Taking Atripla And Trying To Conceive. Medication Is Affecting Ovulation And Implantation. Suggest The Cure?

Posted on Mon, 7 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 7 Oct 2013 Answered on

Mon, 28 Oct 2013 Last reviewed on

Question : Hi Doctor, Im taking Atripla and I now have a condition on my joints, what can I use that will not affect my joints? Im also trying to have a baby and the medication for my joints is affecting my ovulation and implantation.

Answered by Dr. Sankaranantham Murugan (2 hours later)

Brief Answer:
Find reason for joint pain and treat accordingly.

Detailed Answer:
Hi,
Welcome to XXXXXXX
Thanks for posting your query.

How long are you on Atripla?
What is your CD4 count and the viral road.

Your joint pain may be either be due to HIV disease itself or due to opportunistic infections, subsequent to immune defficiency or it may be due to reduced bone mineral density secondary to ART drugs (Tenofovir).
Blood investigations, MRI, and X-ray examinations are able to differentiate the causes and able to fix the diagnosis. Accordingly treatment has to be planned.
If it is due to ART, then you can prefer some ART combination without Tenofovir.
If you want to have baby Efaviranz also better to be changed either with Nevirapine or some PI drugs. But recently Efaviranz is said to be safe in pregnancy
Get well soon.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar