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Are headaches and twitching normal on HIV meds?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was diagnosed with HIV (Human Immunodeficiency Virus) four months back and started ARV (Anti-retroviral) immediately due to the CD4 baseline of 466, and have been experiencing shingles in the same month. One month before that, my result was NR (not reliable). Just a week ago, my neck started to pain, accompanied by a slight to moderate headache, and my lips were twitching, and it was so hard for me to wake up in the morning. What should I do? Is this normal? I am taking LTE (Efavirenz, Lamivudine, and Tenofovir) and Isoniazid for anti-TB, but I do not have TB (tuberculosis).

Kindly guide.

Answered by Dr. Kiran Anaparthi

Education:

MBBS

Professional Bio:

Dr. Kiran Anaparthi is a highly skilled and established physician in Family Physician. He is an expert in tackling complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

With CD4 (cluster of differentiation 4) at 466, it is very rare to get brain infections to cause a headache, and as you are not having a fever, this headache has no relationship with HIV (human immunodeficiency virus) or OI (opportunistic infection). Neck pain may be a sprain or HIV induced myalgia. HAART (highly active anti-retroviral therapy) treatment would be sufficient and simple. Aceclofenac is enough. Efavirenz tends to cause heaviness in the morning. It is due to a drug. Nothing to worry about. Isoniazid is given to clear the latent TB (tuberculosis) infection. Complete the course.

I hope this helps.

Thank you.

Answered by
Medically reviewed by iCliniq medical review team
Published At August 13, 2018
Reviewed At December 29, 2025

Education:

MBBS

Professional Bio:

Dr. Kiran Anaparthi is a highly skilled and established physician in Family Physician. He is an expert in tackling complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kiran Anaparthi

HIV/AIDS specialist

Education:

MBBS

Professional Bio:

Dr. Kiran Anaparthi is a highly skilled and established physician in Family Physician. He is an expert in tackling complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

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