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Doctor insights on: Sustiva

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Dr. Ana Adelstein
16 doctors shared insights

Sustiva (Overview)

Sustiva is a non-nucleoside reverse transcriptase inhibitor which is a kind of drug used for HIV (anti-viral agent, antibiotic and antimicrobial).


Dr. Ana Adelstein
16 doctors shared insights

Sustiva (Overview)

Sustiva is a non-nucleoside reverse transcriptase inhibitor which is a kind of drug used for HIV (anti-viral agent, antibiotic and antimicrobial).


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How long does it take for the side effects of sustiva (efavirenz) to go?

How long does it take for the side effects of sustiva (efavirenz) to go?

Varies, <3 weeks: The side effects of sustiva (efavirenz) (dizziness, vivid dreams, morning grogginess, insomnia) can vary from person to person, but according to studies, it usually goes away within 3 weeks or so. However, everyone is different and I have some patients where it may persist longer. If you are having symptoms which may be related to sustiva (efavirenz), please talk to your primary care provider about this. ...Read more

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The doctor prescribed me w/ pantoprazole for hyperacidity can this interact with my ARV? Im taking lamivudine tenofovir and efavirenz for 2yrs now?

The doctor prescribed me w/ pantoprazole for hyperacidity can this interact with my ARV? Im taking lamivudine tenofovir and efavirenz for 2yrs now?

Drug Interactions: Yes. You are correct. But, many of us have had to 'bend' the rules to allow our patients some relief. I tell my patients to not take the Effavarenz at the same time as the Pantoprazole and to try to take them at opposite ends of the day. Your doctor will want to verify that your viral load remains undetectable a few weeks into the new medication. The other issue is finding the cause of the acid. ...Read more

Dr. Tony Ho Dr. Ho
1 doctor agreed:
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Hey, is it possible for the HIV virus to be undetectable after 7months of medication..Ive been on sustiva/truvada combination ever since then.

Dr. Tony Ho Dr. Ho
1 doctor agreed:
Hey, is it possible for the HIV virus to be undetectable after 7months of medication..Ive been on sustiva/truvada combination ever since then.

Yes: Undetectable HIV levels are the goal of HIV therapy; however, if you go off therapy, the HIV levels will rise again. Congratulations on your disease control! ...Read more

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How long does it take side effects of sustiva (efavirenz) 2 go?

How long does it take side effects of sustiva (efavirenz) 2 go?

Varies, <3 weeks: The side effects of sustiva (efavirenz) (dizziness, vivid dreams, morning grogginess, insomnia) can vary from person to person, but according to studies, it usually goes away within 3 weeks or so. However, everyone is different and I have some patients where it may persist longer. If you are having symptoms which may be related to sustiva (efavirenz), please talk to your primary care provider about this. ...Read more

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How long does it take for the side effects of sustiva (efavirenz) to go?

Varies, <3 weeks: The side effects of sustiva (efavirenz) (dizziness, vivid dreams, morning grogginess, insomnia) can vary from person to person, but according to studies, it usually goes away within 3 weeks or so. However, everyone is different and I have some patients where it may persist longer. If you are having symptoms which may be related to sustiva (efavirenz), please talk to your primary care provider about this. ...Read more

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I am on nevriphine and used to be on sustiva (efavirenz). Is it ok to drink twice a week?

I am on nevriphine and used to be on sustiva (efavirenz). Is it ok to drink twice a week?

Nevirapine?: No interactions found. (http://www.drugs.com/interactions-check.php?drug_list=1710-0,1034-14582)

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How effective is Sustiva (efavirenz) for treating HIV?

How effective is Sustiva (efavirenz) for treating HIV?

Yes: Susteva is a stand alone medication and part of a 1 pill 3 drug combination medication called Atripla. It is effective (barring overt mutation) but not one of my favorite regimens. It may cause vivid dream/nightmares and elevated triglycerides. If not taken in Atripla, 2 other active agents must be used with it to be effective. ...Read more

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How common is facial swelling from sustiva (efavirenz)?

How common is facial swelling from sustiva (efavirenz)?

It is not listed...: ...In the package insert as a common side effect, but facial swelling can be a sign of allergic reaction to the drug - particularly if accompanied by fever, a general ill feeling, fatigue, muscle or joint aches, blisters, oral lesions, or eye inflammation. If you have any combination of those, call your doctor right away. ...Read more

Dr. Tony Ho Dr. Ho
1 doctor agreed:
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Hey, is it possible for the HIV virus to be undetectable after 7months of medication..Ive been on sustiva/truvada combination ever since then.

Dr. Tony Ho Dr. Ho
1 doctor agreed:

Yes: Undetectable HIV levels are the goal of HIV therapy; however, if you go off therapy, the HIV levels will rise again. Congratulations on your disease control! ...Read more

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How does nician suuplement affect glucose level as mine was high, fasting? I do take 200 mg.Fenofibrate and 2 HIV meds combivir/sustiva. Thanks.

How does nician suuplement affect glucose level as mine was high, fasting? I do take 200 mg.Fenofibrate and 2 HIV meds combivir/sustiva. Thanks.

May raise slightly: Niacin often raises blood sugar by 4-5 mg/dl, esp. Shortly after starting treatment, but the effect usually dissipates over time. It can increase glucose more in those with high blood sugar. See https://www.Lef.Org/magazine/mag2007/mar2007_atd_01.Htm ; http://www.Med.Nyu.Edu/content?Chunkiid=21769. ...Read more

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Hiv+take combivir-sustiva and remeron (mirtazapine) at bed. High trigl, take tricor.Eat well. Which med may cause this? Fast. Glycose 134. Help with sugges.!

Genes: I do not for one moment think you can blame the HIV meds alone. But both sustiva and azt (zidovudine) may have a role in the hypertriglyceridemia. They are not causing the sugar problem. Your genes and having HIV could be playing most of the role here. Your situation is not unusual. ...Read more

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Can HIV meds-combivir and sustiva (efavirenz) affect ones blood sugar levels? Viral load undet., t-cell 800+. Thanks.

Sustiva (efavirenz) side effects: Possibly. The longer you are on sustiva (efavirenz) (especially) your sugars and lipids may be affected. But, given your age, diet and or the lack of exercise is the main reason for blood sugar troubles. ...Read more

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I am have been on combivir (lamivudine and zidovudine) & sustiva (efavirenz) since 2008. What are the side effects I should be aware of in the long term?

I am have been on combivir (lamivudine and zidovudine) & sustiva (efavirenz) since 2008. What are the side effects I should be aware of in the long term?

HIV Cocktail: This is a very effective regimen. If you are not having cholesterol abnormalities, or anemia, or mental health (depression) concerns then there is nothing to be worried about. ...Read more

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Hiv+20 yrs.Combivir/sustiva taken. I read red grapefruit juice helps "blood sugar." i know I am wrong. Is carrot juice ok as i love it.Tcell/vl undet.

Neither: Grapefruit juice or carrot juice "helps" blood sugar. Both can raise blood sugar, but both can also be part of a good healthy nutritional intake. Consult w/your physician and a good registered dietitian regarding your specific nutritional needs. ...Read more

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I am not overwgt.Nor do I no excercise. Take combivir (lamivudine and zidovudine) and sustiva meds for hiv. Can either/both cause blood sugar to rise? I just had pcp do a A1c tes

Insulin resistance: Protease inhibitors can contribute to lipodystrophy which can lead to elevated blood glucose because of Insulin resistance. Also drug induced pancreatitis can lead to decreased Insulin production. ...Read more

Dr. Stephen Scholand
17 doctors shared insights

Efavirenz (Definition)

Efavirenz is a non-nucleoside reverse transcriptase inhibitor which is a kind of drug used for HIV (anti-viral ...Read more