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Author Topic: Missed one dose  (Read 2570 times)

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Offline Ryoma

  • Member
  • Posts: 17
Missed one dose
« on: August 31, 2010, 08:15:47 pm »
I missed my dose Truvada / Reyataz / Norvir yesterday.  I've been 100% adherent up until yesterday (8 months on meds, 2 months UD).  I don't think it will happen again, tho I am kind of freaking out that I let this happen.  Do I need to worry, or are the drugs just forgiving enough that I can forget just this once and still be ok?
Logged
Exposed and sero-converted October 2009
November 12 2009  CD4 252 VL 3,000,000
December 3 2009 CD4 297 VL 1,000,000
December 22 2009 CD4 352 (VL not measured, it was a different clinic for a different problem...)
January 7 2010 CD4 311 VL50,000
January 15 2010 Start Truvada / Isentress
February 18 2010 CD4 386 VL83
February 25 2010 Switch to Truvada / Reyataz / Norvir
June 23 2010 CD4 387 VL UD!
July 2010 CD4 561 VL UD
Aug 2010 CD4 671 VL UD
Sep 2010 CD4 599 VL <40
Oct 2010 CD4 570 VL UD
Switch to Prezista / Norvir / Isentress
Nov 2010 CD4 738 VL <40
Dec 2010 CD4 773 VL UD
Jan 2010 CD4 570 VL UD

Offline Tempeboy

  • Member
  • Posts: 360
  • Like St Francis of Assisi I am wedded to Poverty
Re: Missed one dose
« Reply #1 on: August 31, 2010, 08:33:16 pm »

You should be fine, how long was it in between your doses?

tb
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Roughly roundabout somewhere in the eighteenth or nineteenth century, Sodomite begat Homosexual out of moral, medical and legal models, bequeathing him Identity, who inbred with Nuclear Family and Industrialism to spawn Homophobia.

Dean Kiley

Offline phildinftlaudy

  • Member
  • Posts: 2,985
  • sweet Ann what you think babe...
Re: Missed one dose
« Reply #2 on: August 31, 2010, 08:36:23 pm »
Don't panic too much - many of us have done that.  With your level of adherence, you should not have any problem - just resume your regular dosing schedule.  

I am not on the same meds as you, but have read other posts by members on those meds who have missed a dose (I think one was pretty recent) and they were told just to resume regular schedule.

I'm on Atripla - have been for about 9 months - I've missed it about 4 times over that period with no adverse reaction.

I'm sure others will also provide some insight as well.
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September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline pozoz

  • Member
  • Posts: 73
Re: Missed one dose
« Reply #3 on: August 31, 2010, 09:42:26 pm »
I take the same meds...

I stupidly missed my dose on day 4 after starting due to bad planning, and resumed the following day.
No missed doses since then.

I would have felt alot better if I it had been 8 months like you before missing a dose, not 4 days LOL, so I think you've done well so far and can relax.

Peace...
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Seroconverted Aug 2008
Tested Pos      May 2009
Verimune XR / Descovy
 576  34%. U/D

Offline ad2san

  • Member
  • Posts: 238
Re: Missed one dose
« Reply #4 on: September 01, 2010, 12:06:50 am »
Hi There,

I had to skip one dose because of a surgery after 8 months .... no impact at alll ... Take it easy.
Logged
Feb   2009 CD4 358 VL 2000 16%
May  2009 CD4 305 VL 3069  14% <---- Started TVD+ATZ/r
Jul  2009 CD4 512 VL <50   18%
Jul 2010 CD4 418 VL <50 24%                     
Switched to Kivexa (Epzicom) + Norvir + Reyataz (due to sleep problem)
Aug 2010 CD4 606 VL <50 25%
Jul 2011 CD4 494 UD 23%
Switched to Kivexa (Epzicom) + Viramune XR (due to kidney problems)
January 2012 CD4 564 UD 31%
January 2013 CD4 594 UD 26%
Switched to Kivexa (Epzicom) + Isentress due to BIG increase GammaGT
Feb 2013 CD4 699 UD 28%
Aug 2014 CD4 639 UD 25%
Switched January 2015 to Triumeq
May 2015 CD4 807 UD 31%
Switched Nov 2016 to Genvoya due to gastric problems
November 2016 CD4 847 UD 32%

Offline leatherman

  • Global Moderator
  • Member
  • Posts: 8,625
  • Google and HIV meds are Your Friends
Re: Missed one dose
« Reply #5 on: September 01, 2010, 12:13:15 am »
google "hiv 95% adherence" and you'll see that most studies show that ≥95% is best for "optimal virologic suppression". missing one dose isn't the end of the world. just don't let it happen again for a nice long while. ;)
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leatherman (aka Michael)

We were standing all alone
You were leaning in to speak to me
Acting like a mover shaker
Dancing to Madonna then you kissed me
And I think about it all the time
- Darren Hayes, "Chained to You"

Offline Inchlingblue

  • Member
  • Posts: 3,117
  • Chad Ochocinco PETA Ad
Re: Missed one dose
« Reply #6 on: September 01, 2010, 12:28:26 am »
I wouldn't make a habit of it but it should be fine. Some people such as Shawn Decker, who blogs on Poz.com, takes his meds (which are the same as yours, Reyataz/Norvir/Truvada) one week on, one week off and is doing well.


LINK:  http://www.poz.com/articles/shawn_decker_hiv_2303_16089.shtml
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Offline Ryoma

  • Member
  • Posts: 17
Re: Missed one dose
« Reply #7 on: September 04, 2010, 02:10:49 am »
Thanks everyone, I'm feeling much less anxious about it now.   Ryoma
Logged
Exposed and sero-converted October 2009
November 12 2009  CD4 252 VL 3,000,000
December 3 2009 CD4 297 VL 1,000,000
December 22 2009 CD4 352 (VL not measured, it was a different clinic for a different problem...)
January 7 2010 CD4 311 VL50,000
January 15 2010 Start Truvada / Isentress
February 18 2010 CD4 386 VL83
February 25 2010 Switch to Truvada / Reyataz / Norvir
June 23 2010 CD4 387 VL UD!
July 2010 CD4 561 VL UD
Aug 2010 CD4 671 VL UD
Sep 2010 CD4 599 VL <40
Oct 2010 CD4 570 VL UD
Switch to Prezista / Norvir / Isentress
Nov 2010 CD4 738 VL <40
Dec 2010 CD4 773 VL UD
Jan 2010 CD4 570 VL UD
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