1 / 6

CASE 3

CASE 3. 56 yo man HIV + 2006 CD4 310 VL 69,241 c/ml Asymptomatic Baseline genotype…no mutations. CASE 3. TDF/FTC/EFV initiated V ivid dreams initially for first month At 12 months, lipids an issue for which Rosuvastatin is initiated Otherwise well, no problems. CASE 3.

drake
Download Presentation

CASE 3

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CASE 3 • 56 yo man • HIV + 2006 • CD4 310 • VL 69,241 c/ml • Asymptomatic • Baseline genotype…no mutations

  2. CASE 3 TDF/FTC/EFV initiated • Vivid dreams initially for first month • At 12 months, lipids an issue for which Rosuvastatin is initiated • Otherwise well, no problems

  3. CASE 3 TDF/FTC/EFV • At 24 months, lipids under good control • Issues with sleep with diffculty falling asleep and early awakening • No concurrent depressive/anxiety related issues

  4. CASE 3 TDF/FTC/EFV • At 27 months, sleep worsening, daytime somnolence, profound fatigue • Stress at work and home due to poor performance/ chronic lateness, agitation and dysphoria

  5. CASE 3 TDF/FTC/EFV • Patient asking for an antiretroviral switch as his friends told him they had the same issues with TDF/FTC/EFV What would you do?

  6. CASE 3 TDF/FTC/EVF continues: • Rosuvastatin held and sleep improves back to normal • Daytime somnolence/fatigue/agitation/ dysphoria and poor work/home performance disappears concomitantly

More Related