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Author Topic: Drank milk 1.5 hour after Triumeq  (Read 748 times)

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Offline happy74

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Drank milk 1.5 hour after Triumeq
« on: November 24, 2018, 11:49:19 am »
I am worry about that, I took the Triumeq(empty stomach) then 1.5 hour later I drank 250ml of milk, will it cause the effectiveness of absorption of the medicine?

Online JimDublin

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Re: Drank milk 1.5 hour after Triumeq
« Reply #1 on: November 24, 2018, 12:15:05 pm »
Why would you think a glass of milk is an issue?
The issue with Dolutegravir is suppliments etc

My ID doctor has no issues with me taking dairy and I used to take my (Tivicay) Dolutegravir and later my Triumeq that also contains Dolutegravir with 500 grams of full live bio-yogurt every morning for years. (Still do from time to time) They do however have issues with me taking supplements

Reason is dolutegravir absorption is effected when administered with mineral supplements, this is true. Tivicay should be taken at least two hours before or six hours after supplements  (Antacids or laxatives, sucralfate, oral iron supplements, calcium supplements, or buffered medication)

The Iron & Calcium supplements often contain way higher dose of minerals than are ever found or could be ingested from a eating normal breakfast, lunch or dinner, glass of milk etc. 

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Online JimDublin

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Re: Drank milk 1.5 hour after Triumeq
« Reply #2 on: November 24, 2018, 12:18:17 pm »
3rd reply into this thread on the topic from Mike is excellent BTW https://forums.poz.com/index.php?topic=70749.msg
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Offline happy74

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Re: Drank milk 1.5 hour after Triumeq
« Reply #3 on: November 25, 2018, 12:32:50 am »
Thanks Jim,
As from our pharmacy, there is an instruction for reminding clients not taking antacids/milk and mineral supplements at the same time. The clinic nurse stated that Triumeq is needed to be absorbed by gastric fluid, hence , something causing neutralizing the PH in gastric fluid may not encourage us to take at the same time.
However, just a glass of milk can not totally "rinse" your stomach and alter the mechanism of digestion. The insert also no statement regarding of not taking dairy products.
Thanks your help
happy74

Online JimDublin

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Re: Drank milk 1.5 hour after Triumeq
« Reply #4 on: November 25, 2018, 04:04:48 am »
You're welcome.

Yeah, sounds like an over the top nurse.  I've had that experience myself when I first started Tivicay/Truvada combo years ago, it was about 3 weeks in and I had a nurse scaremongering as I ate cornflakes with milk and sometimes yogurt. ::)

Well intended perhaps, but there however really is no need and its fine when checking with package insert, studies into this and my ID doctor.

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Offline Loa111

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Re: Drank milk 1.5 hour after Triumeq
« Reply #5 on: November 26, 2018, 04:52:54 am »
I take Tivicay and my other separate pill Discovy just before or after breakfast which is corn flakes milk and a bowl of yogurt (supermarket label yogurt because Iím cheap lol). Been doing this since I was switched to this 2 pill regime a few months ago and still UD <40 copies.

Offline happy74

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Re: Drank milk 1.5 hour after Triumeq
« Reply #6 on: November 26, 2018, 10:37:07 am »
Thanks Loa111,

I reported to the clinic nurse today and she replied that occasionally to drink milk is ok. However, I think just go on my usual habit, I usually drink milk at daytime, so that less routine thing at night then I choose to take the pill at night.

Offline happy74

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Update my progress
« Reply #7 on: December 11, 2018, 08:48:43 am »


09-13-18 Diagnosed HIV +, Syphilis titre 1:64
09-20,27-18 Treatment of Syphilis completed
09-28-18 CD4:329(11.75%), VL: 640000
10-16-18 Start on Triumeq
10-25-18 Syphilis titre 1:32
12-04-18 CD4:411 by PIMA test

Offline happy74

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Re: Update my progress
« Reply #8 on: February 05, 2019, 08:41:51 am »

09-13-18 Diagnosed HIV +, Syphilis titre 1:64
09-20,27-18 Treatment of Syphilis completed
09-28-18 CD4:329(11.75%), VL: 640000
10-16-18 Start on Triumeq
10-25-18 Syphilis titre 1:32
12-04-18 CD4:411 by PIMA test
12-27-18 Syphilis titre 1:4
01-23-19 CD4:465, VL:48
« Last Edit: February 05, 2019, 08:44:39 am by happy74 »

 


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