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Author Topic: Atripla - Adherence  (Read 1356 times)

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Offline indianguy1984

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  • Posts: 15
Atripla - Adherence
« on: September 14, 2012, 03:13:10 PM »
Need some advice.

I work shifts - i.e. one day could be a morning, another day could be a night shift, another day could be afternoon - it is very erratic.

Seroconverted in Oct last year - latest labs came up CD4 550 VL 16156 copies/ml
CD4 21%

I am not so sure whether to start medication. Saw 3 doctors so far - all tell me different things. Why different doctors - long story.

I am scared whether I can be adherent to medication - was considering Atripla when my doctor told me to start Raltegravir with Truvada. A BD dosing isn't exactly what I am looking for as I have a hard enough time taking vitamins on schedule.

Are Atripla pills big - I saw a Truvada tablet and I was like gosh.

My cholesterol is a bit high - 244. Add atripla to the combination and I am not sure whether I'll have to take simvastatin in the future.
« Last Edit: September 14, 2012, 03:19:34 PM by indianguy1984 »
Aug 2011 - Negative
Nov 2011 - ELISA+ve WB Indeterminate
Dec 2011 - CD4 472 VL 1868 copies/ml CD4% 27
Jan 2012 - CD4 577 VL 3575 copies/ml CD4% 27
Aug 2012 - CD4 551 VL 16156 copies/ml CD4% 21
Dec 2012 - CD4 522 VL 19600 copies/ml CD4% 23
My birthday - 30 Jan 2013 - Started Isentress+Truvada

Offline darryaz

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  • Posts: 450
Re: Atripla - Adherence
« Reply #1 on: September 14, 2012, 03:58:19 PM »
Atripla pills are just slightly larger than Truvada.

Personally if I was in your situation I would start taking Atripla now, while my CD-4 is still decent.  Yes, you may have to add a statin, lots of people do.  I take Crestor.

Atripla is best taken at bedtime.  I had a strange work schedule some years ago and taking it at bedtime (whether that was at 10:00am or 10:00pm) worked very well for me.  Just make it part of your bedtime routine...... Undress, brush teeth, take Atripla, get in bed.

Good luck!!

Offline newt

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  • Posts: 3,885
  • the one and original newt
Re: Atripla - Adherence
« Reply #2 on: September 14, 2012, 05:05:06 PM »
For an anytime no sleep disturbance 1 x day combo look at Prezista (boosted with Norvir) and two nukes of Reyataz (boosted with Norvir) and Truvada or Reyataz (alone) and Kivexa/Epzicom.

All these are sufficiently robust for time of day not to be a major issue and tend not to affect sleep. They do need food but a sandwich/bowl of cereal will do.

- matt
« Last Edit: September 15, 2012, 08:50:19 AM by newt »
"The object is to be a well patient, not a good patient"

 


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