atripla made me pretty suicidal, psych and specialist both advised I stop taking it which I did....and good advice from peeps on this forum so.....

They want to start me on a new pill/s...hopefully without the suicidal ideation! I'm seeing the specialist tomorrow arvo....

Can anyone advise of a good regimen who had similar issues?

Many thx Phil

mecch:
Its great that you got the docs to respond. I had those issues. Really, anything the experts recommend as a replacement to sustiva is going to solve the problem.  Feel confident in your next combo.

Ann:
Hey Phil, I'm sooo glad to hear that you stopped the Atripla. The Sustiva (aka Stocrin, aka efavirenz) component isn't for everyone.

There are quite a few different meds you can change to and you can keep two of the meds you were already taking in the Atripla -  tenofovir (aka Viread) and emtricitabine (aka Emtriva or FTC). They're usually prescribed in a one-pill combo called Truvada.

If you want a once a day combo (but not a one-pill combo) you can switch to something like Norvir (aka ritonavir) boosted Reyataz (aka atazanavir) or Norvir boosted Prezista (aka darunavir). I'm on the latter and aside from some diarrhea in the first few weeks, it's been side-effect free for me.

You might want to read more about combos and treatment in general in the Lessons - check out the The Big Treatment Questions in particular.

You can also read more about the available meds in the meds pages. Keep in mind that you need to switch the Sustiva out for a med from a different class to the meds in Truvada. Effective treatment needs to include at least three different meds from at least two different classes.

Hope this helps - and I hope you're feeling better soon. Suicidal ideation sucks!

Pricho01:

--- Quote from: Ann on September 05, 2012, 07:35:37 AM ---Hey Phil, I'm sooo glad to hear that you stopped the Atripla. The Sustiva (aka Stocrin, aka efavirenz) component isn't for everyone.

There are quite a few different meds you can change to and you can keep two of the meds you were already taking in the Atripla -  tenofovir (aka Viread) and emtricitabine (aka Emtriva or FTC). They're usually prescribed in a one-pill combo called Truvada.

If you want a once a day combo (but not a one-pill combo) you can switch to something like Norvir (aka ritonavir) boosted Reyataz (aka atazanavir) or Norvir boosted Prezista (aka darunavir). I'm on the latter and aside from some diarrhea in the first few weeks, it's been side-effect free for me.

You might want to read more about combos and treatment in general in the Lessons - check out the The Big Treatment Questions in particular.

You can also read more about the available meds in the meds pages. Keep in mind that you need to switch the Sustiva out for a med from a different class to the meds in Truvada. Effective treatment needs to include at least three different meds from at least two different classes.

Hope this helps - and I hope you're feeling better soon. Suicidal ideation sucks!

--- End quote ---

Thanks Ann... this is really useful and helpful - I'll print this out (without any personal info) and take with me tomorrow.... and yes! Suicidal Ideation sux the big one! "shivers"

Ann:

You're welcome. Make sure you also do some reading in the links I gave you.


--- Quote from: Pricho01 on September 05, 2012, 08:07:17 AM ---and yes! Suicidal Ideation sux the big one! "shivers"

--- End quote ---

Suicidal ideation is the worst. It happened to me when I was taking the smoking cessation drug Champix (aka Chantix). I woke up one morning and I couldn't stop thinking about effective, easy ways to kill myself. I wasn't even depressed but all I could think about was how to do myself in. One part of my brain was saying "WTF???" while another part was weighing up if I had enough pills in the house to down with some whiskey to end it all. Bizarre and scary!

I then found out that Champix causes suicidal ideation in some people and I was relieved. (It wasn't listed on the package insert at the time, although it is now. I found out via Google.) I quit taking it and the thoughts disappeared within a day or two.

I still smoke, but at least I'm still here. ;D

Navigation

[0] Message Index

[#] Next page

Go to full version