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Author Topic: Atripla and Lethargy?  (Read 2232 times)

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Offline skysthlmt

  • New Member
  • Posts: 1
Atripla and Lethargy?
« on: July 17, 2009, 01:52:14 AM »
So I have been on Atripla for about 5 months now.  I know you are supposed to take it before bed and on an empty stomach.  Recently I started back to the gym at night after work.  I eat after the gym, take my meds and go to bed around midnight.  I have noticed that I have felt extremely lethargic the next day.....almost like my blood sugar is low.  Is this normal when taking the atripla with food?  Anyone else ever experience this?

Offline Luke

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  • Posts: 291
Re: Atripla and Lethargy?
« Reply #1 on: July 17, 2009, 02:16:45 AM »
How are you sleeping?

I had similar symptoms which I put down to the accumulative effects on not sleeping very well on Atripla.

I thought I was sleeping OK, until one night when I fell asleep without taking my Atripla and woke up the next morning feeling so alive and alert. This made me consciously aware of just how poor the quality of my sleep had become - which then really started to bug me for another few months, because I just wanted another night's sleep like the one I'd had when I didn't take my meds.

Eventually I just swapped to taking my Atripla in the mornings and have been sleeping great ever since and don't get any of that lethargy.

It it is your quality of sleep though, eating before taking your meds probably isn't helping matters any - because it increases the level of the drugs in your bloodstream - so if you don't want to play around with your medication times, you may want to consider not eating before you take your drugs.

Offline mecch

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  • Posts: 13,367
  • red pill? or blue pill?
Re: Atripla and Lethargy?
« Reply #2 on: July 17, 2009, 05:46:13 AM »
I agree with Luke.
Experiment with going back to not eating, or taking it in the morning or afternoon.
Why not a substantial lunch.  Eating before sleeping isnt going to do you any good, gym notwithstanding.  Generally its not the best idea.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline clsoca

  • Member
  • Posts: 164
Re: Atripla and Lethargy?
« Reply #3 on: July 18, 2009, 12:37:11 PM »
Try taking the 123 pill right before you go to the gym.

Work out for an hour.

Then eat foods high in fiber and protein an hour after your work out (e.g. beans).

Then devote 8 hours to sleep.

This is my routine and I wake up energized each morning.
10/07 Infected
11/07 Seroconversion
07/08 Tested Poz
07/08 VL 487  CD4 658  (No Meds)
10/08 VL 286  CD4 724  (No Meds)
01/24/09 VL 30,100   CD4 329 CD4 30% (No Meds)
02/06/09 VL 44,000   CD4 367 CD4 36%  Blood Work @ UCLA (No Meds)
02/06/09 VL 44,000   CD4 317 CD4 35% Blood Work @ USC (No Meds)
02/12/09 VL 52,000   CD4 297 CD4 29%
02/12/09  Started Atripla
04/01/09 VL 60  CD4 667   CD4 48%
06-05-09  VL UD CD4 427   CD4 39%

Offline GNYC09

  • Member
  • Posts: 702
Re: Atripla and Lethargy?
« Reply #4 on: July 18, 2009, 02:53:37 PM »
I also wake up lethargic but this usually goes away within 15 minutes after I've had my breakfast with black tea or coffee. Do you eat breakfast soon after waking up?  How about tea/coffee?  Just wondering if this might be of help...

Also, I've noticed I am more lethargic the nights I don't take my Ambien, which leads me to believe that Luke is correct about one not sleeping optimally on Atripla. For this reason, I'm going to experiment with taking Atripla during the daytime now that my dizzyness is somewhat manageable.


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