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Author Topic: FATIGUE  (Read 2960 times)

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Offline HARLEY_B

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  • Posts: 71
FATIGUE
« on: July 26, 2008, 10:26:42 am »
 Hello Everyone:
 I was diagnosed with HIV last summer and have been on Atripla since then. I've been lucky in that the side effects have been minimal so far but fatigue has been a constant problem.I've discussed it with my doctor during my scheduled appointments and she seems to think it's the Sustiva component that is causing it but has been able to offer few suggestions to thelp remedy the situation. The drug is doing it's job however. My viral load has been undetectable and my t-cells have risen to acceptable levels..and I am happy and grateful to be on it. However, the constant feeling of being rundown is getting to me. I seldom have the energy to exercise or do other things after work that have been mainstays in my lifestyle...My partner has a high sex-drive and I feel like I'm not keeping him happy either. I just want some time to be myself..it's not a personal thing or that I don't want him anymore. I just don't have the energy to put out when he wants me to. He's negative (thankfully) and wantsto take care of everything to the point that it's kind of smothering..but that's not what I'm asking for advice on. What I would like to know is: do any of you have any suggestions for increasing daily energy levels? My doctor has me on B-12 supplements but they don't seem to do much good...I've tried to get more sleeep but that's almost impossible around my house. My partner has 2 kids as well and they're another issue...I'm not trying to be a big whinner..I know this was my fault and I've tried to come to terms with that. Any advice from the forum would be appreciated...

                                                                    Thanks,
                                                                         Tim
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Offline Miss Philicia

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Re: FATIGUE
« Reply #1 on: July 26, 2008, 01:10:29 pm »
Make sure your doctor first rules out low testosterone levels and/or depression as the primary cause before seeing Sustiva as the source.
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"I’ve slept with enough men to know that I’m not gay"

Offline redhotmuslbear

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  • Posts: 605
  • A genuine certified freak of nature, and a hot one
Re: FATIGUE
« Reply #2 on: July 26, 2008, 03:09:49 pm »
Tim,
If the fatigue issue is related to Sustiva--and it would seem to be since you can peg its beginning to starting the meds--nothing much is going to resolve the issue but switching to a Sustiva-free regimen.  B-12 isn't worth crap, and neither is jacking your testosterone.  You will need to be in the doctor's face about not being willing to sacrifice your quality of life for the sake of sticking with one regimen and one pill a day.  A comparable alternative would be Viramune and Truvada--two more pills, but you should not have difficulty switching from one NNRTI to another.

Best,
David
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"The real problem is not whether machines think but whether men do." - BF Skinner
12-31-09   222wks VL  2430 CD4 690 (37%)
09-30-09   208wks VL  2050  CD4 925 (42%)
06-25-08   143wks VL  1359  CD4 668 (32%)  CD8 885
02-11-08   123wks off meds:  VL 1364 CD4 892(40%/0.99 ratio)
10-19-07   112wks off meds:   VL 292  CD4 857(37%/0.85 ratio)

One copy of delta-32 for f*****d up CCR5 receptors, and an HLA B44+ allele for "CD8-mediated immunity"... beteer than winning Powerball, almost!

Offline bmancanfly

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Re: FATIGUE
« Reply #3 on: July 26, 2008, 09:24:25 pm »
I had the exact same experience with Atripla.  Great numbers but persistent fatigue, with no energy for life.  I dumped the Sustiva and switched to Viramune and Truvada (both once a day).   It made a world of difference for me.  Same great numbers minus the fatigue.

Good luck
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 Bertrand Russell

Offline red_Dragon888

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  • Love and Be Love in Return
Re: FATIGUE
« Reply #4 on: July 26, 2008, 09:52:43 pm »
Quote from: bmancanfly on July 26, 2008, 09:24:25 pm
I had the exact same experience with Atripla.  Great numbers but persistent fatigue, with no energy for life.  I dumped the Sustiva and switched to Viramune and Truvada (both once a day).   It made a world of difference for me.  Same great numbers minus the fatigue.

Good luck

Is that the recommended dose and how long have you been on this regiment?
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Offline J.R.E.

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  • Posts: 8,207
  • Positive since 1985, joined forums 12/03
Re: FATIGUE
« Reply #5 on: July 27, 2008, 05:49:02 am »
harley,

See if there is something in the following lesson, that may help you out.

http://www.aidsmeds.com/articles/Fatigue_7533.shtml

 I can tell you that I deal with fatigue, and I am not on Sustiva (Atripla). Many of us deal with the issues of fatigue. Continue discussing it with your doctor. Let us know , whats decided...


Take care----Ray
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Current Meds ; Viramune / Epzicom Eliquis, Diltiazem. Pravastatin 80mg, Ezetimibe. UPDATED 2/18/24
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 UPDATED: As of April, 2nd 2024,Viral load Undetectable.
CD 4 @593 /  CD4 % @ 18 %

Lymphocytes,total-3305 (within range)

cd4/cd8 ratio -0.31

cd8 %-57

72 YEARS YOUNG

Offline HARLEY_B

  • Member
  • Posts: 71
Re: FATIGUE
« Reply #6 on: July 28, 2008, 02:14:59 pm »
 Many thanks for your input. It helps immensley just to hear something from people who are sharing the same predicament. I don't have alot of close friends to confide in and so am feeling somewhat isolated and alone in this. I wll consider all of your suggestions and then take it up with my MD at my next appointment and see what my other options might be. Feeling zombified has got me down considerably.


                                                     Thanks again
                                                             Tim
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Offline Winiroo

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  • Posts: 2,082
  • Positive since 1991
Re: FATIGUE
« Reply #7 on: July 28, 2008, 04:47:18 pm »
Quote from: philly267 on July 26, 2008, 01:10:29 pm
Make sure your doctor first rules out low testosterone levels and/or depression as the primary cause before seeing Sustiva as the source.
Be sure to follow Philly's advice also. Getting your testosterone level checked is easy and if its a problem replacement therapy works wonders.
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