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Author Topic: Atripla Rash.....  (Read 8649 times)

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Offline sanduneboi

  • Member
  • Posts: 20
Atripla Rash.....
« on: February 19, 2012, 04:10:37 pm »
Day 10 of my Atripla treatment and sure enough **BOOOOM** rash... It's not super itchy or anything, I do however have it on the palms of my hands and that's a little bit painful. Other than that the only real downfall is I look like a pink and white spotted leopard... Not cute... I am curious though from people who have use Atripla and have had the rash, how long does it last, and is there anything I can do to help it go away... Also does anyone know the EXACT reason for the rash, like what's going on in my body that causes it. Being that i's president's day weekend haven't been able to see my doctor and don't feel like going to the Urgent Cares around here seeing as work for them and know most of the people.. Any info/advice would be greatly appreciated....
Logged
Diagnosed 1/27/12 VL 279,000 CD4 90
               4/16/12 VL <500     CD4 (Not Tested)

Offline mikeyb39

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  • Posts: 980
Re: Atripla Rash.....
« Reply #1 on: February 19, 2012, 04:41:26 pm »
Hi Sanduneboi

i never had the rash when i was on it, but some have.  You certainly want to let your doctor know when you get a chance.  Sometimes it just lasts a few days and goes away, some folks get it much worse.  Some folks are just very sensitive to the Sustiva in Atripla and your body has a reaction to it, just like it would if you were allergic to something.

go to the store and get some Aveeno oatmeal bath and soak in that, i've head that helps alot, take some benedryl.  let you doctor know whats going especially if it gets worse.

mike
Logged
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD
09/05/2014  cd4-850 , VL-UD
09/05/2014 switched meds isentress, prezcobix -still only two antivirals
10/14/2015  cd4-600 , VL-UD

Offline sanduneboi

  • Member
  • Posts: 20
Re: Atripla Rash.....
« Reply #2 on: February 19, 2012, 04:50:53 pm »
Quote from: mikeyb39 on February 19, 2012, 04:41:26 pm
Hi Sanduneboi

i never had the rash when i was on it, but some have.  You certainly want to let your doctor know when you get a chance.  Sometimes it just lasts a few days and goes away, some folks get it much worse.  Some folks are just very sensitive to the Sustiva in Atripla and your body has a reaction to it, just like it would if you were allergic to something.

go to the store and get some Aveeno oatmeal bath and soak in that, i've head that helps alot, take some benedryl.  let you doctor know whats going especially if it gets worse.

mike

Thanks mike.. Hopefully will get into the doctor on Tuesday and see what he says...
Logged
Diagnosed 1/27/12 VL 279,000 CD4 90
               4/16/12 VL <500     CD4 (Not Tested)

Offline SANJUANDUDE

  • Member
  • Posts: 125
Re: Atripla Rash.....
« Reply #3 on: February 19, 2012, 05:29:58 pm »
One of the medications in the Atripla is causing the rash.  I don't get the rash, but I can't sleep for crap on it.  Last night, I got a whole four hours. 
Logged
10/2011-CD-4-598-Undetectable
01/2012-CD-4-758-Undetectable
04/2012-CD$-780-70 Viral Load
08-2012-CD4-846--20 viral load
02/2013-CD$ 865----20 Undetectable Viral Load
08/2013- CD4-898----<20 undetectable viral load

Offline sanduneboi

  • Member
  • Posts: 20
Re: Atripla Rash.....
« Reply #4 on: February 19, 2012, 06:06:14 pm »
Quote from: SANJUANDUDE on February 19, 2012, 05:29:58 pm
One of the medications in the Atripla is causing the rash.  I don't get the rash, but I can't sleep for crap on it.  Last night, I got a whole four hours.

I was worried that was going to happen to me, but I get drowsy as all heck... I take it at 3PM everyday and by 6PM I am OUT. Works for me because I work graves... Does leave sorta groggy throughout the day, but it seems to be getting better, as the drugs build up in my system...
Logged
Diagnosed 1/27/12 VL 279,000 CD4 90
               4/16/12 VL <500     CD4 (Not Tested)

Offline terex

  • Member
  • Posts: 3
Re: Atripla Rash.....
« Reply #5 on: February 20, 2012, 02:20:09 am »
My partner had a rash on his arms and torso after about 14 days on Atripla.  He said it didn't feel as bad as it looked, but I got the feeling he wanted it gone ASAP.  It went away for him in about 2 weeks, but after the first 5 days, it looked a lot better than when he first pointed it out to me.

Good luck.  I hope it goes away soon for you.
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Offline Ann

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  • Posts: 28,134
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Atripla Rash.....
« Reply #6 on: February 20, 2012, 07:59:30 am »
Hi Boi, welcome to the forums.

It's a bit unusual to have the rash on the palms of your hands - you should seriously get checked out for syphilis. Syphilis is one of the few things in this world that will cause a rash on the palms. (strange, maybe, but true)

Please promise me you'll do this. Don't think that because you never noticed a primary syphilis sore (called a chancre) that you couldn't possibly have syphilis. Chancres are painless and if you get one where you can't easily see it, it's easy to miss. It could be coincidence that you got a secondary symptom of syphilis infection right when you also got a rash from the Sustiva in your Atripla.

Get checked out - better safe than sorry. (you REALLY don't want neurosyphilis!)

Ann

edited to add... I just saw your second post where you say you were diagnosed with only 90 CD4s. It's possible that you are also experiencing something called immune reconstitution syndrome. When this happens, your body starts paying attention to underlying illnesses that it couldn't cope with before - and so you start getting symptoms of those illnesses.

This could be why you're getting the secondary symptom of syphilis - a rash on the palms of the hand and/or soles of the feet. You can have the rash in both places, or just one of them. Please, get checked for syphilis! As I said before, better safe than sorry.
« Last Edit: February 20, 2012, 08:04:25 am by Ann »
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Condoms are a girl's best friend

Condom and Lube Info  

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Hellraiser

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  • Posts: 4,155
  • Semi-misanthropic
Re: Atripla Rash.....
« Reply #7 on: February 20, 2012, 09:45:11 am »
Her edit beat me to this.  IRIS is god awful, because basically as your immune system comes back online you start getting "sick" from all the illnesses your body has been unable to fight off for all this time.  Although any doctor worth their salt should be giving you an RPR as part of their initial round of testing once you've tested positive for HIV.
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Offline sanduneboi

  • Member
  • Posts: 20
Re: Atripla Rash.....
« Reply #8 on: February 20, 2012, 09:47:54 am »
I was tested for syphillis at the same time I was tested for HIV. Is it possible that I had it then but it just didn't show up on the test because my immune system was so blah?

In comparing my rash to pictures online it REALLY really looks like hives. I don't know though. So much going on with my body and not enough time to get educated on everything. Will just see the doc on tues and see what he says. Hopefully it's nothing MAJOR...
Quote from: Ann on February 20, 2012, 07:59:30 am
Hi Boi, welcome to the forums.

It's a bit unusual to have the rash on the palms of your hands - you should seriously get checked out for syphilis. Syphilis is one of the few things in this world that will cause a rash on the palms. (strange, maybe, but true)

Please promise me you'll do this. Don't think that because you never noticed a primary syphilis sore (called a chancre) that you couldn't possibly have syphilis. Chancres are painless and if you get one where you can't easily see it, it's easy to miss. It could be coincidence that you got a secondary symptom of syphilis infection right when you also got a rash from the Sustiva in your Atripla.

Get checked out - better safe than sorry. (you REALLY don't want neurosyphilis!)

Ann

edited to add... I just saw your second post where you say you were diagnosed with only 90 CD4s. It's possible that you are also experiencing something called immune reconstitution syndrome. When this happens, your body starts paying attention to underlying illnesses that it couldn't cope with before - and so you start getting symptoms of those illnesses.

This could be why you're getting the secondary symptom of syphilis - a rash on the palms of the hand and/or soles of the feet. You can have the rash in both places, or just one of them. Please, get checked for syphilis! As I said before, better safe than sorry.
Logged
Diagnosed 1/27/12 VL 279,000 CD4 90
               4/16/12 VL <500     CD4 (Not Tested)

Offline Ann

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  • Member
  • Posts: 28,134
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Atripla Rash.....
« Reply #9 on: February 20, 2012, 10:05:41 am »
Syphilis shares a three month testing window period with hiv, so please do mention it to your doctor tomorrow. He may want to re-test just to make sure. Don't sweat it though.
Logged
Condoms are a girl's best friend

Condom and Lube Info  

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brenner

  • Member
  • Posts: 93
Re: Atripla Rash.....
« Reply #10 on: February 21, 2012, 08:48:45 am »
Hi sanduneboi,
What Anne said, but I want to add a bit more.  After abbot 10 days on Atripla, I got the rash, and it was also on the palms of my hands and in between the fingers.  But it only lasted a couple of days and it went away.  My doc did keep testing for syphilis, and I was neg for that after all.  But you want to keep on top of that.

The rash should go away, but do let your doc know.  Show it to him at least.  Take some pics as a record just in case.

This may sound weird, but take a cold tomato out of the fridge.  Cut it in half and spread it over your rash.  It kinda relieves the itch.  And yeah, itchy palms are not very comfy.  Keep us informed.  Otherwise, I have nothing bad to say about Atripla.  It has really worked wonders for me till now with no other side effects.
Logged
Feb 23. 2011  poz diagnosed
Feb 28.  cd4 257, vl 262400, %21
Mar 14.  start Atripla
May 18.  cd4 639, vl 690, %33
Aug 19.  cd4 583, vl 60, %38
Nov 18.  cd4 450, vl UD, %38
2012
Feb.19   cd4 649, vl UD, %35
Jun 08.  cd4 524, vl UD, %34
Sep 16.  cd4 567, vl UD, %35
Dec 02.  cd4 592, vl UD, %35
2013
Mar 10.  cd4 688, vl UD, %35

Offline NY2011

  • Member
  • Posts: 173
Re: Atripla Rash.....
« Reply #11 on: February 22, 2012, 08:55:03 pm »
Hey there. I got a hint of a rash on day 7 after taking a shower, and then woke up day 8 with it everywhere, including my hands.  My lips were puffy and my ears were red.  Ask your doctor to evaluate you for Stevens-Johnson's Syndrome.  Also ask for prednisolone. It helped me. I had stage 2-3 rash, but the prednisolone and corticosteroid creme helped (cortaid). Do NOT use calamine lotion. It will make it worse, or Benadryl creme.  Get clearance from the doc and then give it a couple of days. The prednisolone is a good steroid, and it blocks the histamine your body is producing. You should be back to wearing short sleeves and shorts within two or three weeks.  Good luck man.
Logged
10/26/2011 - SEROCONVERSION (fever+rash, 104 degrees F)
10/31/2011 - CD4= 154  VL>500,000 
10/31/2011 - started on Truvada+Prezista+Norvir
12/14/2011 - CD4= 750 VL=6412 (45%)
01/27/2012 - switched to Atripla
04/23/2012 - CD4=1,221 VL= 140  (47%)
06/22/2012 - CD4=1,224 VL= ud    (49%)
12/18/2012 - CD4=1,031 VL= ud    (51%)
09/16/2013 - CD4=1,151 VL= ud   (49%)
03/26/2014 - CD4=1,050 VL= ud
11/25/2014 - CD4=1,335 VL= ud
12/01/2015 - CD4=1,115 VL= ud (55%)
11/22/2016 - CD4=1,071 VL= ud (52%)
06/01/2017 - CD4=1,014 VL= ud (53%)
switched to Biktarvy in 2018
04/23/2019 - CD4=1,072 VL= ud (52%)
01/15/2020 - CD4=  925  VL= ud (50%)

Offline Themepark

  • Member
  • Posts: 29
Re: Atripla Rash.....
« Reply #12 on: March 16, 2012, 09:44:24 am »
I had rash on my day 9 with truvada and sustiva (separated version of your med). I began to notice some small spots on my chest then a bit on my uppe legs. Then it took about 2-3 days to get spread all over my upper chest, upper back, both arms and legs. I went to er and they gave me anti allergic med. And the following day my ID doc. suggested me to drop sustiva as the rashes are growing together and had potential to get thicker. Not itchy thu and it disappear after stop med for few days.

Hope thing gets better for you.
Logged
05/08/11 Tested poz at the age of 32
06/08/11 CD4@365 27% VL=20,806
11/08/11 Truvada + Stocrin
22/08/11 Truvada (Stop Stocrin)
31/08/11 Truvada + Kaletra
15/09/11 Truvada + Aluvia
01/10/11 CD4@581 27% VL=234
25/02/12 CD4@661 30% VL<40
13/03/12 Truvada + Viramune
08/08/12 CD4@590 37% VL<40
17/11/12 CD4@650 33% VL<40
01/05/13 CD4@634 35% VL<40
06/09/13 CD4@763 36% VL<40
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