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Main Forums => Pre-HAART Long-Term Survivors => Topic started by: denb45 on January 04, 2014, 10:48:20 am

Title: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 04, 2014, 10:48:20 am
OK, so I went in to see my Doc yesterday, and told her how I have been feeling for the past 6 months.....

(bob told me to go see the doc) a few months ago when he noticed my depression was getting real bad.....

have been outta sorts and very depressed, and somehow I kinda lost out on all of the things i use to do, that made me happy....

to some it all up, I told my doc, that most of my days are spent

looking like that grumpy old cat pic that everyone use to post a pic of

so my Doc changed all of my meds and got rid of the COMPLERA & the ISENTRESS

she said, that the Complera is known to cause depression, and that the Isentress

can cause a lot of joint pain, so now I'm on the following regimen:

TURVADA   once  daily (an old favorite I was taking 6 months ago)

INTELENCE  twice daily

TIVICAY   twice daily

she also thur in some  NORTRIPTYLINE for my joint pain and is also a (CNS)

that works on the central Nervous system, and can also help beat some of

my depression....

My doc also noted that my Blood Pressure was off-the-charts 160/100

so she put my on FOSINOPRIL 20 mg daily

she thinks this change will do me some good, and at the very least make me not so depressed

depression can pull you down to depths so deep, that most cannot find there way out of (that was how bad I was feeling)

I hope I start feeling better soon as this last 6 month haven't been very good for me

HUGS

DEN

Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Miss Philicia on January 04, 2014, 11:30:37 am
Since joint pain and arthritis runs rampant in many LTSers how did she sort out of this was the cause or not? I only ask because I'm having the same issue and have been on Isentress now for six year and will be seeing my doctor in a couple of weeks and will discuss the issue.
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Jeff G on January 04, 2014, 11:35:22 am
I hope you feel better soon . I know how rotten depression can make you feel .

Why the tivicay with the Intelence and Truvada ? . Im on Truvada and Intelence and like it, works great for me  .
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 04, 2014, 12:13:28 pm
I'm having the same issue and have been on Isentress now for six year and will be seeing my doctor in a couple of weeks and will discuss the issue.

I was on Insentress since 2006 or whenever is came out ( I forget)
so my Doc wanted to change that out a while back, says it also
can cause depression as well as joint pain
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 04, 2014, 12:15:56 pm
I hope you feel better soon . I know how rotten depression can make you feel .

Why the tivicay with the Intelence and Truvada ? . Im on Truvada and Intelence and like it, works great for me  .

don't know Jeff, seem like she had to replace it with something ( I think TIVICAY) might be one of the newer class of meds, as a replacement of Intresses isn't out yet.............i donno
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Jeff G on January 04, 2014, 12:18:03 pm
don't know Jeff, seem like she had to replace it with something ( I think TIVICAY) might be one of the newer class of meds, as a replacement of Intresses isn't out yet.............i donno

I take Intelence / Truvada alone as my combo .
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Miss Philicia on January 04, 2014, 12:57:25 pm
Dennis, like me, has always had to take one extra anti-retroviral medication on top of the standard 3-part HAART regimen due to long-standing resistance issues. You, Jeff, are merely a LTS-Lite type and not worthy of the extra gold stars.
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Jeff G on January 04, 2014, 01:08:28 pm
Dennis, like me, has always had to take one extra anti-retroviral medication on top of the standard 3-part HAART regimen due to long-standing resistance issues. You, Jeff, are merely a LTS-Lite type and not worthy of the extra gold stars.

Humpft . My aids is way worse than your aids . I don't want to hijack a good thread simple to school you though .
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: wolfter on January 04, 2014, 01:35:59 pm
Den, I've been reluctant to discuss my issues with Isentress lest I scare others away from it.  I absolutely had to switch a couple of months ago and it was the best decision ever.

We considered this exact combo but my horrid resistance profile wouldn't have worked with the Trivicay.  Instead, I switched out Isentress to Prezista and Norvir along with Truvada and Intelence.  Yeah, I actually added more pills to take every day ;D

I had such severe insomnia that I could no longer function correctly.  I hadn't even realized that my hand and feet pain had subsided. 

Best of luck with the new combo.
Wolfie
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 04, 2014, 02:39:12 pm
Next month my Doc has ordered another resistance test, as I haven't had one in a while, the funny thing about all of this is

that when i get all of my VA-doctors sometime this spring, they'll probably change it all over again ( most doctors don't agree on somethings)  ::)

however I have 20 yrs. of medical records dating all the way back to 1989 to 2013
so the VA docs will have a lot of records to comb thur  :-\

HUGS

DEN
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Theyer on January 04, 2014, 03:45:01 pm
Well Den its a relief that whatever occurs you are tackling the depression . I am on Isentreess as part off a 4 drug combo , started at least 7 years ago after I told my Doc I was stopping atripla as it was driving me to consider suicide as a fun option to continuing to take the shit.

Joint pain has been an issue since 1990 so what causes it is most certainly multi faceted.

Depression also an issue but I sort off think you would be truly mad if as a LTS with illness you did not have to deal with a bout or 2 off depression.

Trivicay { who thinks up drug names? } is a new one to me , so thanks I will read up on it and promptly forget 99 % of what I have read.

Hope all this puts a spring in your step

Michael

What are VA docs and why/how can they change what you and your ID Doc have agreed apon?
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 04, 2014, 05:31:30 pm
Theyer

I'm a (Navy Military Veteran) so, VA-Doctors means Veterans Administration Doctors

I know it's confusing, but now you know what that all means

YES, I'm just trying to be proactive about my health care, it really

does me no good not to try and address some of my long-term issues

so i can feel better, it's no fun being sick & depressed all the time

I'll do just about anything to feel better

HUGS

DEN
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: J.R.E. on January 04, 2014, 06:23:25 pm


that when i get all of my VA-doctors sometime this spring, they'll probably change it all over again ( most doctors don't agree on somethings)  ::)



DEN

I don't think that will happen Dennis.  Whatever medication you will be on, you will most likely continue to stay on.

The VA didn't change any of my antiretrovirals.  That remained the same.  So if things are working for you, with the meds that you are currenty on, it will most likely remain the same.

Make sure to bring a copy of the resistance tests, so they can place it in their files. ( they will scan it into the computer.

Hope things start improving for you soon !

Take care of yourself---Ray

Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Miss Philicia on January 04, 2014, 07:22:42 pm
Next month my Doc has ordered another resistance test, as I haven't had one in a while, the funny thing about all of this is

I'm confused -- how do they plan to do this without a detectable viral load?
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: LongTimeSurvivor on January 04, 2014, 10:46:52 pm
I'll do just about anything to feel better

Really...let me see what fantasies I have tucked away that I haven't seen...do you have live video feed...per chance?

Depression is a b*tch. Even with my meds it will creep in at the oddest moment. Hoping that tackling my sleep apnea will help some in that regard. I've noticed when I'm really tired the symptoms tend to come on more strongly than when I'm rested. At least I can hope.
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: aztecan on January 05, 2014, 03:27:51 am
Hey Dennis,

I hope the new regimen works out well for you.

I understand the need to switch out for a better quality of life.

I didn't know you were going to switch to the VA? Is this something new?

Also, I would bet your doc wants to do a follow up viral load/CD4 check rather than a resistance test.

I think you have to have a viral load in excess of 1,000 to do the GART. I hope you don't have that.

HUGS,

Mark
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: denb45 on January 05, 2014, 10:22:29 am
Hey Dennis,



I didn't know you were going to switch to the VA? Is this something new?

Also, I would bet your doc wants to do a follow up viral load/CD4 check rather than a resistance test.

HUGS,

Mark

Yes Mark,  I'll be leaving UNMH and NMAS sometime this spring, after I get all of my VA-doctors and medical team in place, this will take a while, so I'll be fazing out everything else out by the end of 2014  :)

Yeah I think that is what my Doc is doing (follow up viral load/CD4 check) one of the RN's at the clinic was new and hasn't learned what to do yet, so my new meds were sent to the wrong RX, so I'm not real sure when I'll get them from DOH, maybe sometime next week............who knows  :-\

I have to go to 2 RX'es as a lot of my other non-formuary meds aren't covered by DOH, and they are very expensive  :-[


You all are wonderful, I wouldn't know what to do without the support & opinions I get from this From
Thanks for the support  ;)

HUGS

DEN
Title: Re: Depression & Joint pain time for a new Med regimen
Post by: Theyer on January 06, 2014, 07:44:11 am
Theyer

I'm a (Navy Military Veteran) so, VA-Doctors means Veterans Administration Doctors

I know it's confusing, but now you know what that all means

YES, I'm just trying to be proactive about my health care, it really

does me no good not to try and address some of my long-term issues

so i can feel better, it's no fun being sick & depressed all the time

I'll do just about anything to feel better

HUGS

DEN

Thanks Den do not worry about the confusion bit In an odd way its one off the things I like about the site , its potentially world wide and I like anything that breaks down fences.
With the attitude contained in the last 2 sentences off the above I reckon the outlook is good for you. Plus am I right in thinking that VA hospitals run very much with volunteer help and user involvement.
I had a wonderful day at the Las Vegas VA Hospital some years ago and was very impressed with the vibe ,though not the cooking for a hospital it had a fantastically unhealthy canteen so I gate crashed the staff one. Oh the joy off an English accent ( sometimes in the US }