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Author Topic: Morning Sustiva and Questions about Sustiva Timing  (Read 3175 times)

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Offline Pavementlion

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  • Posts: 9
Morning Sustiva and Questions about Sustiva Timing
« on: February 15, 2007, 04:44:06 PM »
I've been thinking about taking my Sustiva in the morning because it's easier to get in routine in the morning and I've also noticed I get really bad morning drowsiness when I take it at night.
I've been on Sustiva three months now and have slowly been pushing back the time, 2 hours a day, until I get to morning.  Is there anything wrong with that?
Also, I've noticed that everytime I push back the side effects get stronger.  Is that because I'm eating during the day?  At night, it was like this.  I took Sustiva, Hour 1: no side effects.  Then for hour 2, increasing anxiety.  Then for hour 3 highness (like marijuana high), and for hour 4 increasing relaxation and finally stability.  Is that what the experience is like for most people?  How long do the mental effects actually last for?
I was also hoping by pushing it back I could have more freedom to party at night and drink (cause I hate drinking and taking the pills).

Offline Pavementlion

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  • Posts: 9
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #1 on: February 15, 2007, 04:51:53 PM »
Lol my bad.  Replying to my own topic but I forgot to ask another question.
They say you're not supposed to eat BEFORE taking Sustiva?  What about after taking it?  How long after it can you start eating again?  Anyone know?  I can't find the answers to these questions anywhere.

Offline budndallastx

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Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #2 on: February 15, 2007, 07:02:50 PM »
THe rule is not to eat two hours before taking and one hour after taking Sustiva.  Also, high fat meals tend to take longer to digest and increase the side effects of Sustiva.

Most people take Sustiva at night right before bed because of the dizziness, etc. Caffeine usually clears the drowsiness in the morning.  I have seen on here that some people take Sustiva in the morning because they can't sleep if taken at night.  You might want to ask your doctor about this.  There is also a lesson on this site at http://www.aidsmeds.com/articles/SustivaTips_7550.shtml related to taking Sustiva which you might find useful.

Meds since: 11/20/2006
Sustiva / Truvada
12/08/2008 VL:<48 CD4 622 (38%)   
9/8/2008 VL:<48 CD4 573 (30%)
5/2008 VL:<48 CD4 464 (30%)
1/2008  VL: <50  CD4 425(28%)
9/2007   VL: <50  CD4 465 (27%)
6/2007   VL: <50   CD4 443 (26%)
3/2007  VL: <50   CD4 385 (25%)
12/2006 - VL: <50   CD4: 384 (25%)
11/2006 - VL:  22K  CD4: 208 (18%)

Offline randym431

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Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #3 on: February 17, 2007, 08:20:35 AM »
Dont know how long you've been on it, but it seems to get better (less sides) as time goes by.
But, one still has these days when it hits harder, for no reason. Or a streak of a few days when it hits harder.
I have many days when it doesnt hit at all, and I actually have to check my pill box to make sure I didnt space out and forget to take (even though I know I did take it).

For me, and many others here, I work nights. So I sleep in the daytime. So I take it at 7am every day.
Problem is, I dont always go right to bed. If its a day off, I might stay up till 1 or 2 pm.
So what I've found, like you, the sides seem to last a max of 4 hours. Never more.
And now I can just function thru the sides, for those few hours, and almost ignore them.
I feel them, and they are still there, but its nothing that stops me from going shopping,
to doc appointments, or working in the yard.
But, like I said, there are a few days from time to time when I just feel drained totally after the sustiva.
and I HAVE to go to bed.

But as to your question, if you go to work at, say, 9am then try to take it right away when you get up
and put off eating as long as you can. You might find some foods are less a bother with reacting to sustiva,
while others are worse (i.e. the side effects).
I know where you're coming from in finding the best time to take the meds. I am always up at 7am, so that
works for me. Never missed a dose by more than 1 hour. But if I took it when I woke up every day, those days when
I dont have to work I might sleep hours later and really mess up keeping a med schedule.
Its just one of those fun things we put up with in keeping this virus at bay.

Another strange thing, is if I take it then something comes up thats important I have to attend to, out of the blue,
its almost like I can push the sides to the back and force myself to ignore them. Like one morning I took my meds,
and started feeling woozy from the sustiva. Then a friend called and wanted me to run off to a book fair he just heard about,
and I totally snapped out of it in seconds, and had a great time. I was like I just totally put that woozy feeling out of my head and
was 100% nornal in a snap. So I know I can play mind games with the sides and fake them out, if needed.
I wonder if anyone else can or does that?

« Last Edit: February 17, 2007, 08:43:41 AM by randym431 »

Offline Pavementlion

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  • Posts: 9
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #4 on: February 17, 2007, 04:56:15 PM »
Hey thanks for all the advice.  I find I cannot just snap out of the side effects and sometimes they last for longer than 4 hours.  Maybe I'm just not used to it yet.

Offline antibody

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  • "every man thinks his burden is the heaviest"
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #5 on: February 17, 2007, 06:24:39 PM »
the sustiva seems to effect me without reason. some days i seem to be more hungover than others. i doesn't really matter if i watch what i eat. if i need nothing the day i'm spaced out and maybe if i did have something close to bed i feel fine the next day. i always wake up feeling like i could sleep 8 more hours but my body is ready to get up from lying there all night but my brain hasn't rested. it's been like 8 months and i never really know if i'll be feeling okay or crappy once i wake up.
Timbuk      <50/ 794  CD4 10/06 
                 <50/ 1096 CD4 3/07
                 <40/ 1854 CD4 4/09

Started Atripla  7/14/06
Switched to boosted Reyataz Truvada 3/28/07

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Offline newone

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  • Posts: 60
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #6 on: February 18, 2007, 09:10:11 AM »
I get exactly the same feeling of not being (ever) fully rested and I take my sustiva at 1ish  pm everyday.
Sustiva, Truvada
cd 212 Mar 04
cd 265 May 04 (started meds)
cd 389 Jun  04
cd 504 Oct  04
cd 449 Dec 04
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cd 690 Nov 07 (26%)
cd 771 Apr 08 24%
cd 737 Sep 08 27% Atripla
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cd 627 Apr 09 25%
cd 607 Oct 09 25%
cd 676 Jan 10 25%
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cd 922 Nov 10 27%
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cd 843 Oct 11 27%
cd 1350 Jan 12 27%
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Offline David_CA

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Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #7 on: February 19, 2007, 08:34:57 AM »
I think most of us take Atripla / Sustiva at night.  At least that the recommendation.  I try to take it right before bed, unless I'm going to be really late, then I take it around 11:00 pm.  I can't imagine taking it in the morning and having that fuzzy-headed feeling all day!  Plus, I'd miss out on some cool dreams.  Other than the dreams, I have virtually no side effects taking it at night.

I eat pretty much whenever I want to and haven't noticed the side effects changing with one exception:  peanuts.  I ate peanuts two nights in a row and woke up with what felt like a really bad Tequila headache.  I haven't tried it a third time 'cause twice was enough!  Meats, cheese, chocolate, and general snack foods don't do this to me, but damned if peanuts don't.  These are some strange drugs we're taking, that's for sure!

Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
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Offline dingowarrior

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  • Posts: 191
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #8 on: February 19, 2007, 01:49:03 PM »
I've been on sustiva since about june of 06. I was originally told,well, I read on the bottle NOT to eat 2hrs before.
i stuck to that theory for a long while.
I then read that the only reason your not supposed to eat 2 hrs before is because you may have an increase in side effects.
I havent had any side effect and I recently began eating and forgetting about the 2hr. rule.
By me eating within 2 hours of taking sustiva, am I hurting the way the drug effects the virus?
Or should I not worry about it?
In other words,by not following the 2 hr rule am I screwing up the way the sustiva works?

Offline randym431

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  • Posts: 1,131
Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #9 on: February 19, 2007, 02:02:17 PM »
Not that I have heard. It just increases the "feeling" or sides. The drug still does its thing fine.
David, it may be the oil in the peanuts. Peanut oil is pretty powerful. Maybe "dried" peanuts might be better?
But they are usually heavily salted and coated with flavoring.
One food that doesn’t do well with the sustiva, for me at least,  is scalloped potatoes.
They are a rich food that I love, but I plan on sustiva hitting me hard.
But then again, it has never caused me to not do whatever I want or need to do.
I must be more use to the effects, having been on it some 15 months now.

Offline aupointillimite

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Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #10 on: February 19, 2007, 02:21:51 PM »
I was also hoping by pushing it back I could have more freedom to party at night and drink (cause I hate drinking and taking the pills).

I take my Sustiva at 2 PM.  With coffee to offset the drowsy side effects.

It can be done... I'd talk to your doctor about it first.
Your tastebuds can't repel flavor of this magnitude!

Offline portuguesecouple

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Re: Morning Sustiva and Questions about Sustiva Timing
« Reply #11 on: February 20, 2007, 05:02:54 PM »
My husband is poz.. We were reading this add and we got a little worried. My husband , Nuno is on sustiva and truvada. He takes truvada every day at exactly the same hour. His doctor said that sustiva doesn't need to be taken at the same hour, as it lasts for more than 72 hours in the body in high concentrations. So, he tooks everyday (of course) when he goes sleep. But , there are some days that he has things to do until later, and he took later then the usual time. The maximum time he has delayed sustiva was 5 hours. His doc said there's no problem with that...
What do you know about this situation?
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