Switch from efavirenz to nevirapine
Common Questions and Answers about Switch from efavirenz to nevirapine
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I am an HIV + male. 43 on truvada/ efavirenz for 2 year with a count of minus 20(undetectable). I was penetrated twice last week where the condom broke and was NOT replaced. The "top" partner is aware of my hiv status. What are the chances of infection for him and apart from testing what should be done? I am otherwise very healthy, no cuts, blood or aparent bruising was detected. I am freaking out for him.
Dear Doctor, I am writing you from Bosnia and Herzegovina. I have 20 years and I have HIV positive person. I drink medicines already 4 months. I use drugs Truvada and Efavirenz Teva. Please tell me how to code your disease treated? Whether you are at injection instead of pills?
Are there still any evidence of efavirenz teratogenicity in human studies especially on the neuro tube defect
Also, I did fellatio to him (without condom), but there were not ejaculation, and when we were kissing ( eating a chocolate), he did a cut in his mouth lip. I did not have any cut in my oral mucosa, but I was receiving treatment for peptic ulcers because of Helicobacter Pylori infection. He was diagnosed by June 20th, 2011 ( when his viral load was 76,500 copies/ml).
Also I really do not know how I could get pep here, neither he or I speak Spanish and English is not spoken here at all except in hotels. I am going to the US in 2 days, if I cannot find a way to get pep here, could I take his ARVs just until then as a temporary measure? He says he takes nevirapine and tenofivir/lamivudine blend.
Any advice really appreciated! If my risk is very low I would prefer not to take pep but I suspect I may be best advised to do so.
Thanks! You all are right....if it has come down to the point where I am thinking so strongly about switching, and felt so relieved when I spoke to a friends doctor and got a great vibe, it is time to switch! I guess I knew I need to switch, but needed to get that feeling validated to make sure it wasn't just hormones making me feel unsatisfied ;) !
Just made an appt with the new doctor for in 2 weeks!
You definitely do not need it. The decision is yours to make, we can't tell you what to do one way or another. It should have never been prescribed for you.
My last cyclosporine through level was 76. My doctors are going to lower cyclo from 100 mg twice daily to 75 mg twice daily . I thought they would lower it gradually 100 mg day 75 mg night. then after sometime and blood work go to 75mg twice daily if every thing checked out. I am scared to lower my rejection meds. I have never had any rejection. Should i be trying to lower my rejection meds with a through level of 76? do you have any patients on rapa? Does rapa affect bile flow? Thank you Dr.
I wasn't referring to you but to the poster, who didn't say why the switch. I too was switched from Lexapro to Celexa because they do act differently in individuals. My only thought was for the person posting was, if the celexa was working why the switch?
If I may share with you my journey through the purgitory that is opiate addiction. From 1997-2001 I used street heroin. I even drove from Florida to Philly to get it, thank God those days are far behind me. By moving to Florida I learned about Meth. At the time it was a savior, but quickly became the rope around my neck thank lasted from 200-2004. In that time period I became heavy, had little energy and only wanted to sleep all the time.
The two at night helps with sleep and the morning one just takes the edge off. Your dr should to tell you how to go from one to another my doctor always gives me directions. Hope it helps you. It's generic so it's cheaper that helps me alot! Remember that differant drugs work better on different people. I hope it works for you.
Okay, we've seen this before here. Your doctor doesn't get to decide what meds you take, you do. So the first question is, were you doing well on the Ativan? If it was working for you, you have no need to change. If it had stopped working, then that's a different story. Most folks today believe antidepressants are more effective as a daily treatment for anxiety if you are committed to the medication route instead of trying to fix the problem with therapy and lifestyle changes.
1 chance in 6,700 instead of 1 in 20,000 -- still so low that I would not have recommended PEP. Nobody in the world has ever been proved to have caught HIV from receiving oral sex; you are not going to be the first.
That you have slightly inflamed gums might elevate the risk, but when the risk is so low to start, this really doesn't matter.
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