Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis

HIV pre-exposure prophylaxis (PrEP) with emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF) fixed-dose combination (FTC/TDF) is undergoing rapid scale-up in the United States. While FTC/TDF is typically well tolerated, to our knowledge, cranial nerve pathology associated with FTC/TDF has no...

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Main Authors: Loraine Van Slyke FNP-C, Mia Scott DO
Format: Article
Language:English
Published: SAGE Publishing 2018-03-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/2325958218760846
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author Loraine Van Slyke FNP-C
Mia Scott DO
author_facet Loraine Van Slyke FNP-C
Mia Scott DO
author_sort Loraine Van Slyke FNP-C
collection DOAJ
description HIV pre-exposure prophylaxis (PrEP) with emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF) fixed-dose combination (FTC/TDF) is undergoing rapid scale-up in the United States. While FTC/TDF is typically well tolerated, to our knowledge, cranial nerve pathology associated with FTC/TDF has not been previously described. We report the case of a 35-year-old patient who began FTC/TDF PrEP and developed acute trigeminal neuralgia. The neurologic symptoms resolved after treatment discontinuation and recurred upon rechallenge, resulting in permanent discontinuation of PrEP treatment.
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spelling doaj.art-719dffcb9415462aac391af433f98cef2022-12-22T01:29:47ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822018-03-011710.1177/2325958218760846Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure ProphylaxisLoraine Van Slyke FNP-C0Mia Scott DO1 APEX Research/Family Medicine, Denver, CO, USA APEX Research/Family Medicine, Denver, CO, USAHIV pre-exposure prophylaxis (PrEP) with emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF) fixed-dose combination (FTC/TDF) is undergoing rapid scale-up in the United States. While FTC/TDF is typically well tolerated, to our knowledge, cranial nerve pathology associated with FTC/TDF has not been previously described. We report the case of a 35-year-old patient who began FTC/TDF PrEP and developed acute trigeminal neuralgia. The neurologic symptoms resolved after treatment discontinuation and recurred upon rechallenge, resulting in permanent discontinuation of PrEP treatment.https://doi.org/10.1177/2325958218760846
spellingShingle Loraine Van Slyke FNP-C
Mia Scott DO
Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
Journal of the International Association of Providers of AIDS Care
title Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
title_full Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
title_fullStr Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
title_full_unstemmed Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
title_short Acute Trigeminal Neuralgia Associated with Initiation of Emtricitabine/Tenofovir for HIV Pre-Exposure Prophylaxis
title_sort acute trigeminal neuralgia associated with initiation of emtricitabine tenofovir for hiv pre exposure prophylaxis
url https://doi.org/10.1177/2325958218760846
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