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Men living with HIV who are on antiretroviral (ARV) treatment experience faster decline in their kidney function compared with HIV-negative men, aidsmap reports.
Publishing their findings in the journal AIDS, researchers studied data from the Multicenter AIDS Cohort on 917 HIV-positive men on ARVs, 159 HIV-positive men not on ARVs and 1,305 HIV-negative men. The study period ran from October 2003 to September 2014.
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STRIBILD ELVITEGRAVIR / COBICISTAT / EMTRICITABINA / FUMARATO DE DISOPROXILO DE TENOFOVIR EVG/COBI/FTC/TDF, QUAD #stribild #cobicistat #emtricitabina #fumarato #disoproxilo #tenofovir #arv #retrovirrales #antiretrovirrales #medicine #medic #medicinas #medicina #medicamentos #salud #saludresponsable #saludybienestar #concienciasocial #concienciaplena #concienciauniversal https://www.instagram.com/p/CA3NauRnB9u/?igshid=1v6a76pdufotb
Stribild's leaflet recommends to take multivitamins at least 4hrs before or after the medication itself. Do energy drinks, which typically contain full array of B-complex vitamins and possibly other additional components, represent a cause for concern? In other words, is it better to wait 4hrs after Stribild to drink a Red Bull? I often feel the need for 1 energy drink to offset mental fatigue possibly trigger by Truvada...; thx much for your precious, prompt and invaluable assistance.
This is only an issue if your multivtamins or energy drinks include minerals like calcium, magnesium, aluminum, or zinc. Vitamins themselves will not interfere with the absorption of Stribild.
Day 1175: Normalcy
I remember when I first started out on Stribild, I was desperate to hear from people who was already on it, and more so, people who had been on it for a long time. Since the regimen at the time was so new, no such info was available, so I just had to make the jump. A few blogs here helped me though. The words and experience of aaronlaxton helped me a lot, and made me decide to do a similar blog. This is my chance to pay that back. Life is good. It is as normal as I could have ever dreamed it to be. When I first got HIV I felt I would be forever doomed, and probably crash with a massive depression or worse. No such thing happened. Sure it was tough, especially the first 4 months or so. Today I cant believe I waited almost 2 years to start on medication. If I was to make that decision today I would start out immediately, But back then Atripla was the only one-pill treatment, and I didnt want that. Today there are more pills on the market. I would not be afraid to recommend Genvoya to anyone. Start as soon as you can. No reason to walk around with that crazy virus in your system for more than is absolutely necessary. I still take the pill in the morning, with that Pillboxie app reminding me, at 10am. So If I forgot it at breakfast, the notice will help me remember. A few times I havent had Genvoya available, and only an old glass of Stribild, so I just took the Stribild pill. Doctor says its no problem. You can switch between them without risking resistance.
So there, If I knew what I know now about how I would feel at this point in time, must distress and worry would have been put to rest. Let me tell you this. If you have just gotten HIV or are just starting out on a new regiment, don’t worry, life will be awesome again, and pretty soon too. I have had no side effects for years. The only thing I had was in the first 4 months. Half of that can probably be ascribed to the fact that I felt very uneasy about hiv/drugs. On day 3 I had a rash, that disappeared after a good nights sleep. I felt alittle lightheaded the first few days, but after that it was only the vivid dreaming that worried me. That vanished completely after about 3-4 months. Maybe earlier. What you are left with is the Stigma and the trouble of telling a partner that you have HIV. Those things are not easy. In regards to a partner, its better to tell it sooner rather than later. You risk that the break of trust for not telling, will be worse than the fact that you have HIV. The risk of transmission of HIV while on a good regiment today is zero. You are not putting anyone at risk of anything, as long as you take your pill, and your virusload is otherwise undetectable. I know that, you know that and your doctor knows it. The science is there to back it up. So don’t worry. Any good doctor will tell your partner that there is no risk at all. Still, it is something you want to let your significant other know pretty early on. I still havent told the world. Cos in the end, who cares anyway. I for one don’t. If I feel like saying it to someones face, I do. Other than that I keep it to myself. I don’t tell people what vitamins I take everyday. I couldnt care less for them to know. Its the same with Genvoya for me. Nobody really cares anymore. At least not in this part of the world. I remember getting angry at my doctor for acting like he couldn’t care less if I had HIV or not. I couldn’t believe he could take it so lightly. But then, time passed, and I realized he was right. It was not a big deal. Almost boring and tiresome for him, no excitement, nothing ever really happened with his patients. Which was a good thing, as he said: You don’t want for it to be exciting. In the end HIV is not a big deal. Trust me, its not. At least it won’t be for you either, pretty soon :) Good luck out there. Relax, be nice and dare to love. /cody
Hello Doctor, I'm currently taking Stribild, is it bad if I take it with empty stomach and sometimes with food? Will I develop resistance? Thanks!
I won’t promise you’ll develop resistance, but Stribild is better absorbed when taken with food, so that’s the safest way to take it.
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Hi Dr! Newly diagnosed and having a little insurance dilemma. My doctor prescribed me Genvoya, but insurance denied it saying the doctor should try other medicine on their list first, it looks like Stribild is on the list. The doctor is trying to appeal, but I'm worried that I'm loosing valuable time of not being treated while the appeal and paper work is pending. Would it make sense to start on Stribild and then switch to Genvoya or wait a few days or a week hoping appeal goes through? Thanks!
Although there’s no difference in price between Genvoya and Stribild, insurance companies can be slow to pay for new drugs. Unless you have kidney disease or osteoporosis, there should be no harm in starting with Stribild and then switching to Genvoya when the insurance company eventually adds it to their formulary.
I just switched from Stribild to Genvoya and am suddenly experiencing fatigue, dizziness, indigestion, and nausea. The reason I switched was because my doctor suggested that Genvoya was less toxic, which I see is being claimed by the drug companies but this certainly doesn't feel less toxic. Stribild hasn't been the best but I never felt this horribly.. is this normal? Should I expect that these side effects will subside? What could be causing them?
That’s very unusual–not something that has been seen in large clinical switch trials. Stribild and Genvoya are virtually identical except that Genvoya includes TAF, a different form of tenofovir than the TDF that’s part of Stribild. TAF appears to be safer than TDF from a kidney and bone standpoint, and it hasn’t had more side effects.
Of course, I can’t say that the switch isn’t the cause of your problems. Individuals aren’t obligated to behave the way people in clinical trials do. But there’s also the possibility that your symptoms are due to something else, and that the timing is coincidental. Talk it over with your doctor.
I'm on Stribild,now being prescribed Lexapro.However,Stribild leaflet seems to suggest "escitalopram" interactions.I was told by psychiatrist to start with 5mg/day dose for the first week,then move up to 10mg/day;should I consider staying on a 5mg/day dose or simply switch to another SSRI?If so, which one would you consider safest/ideal?Alternatively,if anti-depressant becomes a long-term requirement for me,would you recommend switching therapy,perhaps moving on to Tivicay and Truvada/TAF?
My own drug interactions sources don’t mention any interaction, and we use these two drugs together all the time without a problem. I start at 10 mg per day, but increase to 20 mg if necessary.
