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Author Topic: Goodbye Kaletra  (Read 6821 times)

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Offline MSPspud

  • Member
  • Posts: 614
  • Joined Mar 2005 - Formerly UofMurbs
Goodbye Kaletra
« on: January 22, 2007, 09:10:02 am »
This weekend, I got to switch my regimen for something simpler and perhaps a little less toxic.  For the last year and a half I’ve been taking Kaletra, Invirase and Epzicom as I had acquired some resistance from my initial infection years ago.  Having two major protease inhibitors in my life has fortunately not effected my lipids and has been manageable in most ways, though my sleep has always been an issue.  I’ve never been able to pin-point which drug it was, but suspected it was the Kaletra (or maybe just an unknown consequence of the entire mix).

Anyway to make a long story short, I talked my doctor into prescribing Prezista/R with Epzicom - essentially dropping two protease inhibitors for one.  I decided to do the switch on Saturday and had been prepared for WWIII with side effects, etc.  To my surprise, nothing happened.  With the exception of a light headedness for about two hours, I couldn’t tell I made any switch.  I was even able to do squats at the gym without getting sick (which did happen when I started anti-virals 1.5 years ago and I thought I was superman by doing squats on the first day).  Best of all, I had the most refreshing sleep last night and didn’t feel like throwing my alarm against the bedroom wall this morning.

Goodbye Kaletra/Invirase!   

Offline Life

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  • Posts: 2,389
  • Member 2005
Re: Goodbye Kaletra
« Reply #1 on: January 22, 2007, 09:14:50 am »
So your are leaving me out in the cold with Kaletra??  May your new regimin have you in the best of shape for those late night gym workouts!!! 

Love

Offline MSPspud

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  • Posts: 614
  • Joined Mar 2005 - Formerly UofMurbs
Re: Goodbye Kaletra
« Reply #2 on: January 22, 2007, 09:20:38 am »
OK, one other thing I forgot to mention...  The switch has really triggered my appetite!  Today I decided I'm going to get a better handle on that  :)

Offline J.R.E.

  • Member
  • Posts: 8,207
  • Positive since 1985, joined forums 12/03
Re: Goodbye Kaletra
« Reply #3 on: January 22, 2007, 09:28:54 am »
Hello,

Wishing you the best on the new regimen. I have never been on any of the Protease inhibitors yet, so I can't really comment on them. Glad to hear the appetite has improved, and that everything is going well.



Take care----------Ray
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 RAB

  • Member
  • Posts: 1,895
  • Joined March 2003
Re: Goodbye Kaletra
« Reply #4 on: January 22, 2007, 09:45:58 am »
Hey Spud

Good luck with the new regimen!  I use Kaletra/Invirase myself so I know the challenges it can present.  I'm intrigued about the sleep problem and how it seems to have improved.  That's great news.  Keep us posted on whether that continues.  I'd love to know.

RAB

Offline aztecan

  • Member
  • Posts: 5,530
  • 36 years positive, 64 years a pain in the butt
Re: Goodbye Kaletra
« Reply #5 on: January 22, 2007, 09:53:03 am »
Hey Spud,
I don't know anything about Kaletra, but I took Invirase for two months back in early 1996.

YUCK!

Taking three capsules, three times a day, with a heavy, fat-filled meal and grapefruit juice.

Let's just say, it didn't make Mark a happy camper.

Good luck with the new regimen.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline MSPspud

  • Member
  • Posts: 614
  • Joined Mar 2005 - Formerly UofMurbs
Re: Goodbye Kaletra
« Reply #6 on: January 22, 2007, 09:54:36 am »
My sleep issues were about staying asleep.  I had no problem getting to sleep, but I would wake about every two hours or just kind of rest lightly all night long.  I always felt like I was on a drunken sleep - the kind that's not restful.  I was talking a low-dose tricycline which seemed to help but it was just another chemical band-aide.  Jack had the same issues at one time and I've heard it before.  Since I'm still new into this switch, hopefully this improvement will stick.  I'll keep you posted, RAB.

As for the eating...  It's not a good thing.  I can eat like a horse as it is and then to increase my appetite.  Oh boy!  I guess it's just more control.

Mark, I was taking the hard pills with Invirase.  They don't make that kind of Invirase (saquinavir gel caps) anymore.  Thank god!

Thank you all, guys!
« Last Edit: January 22, 2007, 09:57:45 am by MSPspud »

Offline woodshere

  • Member
  • Posts: 1,474
  • ain't no shame in my game
Re: Goodbye Kaletra
« Reply #7 on: January 22, 2007, 09:57:22 am »
Best of luck on your travels with the new regimen.

Woods
"Let us give pubicity to HV/AIDS and not hide it..." "One of the things destroying people with AIDS is the stigma we attach to it."   Nelson Mandela

Offline Regretsafew

  • Member
  • Posts: 101
Re: Goodbye Kaletra
« Reply #8 on: January 22, 2007, 10:13:23 am »
Good luck on your new regimen.  Hope everything works out for the best!


Joey

Offline jack

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  • Posts: 1,578
  • fomerly the loser known as Jake
Re: Goodbye Kaletra
« Reply #9 on: January 22, 2007, 10:14:30 am »
that is so interesting. I was wondering why I kept getting up at 3am every morning while on Kaletra. I am an early  morning person and loved it.
i have been on prezista for several months now and am having very few sides and great results. First time in 18 years I am undetectable for more than one month. good luck.

Offline sweetasmeli

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  • Love what you are...
Re: Goodbye Kaletra
« Reply #10 on: January 22, 2007, 10:39:27 am »
Jason, I've been wondering how your switch went...fingers toes n eyes crossed for you honey, that this combo works better for you.

As for eating, as long as you're eating mainly good stuff and continue working out as much as you do, I wouldn't worry about it!

Hugs
Melia :-*
/\___/\       /\__/\
(=' . '=)    (=' . '=)
(,,,_ ,,,)/   (,,,_ ,,,)/ Cats rule!

The difference between cats and dogs is that dogs come when called, whereas cats take a message and get back to you.

Yeia kai hara (health and happiness) to everyone!

Offline Miss Philicia

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  • Posts: 24,793
  • celebrity poster, faker & poser
Re: Goodbye Kaletra
« Reply #11 on: January 22, 2007, 11:44:34 am »
I was on Kaletra for about five years, and they added Invirase for maybe the last 2 years of that though I had taken Invirase initially when PI's first came out.  I also just switched to off that to Prezista (with fuzeon though) 8 months ago and had my best health ever.

Anyway, so THAT was why my sleep sucked?  Good to know, though maybe not with me because I think my bad sleep began a couple years earlier.  I just blame all HIV medication for it, as I still have insomnia issue though from time to time, it is better with my current stuff.
« Last Edit: January 22, 2007, 11:47:29 am by philly267 »
"I’ve slept with enough men to know that I’m not gay"

Offline david3012

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  • Posts: 8
  • Scots guy
Re: Goodbye Kaletra
« Reply #12 on: January 22, 2007, 11:49:09 am »
Hi

Its not often that I post on here but thought I would have to add to this. I too am on Kaletra, for five years now and have the same interrupted sleeping that others have mentioned. I seem to wake up every hours or so and sleep very lightly. This has developed over the last 3/4 years to the point now where I very rarely get a 'good nights sleep'.



David

Offline Seven

  • Member
  • Posts: 108
Re: Goodbye Kaletra
« Reply #13 on: January 22, 2007, 12:40:47 pm »
Glad your off it too! I took it for what seems like forever. Damn, I mean the doctor warned me that is would make my boobs grow by DAMN! Ok, I gained a ton of weight on Kaletra. What's so fun about taking six huge ass orange pills everyday?

PFT :-\


Offline lydgate

  • Member
  • Posts: 1,022
  • Virgin, can't drive
Re: Goodbye Kaletra
« Reply #14 on: January 22, 2007, 09:59:08 pm »
Good news about the switch, Jason. Being a major insomniac, I can relate. And no WWIII plus squats. Yay! As for the appetite thing -- better a large appetite than a tiny or non-existent one, I think. Jay
Her finely-touched spirit had still its fine issues, though they were not widely visible. Her full nature, like that river of which Cyrus broke the strength, spent itself in channels which had no great name on the earth. But the effect of her being on those around her was incalculably diffusive: for the growing good of the world is partly dependent on unhistoric acts; and that things are not so ill with you and me as they might have been, is half owing to the number who lived faithfully a hidden life, and rest in unvisited tombs.

George Eliot, Middlemarch, final paragraph

Offline Life

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  • Posts: 2,389
  • Member 2005
Re: Goodbye Kaletra
« Reply #15 on: January 22, 2007, 10:29:19 pm »
I dont get it... I sleep like a baby K.... But I also work 80 hours a week, maybe that should be part of the K script?  Dont like the weight thing but I am dealing with it on the SPUD diet plan...

Offline northernguy

  • Member
  • Posts: 1,347
Re: Goodbye Kaletra
« Reply #16 on: January 23, 2007, 02:16:19 am »
Did you have GI issues with Kaletra?  I've heard horror stories from my doc, so when the time comes I'm inclined to avoid it.  Plus I have sleep apnea, so I don't need anything else in my lfe to wake me up!
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

Offline MSPspud

  • Member
  • Posts: 614
  • Joined Mar 2005 - Formerly UofMurbs
Re: Goodbye Kaletra
« Reply #17 on: January 23, 2007, 09:16:30 am »
Northernguy, I think you're going to get GI issues with just about any protease inhibitor, so it's not really special to Kaletra anymore (with the new formulation).  Most people adjust to it within a few months.

As for the sleep issues, generally they're much worse with the NNRTI's like Sustiva.  It's just some of us who've experienced it on Kaletra.  I guess you won't know until you try it.  There's always the possibility of switching if the first regimen isn't quite your thing. 

Offline Lou-ah-vull

  • Member
  • Posts: 1,029
Re: Goodbye Kaletra
« Reply #18 on: January 23, 2007, 12:17:09 pm »
I have been on Kaletra since mid-May 2006 with no difficult side effects.  Like many, there are some gut issues.... mostly loose stools, especially immediately after eating.  I have had no sleep effects at all.  My lipids are a concern (as they are with many of us on PI-based regimens.)  I had my fasting lipids taken yesterday morning and I will see if I am still experiencing elevated triglycerides and total cholesterol.  My Kaletra is teamed up with Combivir and I have had very good results so far.
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD
01/15: 1366 (45.2%), UD
07/15: 1134 (50.7%), UD
02/16: 1043 (55.1%), UD
08/16:  746  (55.4%), UD
08/16:  Switch from Atripla to Genvoya

Offline northernguy

  • Member
  • Posts: 1,347
Re: Goodbye Kaletra
« Reply #19 on: January 24, 2007, 01:12:00 am »
Northernguy, I think you're going to get GI issues with just about any protease inhibitor, so it's not really special to Kaletra anymore (with the new formulation).  Most people adjust to it within a few months...

Ahh, excellent, one more thing to look forward to :(
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

Offline fearless

  • Member
  • Posts: 2,191
Re: Goodbye Kaletra
« Reply #20 on: January 24, 2007, 03:42:35 am »
Great news Jason. So it's been easy on the stomach and gi and out the other end? Wow.

My flatmate can't wait for Prezista to be approved in Aus. Kaletra and he just don't get along, and he has few other options. I'll pass on the good news.
Be forgiving, be grateful, be optimistic

 


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