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Author Topic: Best combo?  (Read 2062 times)

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Offline Ihavehope

  • Member
  • Posts: 1,366
  • Yes, I'm a cry baby, AND WHAT?
Best combo?
« on: January 18, 2007, 03:46:42 PM »
What is the best combo that you recommend or your doctors recommend? Atripla? Sustive/Truvuda? Need advice. I wanna hear what your doctors and you have to say.
Infected: April 2005
12/6/06 - Diagnosed HIV positive
12/19/06 - CD4 = 240  22% VL = 26,300
1/4/07 - CD4 = 200 16% VL = ?
2/9/07 = Started Kaletra/Truvada
3/13/07 = CD4 = 386 22% VL ?

Offline Jeff1959

  • Member
  • Posts: 4
Re: Best combo?
« Reply #1 on: January 18, 2007, 04:13:51 PM »
I don't know how pertinent my opinion is since I just started, but I went along with my doctor's recommendation of Truvada + Sustiva.   He said if I do well on this combination, I could switch to Atripla, which is basically the same thing in a single pill.   The reason he started this way was in case I did have an adverse reaction, he would keep me on the Truvada along with something else or the Sustiva and something else.   Anyway, I'm still a novice about meds, but hope this helps.

Offline J.R.E.

  • Member
  • Posts: 7,124
  • Joined Dec-2003 Living positive, since 1985.
Re: Best combo?
« Reply #2 on: January 18, 2007, 06:30:12 PM »


The best combo, is one that will get your viral load undetectable, in the shortest amount of time, with the least amount of side effects. Depends on what tests your doctor may do, and the results of those tests, to decide which combo to put you on.

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 6/4/14,  t-cells are at 423, Viral load <40

 Current % is at 13% 

  
 62 years young.

Offline cubbybear

  • Member
  • Posts: 510
  • Joined August 2005.
Re: Best combo?
« Reply #3 on: January 18, 2007, 09:28:16 PM »
I totally agree with Ray in that it doesn't matter what the combo is, as long as it supresses your virus with the most minimal side effects.  What someone may consider "the" best combo, someone else might not be able to tollerate, or they may be resistant to it.
There's a bear in there!
Positive since 2000
Diagnosed 17/9/2005 CD4 35 VL 293,000
Meds 23/9/2005 Sustiva/Truvada
Currently CD4 232 VL Undetectable

Offline mrtallguy

  • Member
  • Posts: 199
Re: Best combo?
« Reply #4 on: January 18, 2007, 09:49:38 PM »
IF YOUR DOC WANTS YOU TO START THE TRUVADA/SUSTIVA REGIMEN THEN, AS JEFF STATED, YOU CAN CHANGE ONE IF IT DOES NOT AGREE WITH YOU.  I AM ON TRUVADA/SUSTIVA AND THAT BITCH SUSTIVA HAS BEEN A CHALLENGE.  I WAS ON THE TWO DRUGS FOR 5 MONTHS AND THEN WENT TO ATRIPLA BUT MY SYSTEM COULD NOT DEAL WITH ALL THE MEDICATION AT ONCE SINCE I DEVELOPED INTENSE INSOMNIA.  NOW I AM BACK ON THE TWO AGAIN BUT I TAKE THE SUSTIVA IN THE MORNING...INSTEAD OF ONE 600mg PILL (I COULD NOT FUNCTION WITH THE DRUNK/DIZZY EFFECT) I TAKE 3x200mg CAPSULES, AT LEAST 3 HOURS APART, TO SPREAD OUT THE EFFECTS.   WORKS PRETTY GOOD ALTHOUGH I'M THINKING THAT IT IS CONTRIBUTING TO A SLOW DEVELOPMENT OF DEPRESSION.  EVERYTHING ELSE IS FUNCTIONING NORMAL.   ONCE YOUR DOC DETERMINES YOUR REGIMEN JUST KNOW THAT THERE IS AN ADJUSTMENT PERIOD THAT YOU WILL GO THROUGH....BUT THE GOOD NEWS IS....

YOU'LL MAKE IT!!

BE WELL....

CRAIG
I AM DETERMINED TO SEE THINGS DIFFERENTLY!
--ACIM

Offline budndallastx

  • Member
  • Posts: 463
Re: Best combo?
« Reply #5 on: January 20, 2007, 10:02:06 AM »
Ray's answer is essentially the same as my Doctors.  The best combo is the one that works for you.  The first combo may not work for you since you're a unique individual so open dialog with the physician will help you get to your goal.  If you have side effects be sure to let them know since they'll have seen these before and know what to do about it. 

Good luck !
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 AustinWesley

  • Member
  • Posts: 815
    • HIV Discussion Group on Myspace!
Re: Best combo?
« Reply #6 on: January 29, 2007, 11:17:32 AM »
I don't know how pertinent my opinion is since I just started, but I went along with my doctor's recommendation of Truvada + Sustiva.   He said if I do well on this combination, I could switch to Atripla, which is basically the same thing in a single pill.   The reason he started this way was in case I did have an adverse reaction, he would keep me on the Truvada along with something else or the Sustiva and something else.   Anyway, I'm still a novice about meds, but hope this helps.

Hmm,  thanks Jeff!   I hadn't considered that, but it makes sense.  I'm not on meds either, but I figured I would originally just go with Atripla unless something else came along.   Now, I'm thinking that this may be a better idea.   
Diag. 3/06  Infected aprx. 2 mo. Prior
Date        CD4   %      VL
4/6/06     627    32    36,500     NO MEDS YET!
6/7/06     409    27    36,100
8/23/06   408    25     22,300
1/2/07     354    23     28,700
2/9/07     139    30     23,000  Hep A Vaccine same day???
2/21/07   274    26     18,500 
3/3/07    RX of Truvada/Sustiva Started.
4/5/07    321     27      Undectable 1st mo.  
5/16/07  383     28    Undectable 2nd mo.
8/10/07  422     32   UD <48 on new scale!

 


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