The medication that we prescribe will depend on your blood results. If your viral load - the amount of HIV in your blood is less than 100 000 then we would prescribe Truvada (or generics) and Edurant (a newer drug in the same class as Efavirenz and Nevirapine). We need to make sure that you do not have TB because it cannot be taken with TB treatment.
If your viral load is above 100 000 or you have TB then you will get the FDC Fixed Dose Combination 3-in-1 tablet that contains Efavirenz. It has side-effects such as dizziness and nightmares but it works well.
There is a new kid on the block called Dolutegravir (Tivicay). It is available in the private sector. The medical aid schemes are still warming up to it but if you are a cash patient you can get it via your doctor. It comes combined with Abacavir and Lamivudine to make a 3-in-1 tablet called Trelavue which has minimal side-effects. We are hoping that within the next two years we will be phasing in Dolutegravir and phasing out combinations that contain Efavirenz.
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