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Author Topic: Atripla dosage during international travel  (Read 3553 times)

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Offline IndianPoz

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Atripla dosage during international travel
« on: May 05, 2014, 12:41:06 am »
Hi,

I will be traveling from Mumbai, India to NYC, USA in a couple of weeks. Due to the big time difference (India is 9 and 1/2 hours ahead of NY time), I was wondering how can I continue to take Atripla at bedtime at both places - how do I bridge the time difference?

I tried looking if this topic was covered elsewhere in these forums but was unable to find anything.

I do hope I'm asking this question in the right forum. If not - please let me know which forum would be right to post this or the admins can just move it to the appropriate forum.

Thanks.
3/29/2014: ELISA +ve
4/7/2014: WB confirm; CD4-201(20%);VL-17065;started Trustiva/Teevir(Atripla)
8/2/2014: CD4-385(31%); VL < 20 copies/ml
7/8/2015: CD4-493(30.5%); Undectable
1/3/2016: CD4-527(34.78%); Undetectable
6/16/2016: CD4-439(34.71%); Undetectable

Offline Jeff G

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Re: Atripla dosage during international travel
« Reply #1 on: May 05, 2014, 10:25:50 am »
If you are undetectable it wont hurt to miss one dose to get back on track ... Atripla has a long half life so I think you will be just fine in adjusting your dose for travel . 
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Offline AusShep

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Re: Atripla dosage during international travel
« Reply #2 on: May 05, 2014, 11:03:57 am »
You can also split the difference for one night while traveling each way.  You've got a 16 hour direct flight, plus several hours on each side.  You can take one dose mid flight about 18-24 hours before your evening dose would be due at your destination.  That's usually what I do, end up taking one more dose for the trip instead of one less.

Offline IndianPoz

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  • Posts: 32
Re: Atripla dosage during international travel
« Reply #3 on: May 06, 2014, 12:01:34 am »
Jeff G & AusShep: thanks guys - both are excellent suggestions and valid options.

I still don't know if I'm undetectable. It's been a month since I started taking medication & haven't gone for a blood test yet. My doctor wants me to wait for a little longer before getting a blood test. Given that, I think I will possibly err on the side of taking an additional dose.
3/29/2014: ELISA +ve
4/7/2014: WB confirm; CD4-201(20%);VL-17065;started Trustiva/Teevir(Atripla)
8/2/2014: CD4-385(31%); VL < 20 copies/ml
7/8/2015: CD4-493(30.5%); Undectable
1/3/2016: CD4-527(34.78%); Undetectable
6/16/2016: CD4-439(34.71%); Undetectable

Offline eric48

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Re: Atripla dosage during international travel
« Reply #4 on: May 06, 2014, 09:57:05 am »
That's usually what I do, end up taking one more dose for the trip instead of one less.

same here; Eric
NVP/ABC/3TC/... UD ; CD4 > 900; CD4/CD8 ~ 1.5   stock : 6 months (2013: FOTO= 5d. ON 2d. OFF ; 2014: Clin. Trial NCT02157311 = 4days ON, 3days OFF ; 2015: https://clinicaltrials.gov/ct2/show/NCT02157311 ; 2016: use of granted patent US9101633, 3 days ON, 4days OFF; 2017: added TDF, so NVP/TDF/ABC/3TC, once weekly

Offline bocker3

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Re: Atripla dosage during international travel
« Reply #5 on: May 06, 2014, 04:56:47 pm »
I simply do the same thing, wherever I travel.  I take my Atripla between 8:30 and 10:30 pm in whatever timezone I happen to be in.
My reasoning -- I am "in the habit" of taking it at that time.  If I stick to my habit, I am less likely to get out of it and start missing doses. 
I travel often and this has worked for 9 years -- I was recently in Tanzania - 8 hrs difference.
Yes - that means a longer time between doses in one direction and a shorter time in the other -- but it doesn't matter with Atripla (or the Reyataz that I also take)
BTW - my doc endorses this approach.

Don't sweat this -- just enjoy your trip.

Mike

Offline fgh12

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Re: Atripla dosage during international travel
« Reply #6 on: May 12, 2014, 04:05:44 pm »
I agree with Bocker3, my doctor also advised me to take my meds at the same time, it doesn't matter in which country I am

 


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