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Author Topic: Rash on back,need opinion :)  (Read 952 times)

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Offline Alexander1992

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  • Posts: 12
Rash on back,need opinion :)
« on: February 11, 2015, 02:30:56 PM »
Greetings people.I'm new on this forum and this is my second post(I'm not sure should I write this here or..?).
I was diagnosed 02.11.2014 and started therapy combivir+nevirapine on 16.11.2014 and I take my pills everyday and never missed a dose.I still haven't done any lab test after starting therapy 'cause my hiv doctor was busy and I had an apointment a week ago but he didn't show up and the people who work there(the social worker and the nurse) told me he has some other things to do on the clinic and has no time for patients all the time.
But I write to ask everyone here did someone experienced rash on back (its itchy and looks like acne and pimples) 2 months after starting therapy?What should I do?Could it be from the pills or from the virus itself? Is it dangerous? When I started taking medications my cd4 number were 356 and viral load unknown. I hope that I could get an apoitment as soon as I can find the doctor(its only one in my country)  . And I didn't had risky sex since I started therapy,eating healty food and stopped drinking alcohol and trying to stop smoking.I still try to reduce stress as much as I can,I wok out and meditate. Anyone with simular things like that?

Offline eric48

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  • @HIVPharmaCure & tinyurl.com/HIVPharmaCure
Re: Rash on back,need opinion :)
« Reply #1 on: February 11, 2015, 02:52:39 PM »
I had a bit of rash when starting with Nevirapine.

Mine was very very limited and faded away

It can happen with NVP, but, if it does, this is most likely at the very begining

At month 2, this is less likely, but you should be on the look out

You should not stop a NVP treatment without seing a Doctor first

Are you or have you been treated for TB?

If you an, you may try to take pictures of it, so that the nurse can at least get a doctor to have look
NVP/ABC/3TC/... UD (non-infectious) ; CD4 > 1000; CD4/CD8 ~ 2.0   stock & donations : 6 months (2013: FOTO= 5d. ON 2d. OFF ; 2014: Clin. Trial NCT02157311 = 4days ON, 3days OFF ; 2015: use of NVP & 3TC generics
https://clinicaltrials.gov/ct2/show/NCT02157311

Offline Alexander1992

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  • Posts: 12
Re: Rash on back,need opinion :)
« Reply #2 on: February 11, 2015, 03:21:50 PM »
TB like tubercolosis?
I had x-ray taken and tests  they are negative.
Maybe I will try to see my doctor tomorrow.. I'm really scared. Is it a sigh that the medication don't work? I read somewhere that rash is common at peope with hiv but it is a sign that the Immune system starting to work again :?

Offline eric48

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Re: Rash on back,need opinion :)
« Reply #3 on: February 11, 2015, 04:08:34 PM »
Take it easy Alexander...

Treatment initiation can be a roller coster of sorts

Rashes come in various species and are not uncommon at start of treatment.

It requires the expertize of a seasonned doctor to decide whether this is a mini-shingles, an immune recovery, a meds associated rash or something remotly related

Don ´t expect too much from your readings on Internet

Dr google is not a very good Doctor ;-)

NVP initiation can be troublesome, since various things may happen

Shit happens, but with NVP the worst shit is mostly in a context of TB or prexisting liver condition, so, even if this is not fun for you, try to focus on getting a Dr to have a look at it

How large is the rash ? Is it on your back only or does it spreads to torso/ face?

Rash is not a sign that treatment is not virologically efficient, do not worry about that

Minor rashed often disappear, so try to cool down until you see yr Dr
« Last Edit: February 11, 2015, 04:12:07 PM by eric48 »
NVP/ABC/3TC/... UD (non-infectious) ; CD4 > 1000; CD4/CD8 ~ 2.0   stock & donations : 6 months (2013: FOTO= 5d. ON 2d. OFF ; 2014: Clin. Trial NCT02157311 = 4days ON, 3days OFF ; 2015: use of NVP & 3TC generics
https://clinicaltrials.gov/ct2/show/NCT02157311

Online mecch

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  • Posts: 12,747
  • red pill? or blue pill?
Re: Rash on back,need opinion :)
« Reply #4 on: February 11, 2015, 05:36:55 PM »
HI welcome to forum.
I had a year of misc skin conditions my first year on anti-retrovirals.  IRIS - immune reconstitution syndrome. Maybe.

The thing is, skin conditions are impossible to self diagnose nor can anyone here really guess what is happening to your back. 

Skin conditions aren't even easy for doctors to diagnose! 

You really will have to to be diligent about getting to see the doctor or any health practitioner available to you.

On a side note - 1 doctor in your entire country?!  Oh my, that's horrible. What do you mean? 1 infectious disease doctor?  May I ask what country?

What about access to a dermatologist?  What about a generalist? 
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline POS07-11-2014

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  • Posts: 113
Re: Rash on back,need opinion :)
« Reply #5 on: February 11, 2015, 06:58:22 PM »
I had the same thing. My infectious disease doctor said it was a classic allergic reaction to my meds.

Get to any doctor asap to take a look at it.

There is no need to suffer with a reaction. There are plenty of other meds to try that you may not be allergic to.

Best wishes!!!!!
Questionable event in March
Tested pos with Oraquick 5-17-2014
Positive confirmed on 7-11-2014
7-19-2014 cd4 276 cd4% 9 vl 312,735
Started Stribild 8-15-2014
Allergic reaction identified, stopped Stribild 9-9-2014
Saw ID, started Atripla 9-17-2014
11-12-2014 cd4 447 cd4% 17 vl 326
02-05-2015 cd4 388 cd4% 16 vl 49
04-24-2015 cd4 407 cd4% 23 vl UD (YEAH!)

Online mecch

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  • red pill? or blue pill?
Re: Rash on back,need opinion :)
« Reply #6 on: February 11, 2015, 07:12:33 PM »
I had the same thing. My infectious disease doctor said it was a classic allergic reaction to my meds.

Get to any doctor asap to take a look at it.

There is no need to suffer with a reaction. There are plenty of other meds to try that you may not be allergic to.

Best wishes!!!!!

POS07 - The OP is in a country with 1 specialist!  Its quite possible this country does not have "plenty of other meds" to switch to.  Keep in mind people from all over the world post in this forum, and the experience of HIV is far from universal.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Alexander1992

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  • Posts: 12
Re: Rash on back,need opinion :)
« Reply #7 on: February 12, 2015, 02:52:24 PM »
Hello to all.Today I visited my hiv doctor(yes its only 1 hiv doctor in  my country,only he works with hiv patiens in the hiv part of the clinic for infectious diseases.
He saw my rash and said that its noting special look like acne and it will go away in some time.How ever today I did my first lab tests after starting therapy and I'm so worried,the results will be ready after Monday.
So I guess if the rash don't go away after few days I have to visit the hiv clinic again..
The only place to get meds and make lab test for cd4 and all the other stuff that go with it is the hiv clinic and there works only one doctor :) My country is on the balkan area in south-east Europe so you have to guess how hard it is...
I also did some TB blood test today its new and all the hiv patiens has to do it now but I guess it will come out negative again. I really try to figure things out with all of this but its really hard.Its a big stigma around here and going to other doctors outside the hiv clinic will be just a big NO from them. I hope that one day everything will get better and there will be a cure for all viruses and diseases.

Offline eric48

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  • @HIVPharmaCure & tinyurl.com/HIVPharmaCure
Re: Rash on back,need opinion :)
« Reply #8 on: February 12, 2015, 03:07:07 PM »
Once again, the adverse NVP rash comes very early in therapy

Your rash came after 2 months and you are not reporting that is spreads fast and furious

If your doc said this is not a  NVP rash, then it is not

NVP rash is not common but not rare either, your doctor has most likely seen one more than once before, so he is not new to the problem

Minor rashes usually clear up easily

Now, it is a good idea to stay in close contact with the clinic

Please remember than MILLIONS of people are taking your combo and it is proven efficacious
NVP/ABC/3TC/... UD (non-infectious) ; CD4 > 1000; CD4/CD8 ~ 2.0   stock & donations : 6 months (2013: FOTO= 5d. ON 2d. OFF ; 2014: Clin. Trial NCT02157311 = 4days ON, 3days OFF ; 2015: use of NVP & 3TC generics
https://clinicaltrials.gov/ct2/show/NCT02157311

Offline POS07-11-2014

  • Member
  • Posts: 113
Re: Rash on back,need opinion :)
« Reply #9 on: February 12, 2015, 03:25:25 PM »
Mecch,

What I suggested was to go see ANY doctor to have it looked at. In my case, my doctor immediately said that my back was an allergic reaction to Stribild. I don't want people to suffer with an allergic reaction if they do not have to because as everyone says, individual reactions vary.

Point taken as to the comment about "Plenty of other meds". I guess it is very possible that the 1 specialist in his/her country may not have access to the plethora of meds we have here in the US.

I am glad to hear that the OP was able to see the specialist and it is no big deal.

POS
Questionable event in March
Tested pos with Oraquick 5-17-2014
Positive confirmed on 7-11-2014
7-19-2014 cd4 276 cd4% 9 vl 312,735
Started Stribild 8-15-2014
Allergic reaction identified, stopped Stribild 9-9-2014
Saw ID, started Atripla 9-17-2014
11-12-2014 cd4 447 cd4% 17 vl 326
02-05-2015 cd4 388 cd4% 16 vl 49
04-24-2015 cd4 407 cd4% 23 vl UD (YEAH!)

Offline AT

  • Member
  • Posts: 76
  • Take your meds, keep your chin up and enjoy life.
Re: Rash on back,need opinion :)
« Reply #10 on: February 12, 2015, 10:39:01 PM »
I'm just into my third month taking Complera and am on the downside of itching/mild rash/some pimples. By downside, I mean it was at its worst about two weeks ago and present for about 4-5 weeks. I use over the counter cream (CeraVe) to manage the itching. I'm sure other brands would also work, if available. At this rate, it should be gone soon. I even should it to my doctor's PA while there about a sore throat. He didn't say much but confirm "rash" is a side effect.

Offline Alexander1992

  • Member
  • Posts: 12
Re: Rash on back,need opinion :)
« Reply #11 on: February 14, 2015, 01:54:46 PM »
Hey all.I just wanted to say that the doctor said the rash could be from stress or some other alergy(I was taking anti alergy medications to stop it) and its almost gone.However I got my first lab results after starting therapy and my cd4 are above 500 and my percentage is about 34%,my viral load is unknown it takes a lot of time to do that tests here. I hope you are all well :)

 


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