Saturday, December 15, 2012

Email 158: On Skin Rashes


Good day. 

I have been diagnosed with HIV for a month now overseas and now I'm currently having my vacation here in Manila. My doctor gave me this ARV tablet (Atripla) but after three weeks of taking this medicine I noticed some rashes on my arms, chest and my stomach. They are like a blotches maybe. I am not sure. They are also very itchy and are getting worse.


I am well and that is the only problem I am experiencing after being diagnosed. I have no contacts with my doctor as of the momentI I just want to ask if this is normal or part of being HIV+ or maybe one of the side effects of my medicine that I'm taking. 

Right now I didn't stop taking my medication because it is not advisable and also taking anti-histamine to control the rashes. Is that alright? Can you help me or give me some suggestions on what to do. Thank you.

XXX


CONTRIBUTOR'S RESPONSE


Hi XXX,

Thank you for your email.  

You are quite correct in not ceasing to take your ARV without first consulting your HIV Medical Specialist so well done there!  Rashes are common in people who are newly diagnosed with HIV as the CD4 levels are usually at their lowest at this stage.  If they become severe, you should see your HIV Medical Specialist as soon as possible.

Regarding Atripla, it is a very effective ARV.  However, the Efavirenz in it in particular, can cause rashes to occur within the first 4 weeks of starting therapy.  It is metabolized by the liver and thus can interact with other drugs, including oral antihistamines, and others used to treat many conditions.  The only person who is in a position to recommend which oral antihistamine, if any, is required, is your HIV Medical Specialist.  This is the person who must also be informed, and consulted, regarding any changes to your lifestyle including the use of over the counter medications and supplements.  If the rashes become unbearable the safest course of action would be to apply an over the counter topical corticosteroids (hydrocortisone) until you are able to see your HIV Medical Specialist. 

I hope you have found this answer helpful.  



Stay healthy and compliant with your ARV regimen,

Malcolm Brown
International Contributor



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