Professional Documents
Culture Documents
(atazanavir sulfate) is a
prescription medicine used in combination with other
medicines to treat people 6 years of age and older who are
infected with the human immunodeciency virus (HIV).
REYATAZ has been studied in a 48-week trial in patients
who have taken anti-HIV medicines and a 96-week trial
in patients who have never taken anti-HIV medicines.
REYATAZ does not cure HIV or AIDS and you may
continue to experience illnesses associated with
HIV-1 infection, including opportunistic infections.
IMPORTANT SAFETY INFORMATION:
Do not take REYATAZ if you are allergic to
REYATAZ or to any of its ingredients.
Do not take REYATAZ if you are taking the
following medicines due to potential for
serious, life-threatening side effects or death:
Versed
, Migranal
, D.H.E. 45
, ergotrate maleate,
Methergine
(cisapride), or
Orap
(pimozide).
Do not take REYATAZ with the following
medicines due to potential for serious side
effects: Camptosar
(irinotecan), Crixivan
(indinavir),
Mevacor
(lovastatin), Zocor
(simvastatin),
Uroxatral
(alfuzosin), or Revatio
(sildenal).
Do not take REYATAZ with the following medicines
as they may lower the amount of REYATAZ in your
blood, which may lead to increased HIV viral load and
resistance to REYATAZ or other anti-HIV medicines:
rifampin (also known as Rimactane
, Rifadin
, Rifater
,
or Rifamate
(nevirapine).
Serevent Diskus
(salmeterol
with uticasone) are not recommended with REYATAZ.
Do not take Vfend
(ritonavir).
The above lists of medicines are not complete. Taking
REYATAZ with some other medicines may require
your therapy to be monitored more closely or
may require a change in dose or dose schedule of
REYATAZ or the other medicine. Discuss with your
healthcare provider all prescription and non-prescription
medicines, vitamin and herbal supplements, or other health
preparations you are taking or plan to take.
Tell your healthcare provider if you are pregnant
or plan to become pregnant. REYATAZ use during
pregnancy has not been associated with an increase in
birth defects. Pregnant women have experienced serious
side effects when taking REYATAZ with other HIV
medicines called nucleoside analogues. After your
baby is born, tell your healthcare provider if your
babys skin or the white part of his/her eyes turns yellow.
Do not breastfeed if you are HIV-positive.
Also tell your healthcare provider if you have
end-stage kidney disease managed with hemodialysis
or severe liver dysfunction.
Tell your healthcare provider right away if you have any side
effects, symptoms, or conditions, including the following:
s -ILDRASH (redness and itching) without other symptoms
sometimes occurs in patients taking REYATAZ, most
often in the rst few weeks after the medicine is
started, and usually goes away within 2 weeks with
no change in treatment.
IMPORTANT SAFETY INFORMATION (contd):
s 3EVERERASHmay develop with other symptoms that could
be serious and potentially cause death. If you develop a
rash with any of the following symptoms, stop using
REYATAZ (atazanavir sulfate) and call your healthcare
provider right away:
Shortness of breath
General ill-feeling or u-like symptoms
Fever
Muscle or joint aches
Conjunctivitis (red or inamed eyes, like pink-eye)
Blisters
Mouth sores
Swelling of your face
s Yellowing of the skin and/or eyes may occur due to
increases in bilirubin levels in the blood (bilirubin is made
by the liver).
s A change in the way your heart beats may occur.
You may feel dizzy or lightheaded. These could be symptoms
of a heart problem.
s Diabetes and high blood sugar may occur in patients taking
protease inhibitor medicines like REYATAZ. Some patients may
need changes in their diabetes medicine.
s If you have liver disease, including hepatitis B or C,
it may get worse when you take anti-HIV medicines like
REYATAZ.
s Kidney stones have been reported in patients taking
REYATAZ. Signs or symptoms of kidney stones include pain in
your side, blood in your urine, and pain when you urinate.
s Some patients with hemophilia have increased bleeding
problems with protease inhibitor medicines like REYATAZ.
s Changes in body fat have been seen in some patients taking
anti-HIV medicines. The cause and long-term effects are not
known at this time.
s Immune reconstitution syndrome has been seen in some
patients with advanced HIV infection (AIDS) and a history of
opportunistic infection. Signs and symptoms of inammation
from previous infections may occur soon after starting anti-HIV
treatment, including REYATAZ.
s Gallbladder disorders (including gallstones and gallbladder
inammation) have been reported in patients taking REYATAZ.
Other common side effects of REYATAZ taken with other
anti-HIV medicines include: nausea; headache; stomach pain;
vomiting; diarrhea; depression; fever; dizziness;
trouble sleeping; numbness, tingling, or burning
of hands or feet; and muscle pain.
You should take REYATAZ once daily with
food (a meal or snack). Swallow the capsules
whole; do not open the capsules. You
should take REYATAZ and your other
anti-HIV medicines exactly as
instructed by your healthcare provider.
You are encouraged to report
negative side effects of prescription
drugs to the FDA. Visit
www.fda.gov/medwatch or
call 1-800-FDA-1088.
REYATAZ is one of several
treatment options your doctor
may consider.
Please see Important
Patient Information
about REYATAZ on the
adjacent pages.
REYATAZ is a registered
trademark of Bristol-Myers Squibb.
All other trademarks are the property
of their respective owners and not
of Bristol-Myers Squibb.
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WASHI NGTONBLADE. COM JULY 20, 2012 0
ONCE-DAILY REYATAZ IN HIV COMBINATION THERAPY:
s #ANHELPLOWERYOURVIRALLOADTOUNDETECTABLEAND
help raise your T-cell (CD4+ cell) count
s (ASBEENPRESCRIBEDBYPHYSICIANSFORMORETHAN
200,000 HIV patients since 2003
s #ANBETAKENBYADULTSWHOARESTARTING()6
treatment for the rst time and adults who have
already been on HIV treatment
Do not take REYATAZ if you are allergic to REYATAZ
or to any of its ingredients.
REYATAZ does not cure HIV or AIDS and you may
continue to experience illnesses associated with
HIV-1 infection, including opportunistic infections.
Individual results may vary.
Ask your healthcare team how REYATAZ
in combination therapy can help get you
to undetectable.
DETERMINED
+
UNDETECTABLE
REYATAZ CAN HELP GET YOU
TO UNDETECTABLE, SO YOU CAN
FIGHT HIV YOUR WAY.
Fight HIV your way.
www.REYATAZ.com
*Undetectable was dened as a viral load
of less than 400 copies/mL.
(RAY-ah-taz)
(generic name = atazanavir sulfate)
Capsules
ALERT: Find out about medicines that should NOT be taken with REYATAZ.
Read the section What important information should I know about taking REYATAZ
with other medicines?
Read the Patient Information that comes with REYATAZ before you start using it
and each time you get a refill. There may be new information. This leaflet provides
a summary about REYATAZ and does not include everything there is to know
about your medicine. This information does not take the place of talking with your
healthcare provider about your medical condition or treatment.
What is REYATAZ?
REYATAZ is a prescription medicine used with other anti-HIV medicines to treat
people 6 years of age and older who are infected with the human immunodeficiency
virus (HIV). HIV is the virus that causes acquired immune deficiency syndrome (AIDS).
REYATAZ is a type of anti-HIV medicine called a protease inhibitor. HIV infection
destroys CD4+ (T) cells, which are important to the immune system. The immune
system helps fight infection. After a large number of (T) cells are destroyed, AIDS
develops. REYATAZ helps to block HIV protease, an enzyme that is needed for the
HIV virus to multiply. REYATAZ may lower the amount of HIV in your blood, help your
body keep its supply of CD4+ (T) cells, and reduce the risk of death and illness
associated with HIV.
Does REYATAZ cure HIV or AIDS?
REYATAZ does not cure HIV infection or AIDS and you may continue to experience
illnesses associated with HIV-1 infection, including opportunistic infections. You
should remain under the care of a doctor when using REYATAZ.
Avoid doing things that can spread HIV-1 infection.
Do not share needles or other injection equipment.
Do not share personal items that can have blood or body fluids on them,
like toothbrushes and razor blades.
Do not have any kind of sex without protection. Always practice safe
sex by using a latex or polyurethane condom to lower the chance of sexual
contact with semen, vaginal secretions, or blood.
Who should not take REYATAZ?
Do not take REYATAZ if you:
are taking certain medicines. (See What important information should I
know about taking REYATAZ with other medicines?) Serious life-threatening
side effects or death may happen. Before you take REYATAZ, tell your
healthcare provider about all medicines you are taking or planning to take.
These include other prescription and nonprescription medicines, vitamins,
and herbal supplements.
are allergic to REYATAZ or to any of its ingredients. The active ingredient is
atazanavir sulfate. See the end of this leaflet for a complete list of ingredients
in REYATAZ. Tell your healthcare provider if you think you have had an allergic
reaction to any of these ingredients.
What should I tell my healthcare provider before I take REYATAZ?
Tell your healthcare provider:
If you are pregnant or plan to become pregnant. REYATAZ use during
pregnancy has not been associated with an increase in birth defects. Pregnant
women have experienced serious side effects when taking REYATAZ with
other HIV medicines called nucleoside analogues. You and your healthcare
provider will need to decide if REYATAZ is right for you. If you use REYATAZ
while you are pregnant, talk to your healthcare provider about the Antiretroviral
Pregnancy Registry.
After your baby is born, tell your healthcare provider if your babys skin
or the white part of his/her eyes turns yellow.
If you are breastfeeding. Do not breastfeed. It is not known if REYATAZ can
be passed to your baby in your breast milk and whether it could harm your
baby. Also, mothers with HIV-1 should not breastfeed because HIV-1 can be
passed to the baby in the breast milk.
If you have liver problems or are infected with the hepatitis B or C virus.
See What are the possible side effects of REYATAZ?
If you have end stage kidney disease managed with hemodialysis.
If you have diabetes. See What are the possible side effects of REYATAZ?
If you have hemophilia. See What are the possible side effects of REYATAZ?
About all the medicines you take including prescription and nonprescription
medicines, vitamins, and herbal supplements. Keep a list of your medicines
with you to show your healthcare provider. For more information, see What
important information should I know about taking REYATAZ with other
medicines? and Who should not take REYATAZ? Some medicines can
cause serious side effects if taken with REYATAZ.
How should I take REYATAZ?
Take REYATAZ once every day exactly as instructed by your healthcare
provider. Your healthcare provider will prescribe the amount of REYATAZ that
is right for you.
Always take REYATAZ with food (a meal or snack) to help it work better.
Swallow the capsules whole. Do not open the capsules. Take REYATAZ at
the same time each day.
If you are taking antacids or didanosine (VIDEX
or VIDEX
EC), take
REYATAZ 2 hours before or 1 hour after these medicines.
If you are taking medicines for indigestion, heartburn, or ulcers
such as AXID
(nizatidine), PEPCID AC
(famotidine), TAGAMET
(cimetidine), ZANTAC
(ranitidine), AcipHex
(rabeprazole), NEXIUM
(esomeprazole), PREVACID
(lansoprazole), PRILOSEC
(omeprazole),
or PROTONIX
(atazanavir sulfate)
changes in body fat. These changes may include an increased amount of fat
in the upper back and neck (buffalo hump), breast, and around the trunk.
Loss of fat from the legs, arms, and face may also happen. The cause and
long-term health effects of these conditions are not known at this time.
immune reconstitution syndrome. In some patients with advanced HIV
infection (AIDS) and a history of opportunistic infection, signs and symptoms
of inflammation from previous infections may occur soon after anti-HIV
treatment, including REYATAZ, is started.
Other common side effects of REYATAZ taken with other anti-HIV medicines include
nausea; headache; stomach pain; vomiting; diarrhea; depression; fever; dizziness;
trouble sleeping; numbness, tingling, or burning of hands or feet; and muscle pain.
Gallbladder disorders (which may include gallstones and gallbladder inflammation)
have been reported in patients taking REYATAZ.
What important information should I know about taking REYATAZ with other
medicines?
Do not take REYATAZ if you take the following medicines (not all brands may
be listed; tell your healthcare provider about all the medicines you take).
REYATAZ may cause serious, life-threatening side effects or death when used
with these medicines.
Ergot medicines. dih]droergotamine, ergonovine, ergotamine, and
methylergonovine such as CAFERGOT
, MIGRANAL
, D.H.E. 45
, ergotrate
maleate, METHERGINE
(lovastatin) or ZOCOR
(simvastatin).
UR0XATRAl
, RIFADIN
, RIFATER
, or RIFAMATE
,
used for tuberculosis).
8t. John's wort (Hypericum perforatum), an herbal product sold as a dietary
supplement, or products containing 8t. John's wort.
VlRANUhE
together:
VFEhD
(voriconazole).
The following medicines may require your healthcare provider to monitor
your therapy more closely (for some medicines a change in the dose or dose
schedule may be needed):
ClAll8
(tadalafil), LEVITRA
(vardenafil), or VIAGRA
(sildenafil), used to
treat erectile dysfunction. REYATAZ may increase the chances of serious side
effects that can happen with CIALIS, LEVITRA, or VIAGRA. Do not use CIALIS,
LEVITRA, or VIAGRA while you are taking REYATAZ unless your healthcare
provider tells you it is okay.
ADClRCA
(tadalafil) or TRACLEER
(atorvastatin) or CRESTOR
(amiodarone), lidocaine,
quinidine (also known as CARDl00Ulh
, 0UlhlDEX
, and others).
NYC0BUTlh
, 8UBUTEX
, 8UB0X0hE
, (buprenorphine or buprenorphine/
naloxone, used to treat pain and addiction to narcotic painkillers).
VA8C0R
(warfarin).
Tric]clic antidepressants such as ElAVll
(amitriptyline), NORPRAMIN
(desipraminej, 8lhE0UAh
(doxepinj, 8URN0hTll
(trimipramine),
TOFRANIL
(imipramine), or VIVACTIL
(protriptyline).
Nedicines to prevent organ transplant rejection. 8AhDlNNUhE
or NEORAL
(c]closporinj, RAPANUhE
(sirolimus), or PROGRAF
(tacrolimus).
The antidepressant trazodone (DE8YREl
and others).
Fluticasone propionate (Fl0hA8E
, FLOVENT
.
Colchicine (C0lCRY8
(saquinavir).
h0RVlR
(ritonavir).
8U8TlVA
(efavirenz).
Antacids or ouffered medicines.
VlDEX
(didanosine).
VlREAD
(rifabutin).
Calcium channel olockers such as CARDlZEN
or TIAZAC
(diltiazem),
COVERA-HS
or ISOPTIN SR
(clarithromycin).
Nedicines for indigestion, heartourn, or ulcers such as AXlD
(nizatidine),
PEPCID AC
(famotidine), TAGAMET
(cimetidine), or ZANTAC
(ranitidine).
Talk to your healthcare provider about choosing an effective method of
contraception. REYATAZ may affect the safety and effectiveness of hormonal
contraceptives such as birth control pills or the contraceptive patch. Hormonal
contraceptives do not prevent the spread of HIV to others.
Remember:
1. Know all the medicines you take.
2. Tell your healthcare provider about all the medicines you take.
3. Do not start a new medicine without talking to your healthcare provider.
How should I store REYATAZ?
8tore REYATAZ Capsules at room temperature, 59 to 8O F (15 to 8O Cj. Do
not store this medicine in a damp place such as a bathroom medicine cabinet
or near the kitchen sink.
Keep ]our medicine in a tightl] closed container.
Keep all medicines out of the reach of children and pets at all times. Do not
keep medicine that is out of date or that you no longer need. Dispose of
unused medicines through community take-back disposal programs when
available or place REYATAZ in an unrecognizable, closed container in the
household trash.
General information about REYATAZ
This medicine was prescribed for your particular condition. Do not use REYATAZ for
another condition. Do not give REYATAZ to other people, even if they have the same
symptoms you have. It may harm them. Keep REYATAZ and all medicines out of
the reach of children and pets.
This summary does not include everything there is to know about REYATAZ.
Medicines are sometimes prescribed for conditions that are not mentioned in patient
information leaflets. Remember no written summary can replace careful discussion
with your healthcare provider. If you would like more information, talk with your
healthcare provider or ]ou can call 1-8OO-821-1885.
What are the ingredients in REYATAZ?
Active Ingredient: atazanavir sulfate
Inactive Ingredients: Crospovidone, lactose monohydrate (milk sugar), magnesium
stearate, gelatin, FD&C Blue No. 2, and titanium dioxide.
VlDEX
and REYATAZ
and 8U8TlVA
(atazanavir sulfate)
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687US11AB06117 TRIM SIZE 9.75" X 11.5" Pub:
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Several voting members
support adding language
By CHRIS JOHNSON
cjohnson@washblade.com
The question of whether the Democratic
Party platform will include an endorsement
of same-sex marriage has reemerged after
the naming of committee members wholl
write the document.
The Washington Blade solicited
responses from each member of the
platform drafting committee both voting
and non-voting members to determine
if theyd support including an endorsement
of marriage equality in the platform with the
exception of Tom Wheeler, who couldnt
be reached for comment.
Three voting members Carlos
Odio, a Latino Democratic activist,
Donna Harris-Aikens, the National
Education Associations director of policy
and practice, and NARAL Pro-Choice
America President Nancy Keenan went
on the record saying theyd unequivocally
back such language, as did two non-
voting members Massachusetts Gov.
Deval Patrick and Democratic National
Committee Secretary Alice Germond
while others had different responses and
the majority had no response at all.
Last week, the Democratic National
Committee announced the names of the
15 people wholl serve on the platform
drafting committee, which will create the
platform dening the principles of the
Democratic Party over the course of the
next four years during the second term of
ofce that President Obama is seeking.
The platform drafting committee,
which will be chaired by former Ohio
Gov. Ted Strickland, includes Democrats
ranging from high-prole public ofcials,
to scholars, to leaders of non-prot
organizations. Among them is Rep. Barney
Frank (D-Mass.), the longest-serving
openly gay member of Congress who
announced his planned retirement as a
lawmaker late last year.
Other notables include Keenan, Rep.
Barbara Lee (D-Calif.), and Philadelphia
Mayor Michael Nutter. Serving as ex-
ofcio members, or non-voting members,
are Patrick, Germond and Wheeler.
The rst publicly scheduled meeting
for the group is a national hearing during
the weekend of July 27 in Minneapolis,
Minn., where the committee will hear
public presentations. The committee will
then meet to draft the platform which will
ultimately be used as a working document
by the full platform committee chaired by
Newark Mayor Cory Booker and retired Lt.
Gen. Claudia Kennedy, the rst female to
reach the rank of three-star general in the
Army. Veteran political consultant Andy
Grossman has been named as the DNCs
national platform director.
The full Platform Committee will convene
at a meeting during the weekend of Aug.
10 in Detroit where members will discuss
the draft platform and have the opportunity
to submit new proposed amendments,
which need approval by a majority of the
committee voting and present for passage.
The platform will then be delivered to
convention delegates in Charlotte.
Odio, who served as deputy Latino vote
director for the 2008 Obama campaign and
as a liaison for Latino leaders at the White
House Ofce of Political Affairs, said hell
absolutely advocate for a marriage equality
plank in the Democratic Party platform.
Odio is now director of special projects
at the New Organizing Institute, an
organization that facilitates for social justice
through grassroots and online activism.
Miguel Gonzales, an NEA spokesperson,
conrmed that Harris-Aikens would
similarly support the idea of including
marriage equality in the platform on
behalf of NEA without providing a direct
statement from her.
Similar statements came from the two
non-voting members of the panel. Patrick
expressed support for a marriage equality
plank in a statement delivered to the Blade in
April that has previously gone unpublished.
Boy Scouts reafrm anti-gay stance
IRVING, Texas The Boy Scouts of America announced Tuesday the group
has decided to keep in place a policy that bars participation by openly gay scouts,
scout masters and parents.
With organizations including the Girl Scouts of the USA, the Boys &
Girls Club and the U.S. military allowing gay Americans to participate,
the Boy Scouts of America need to find a way to treat all children and
their parents fairly, said GLAAD President Herndon Graddick, upon the
organizations announcement that it had conducted a two-year study on
the matter and concluded parents would prefer the ban to remain in place.
Until this ban is lifted, the Scouts are putting parents in a situation where
they have to explain to their children why some scouts and hard-working
scout leaders are being turned away simply because of who they are. Its
unfair policies like this that contribute to a climate of bullying in our schools
and communities.
The Scouts statement suggested the organization is unlikely to visit the issue
again for some time, but advocates and activists have vowed to continue to
push the organization regardless, including online petition engine, Change.org,
which delivered another round of petitions to the organization the day after the
announcement.
Former NBA star renews vows at gay bar
WEST HOLLYWOOD, Calif. To show support for same-sex marriage rights,
longtime LGBT ally NBA star Doug Christie and his wife Jackie celebrated their
17th wedding anniversary by renewing their vows at the West Hollywood gay bar
Club Eleven, according to Outsports.com.
The reason we wanted to do it here was we wanted to bring attention to the
gay community, the former Los Angeles Clippers wife told the crowd. We
absolutely love, adore and stand united with all people no matter what gender,
doesnt matter if youre gay or lesbian, whatever it is we love you, and we want you
to all be able to get married too, when you want to.
Anti-gay group considers Google boycott
TUPELO, Miss. The manager of American Family Association radio, Buster
Wilson, suggested that the organization boycott internet search giant Google,
according to LGBT blog The New Civil Rights Movement.
The statement was in reaction to Googles Legalize Love campaign,
meant to raise awareness of laws criminalizing homosexuality around the
world, in hopes of eliminating those laws. Wilson suggested that the boycott
would test the meat of his supporters convictions, as he suggests
Google products, from calendar to Android phones, are in wide use at the
fundamentalist Christian group.
Thomson Reuters opposes Minn. marriage ban
MINNEAPOLIS Publishing giant Thomson Reuters says its opposition to the
proposed constitutional ban on same-sex marriage in Minnesota is a business
decision.
Mike Suchsland, president of Thomson Reuters Legal, and Rick King, COO,
Technology, the companys two highest-ranking Minnesota-based executives,
explained their opposition to the amendment in an email to the Minnesota-based
staff, according to Minnesota Public Radio.
We believe the Minnesota Marriage Amendment, if passed, would limit our
ability to recruit and retain top talent, the e-mail said. For this reason, we do not
believe that the Amendment would be good for Thomson Reuters or the business
community in the state.
Minnesota already bars same-sex marriage in law, but is one of four states where
November ballot measures will decide the fate of various same-sex marriage
related bills, when voters there will decide whether to encode the ban in the state
Constitution. In Washington, Maine and Maryland, voters will decide whether to
extend marriage rights to same-sex couples.
washingtonblade.com
12 JULY 20, 2012 NATlONAL NEWS
Will Dems include
marriage equality in
platform?
CONTINUES AT WASHINGTONBLADE.COM
Gay Rep. BARNEY FRANK sits on the
Democratic Partys Platform Drafting Committee.
BLADE FILE PHOTO BY MICHAEL KEY
WASHI NGTONBLADE. COM JULY 20, 2012 13
MARYLAND | WASHINGTON, DC | VIRGINIA
WWW.EAGLEBANKCORP.COM | 202-466-3161
SMALL
MEDIUM
LARGE
BUSINESS LOANS
Dear Film Fanatic,
QFest gives you 12 days to indulge.
Get your popcorn on July 12
-
23.
P.S. Get Your History Straight And
Your Nightlife Gay.
Fauci says conference to
galvanize around theme
of small advances
By LOU CHIBBARO JR.
lchibbaro@washblade.com
Many of the scientists from around
the world attending the International
AIDS Conference in Washington, D.C.,
scheduled to convene on Sunday will
examine what researchers say is the
leading stumbling block to a cure for
AIDS.
Highly effective AIDS drugs have
reduced the viral load in people with HIV
to undetectable levels, keeping them
healthy and enabling most to live a full
lifespan as long as they stick to their drug
regimen.
But researchers say the anti-retroviral
drugs that keep people with HIV healthy
by preventing the virus from replicating
currently cannot reach relatively low
levels of virus that are capable of
becoming dormant and embedded in
reservoirs within certain cells in the
human body.
Even after all of the bodys active
HIV has been eliminated, a missed dose
of anti-retroviral drugs can allow the
hibernating virus to emerge and ravage
its host all over again, according to an
article in the July 17 issue of Science Daily.
The conference is scheduled to take
place July 22-27 at the Washington
Convention Center.
Dr. Anthony Fauci, director of AIDS
research at the U.S. National Institutes
of Health, told the Washington Blade
on Tuesday that dozens of scientic
presentations at the conference will likely
focus on themes that address incremental
steps, with the ultimate goal of developing
an AIDS vaccine or a cure.
Fauci is scheduled to deliver the
opening address at the conference on
Monday. He said no major scientic
breakthroughs are expected to emerge
from the event.
So rather than there being meetings
where there are three or four scientic
breakthroughs there really is a sort of
consolidation or galvanization around
a theme, he said. The theme of this
meeting is Turning the Tide Together.
He said the title of his opening address
is Ending the AIDS Epidemic From
Scientic Advances to Public Health
Implementation.
And what youre going to hear
throughout the meeting is various
iterations in different regions, in different
populations, different demographic
groups about the challenges the
biological, behavioral and other
challenges of getting that done, Fauci
said.
The conference website, aids2012.
org, includes a list of all of the scientic
papers scheduled to be presented at
various panels and sessions as well as
non-scientic sessions addressing public
policy issues such as HIV prevention and
treatment issues.
The cure thing is going to be very
basic, like understanding the nature of
the HIV reservoir, Fauci said. Are there
ways that we can eradicate that reservoir?
If we cant eradicate it are there ways we
can either boost up the immune system or
modify the host so that their cells are not
susceptible to being infected?
Jose Zuniga, president of the
International Association of Physicians in
AIDS Care, which is sponsoring several
conference-related events, said other
leading topics expected to be addressed
by AIDS researchers are use of AIDS drugs
as a means of preventing HIV infection and
the use of aggressive treatment programs
as another mode of prevention.
The decision this week by the U.S. Food
and Drug Administration to approve the
use of the AIDS drug Truvada as an HIV
prevention pill is expected to draw the
attention of many conference participants.
(See related story on Page 22.)
washingtonblade.com
14 JULY 20, 2012 NATl ONAL NEWS
CONTINUES AT WASHINGTONBLADE.COM
Scientists to focus on factors that prevent AIDS cure
Researcher talks about
state of AIDS on eve of
conference
By LOU CHIBBARO JR.
lchibbaro@washblade.com
Dr. Anthony Fauci has been one of the
key leaders of the U.S. governments ght
against AIDS for nearly 30 years. Since
1984, Fauci has served as director of the
National Institute of Allergy and Infectious
Diseases, which is an arm of the National
Institutes of Health.
Although his work covers research into
other infectious diseases, Fauci serves
as one of the lead advisers to the White
House and the Department of Health and
Human Services on domestic and global
AIDS issues, according to biographical
information released by the NIH.
He has been credited with developing
effective strategies for the treatment of
people with HIV/AIDS as well as for the
continuing effort to develop an AIDS vaccine.
Fauci spoke to the Blade this week about
his hopes and expectations for the 19th
International AIDS Conference scheduled
for July 22-27 in Washington. About
30,000 people, including scientists, AIDS
researchers, government ofcials, and
AIDS activists from the U.S. and abroad are
expected to attend the conference.
Washington Blade: Can you say
something about what important
scientic advances and research ndings
will emerge from International AIDS
Conference in Washington next week?
Dr. Fauci: As in most international
meetings of this size it is unusual for
there to be a scientic breakthrough of
pure scientic nature that hasnt already
been seen, discussed, and vetted out in
the press. It is very unusual that a major
league breakthrough would all of a
sudden be totally timed for discussion
at the meeting. So thats not a negative
comment or a positive comment. It just is
what it is. Meetings like this have themes
and they kind of crystallize and galvanize
people around a particular theme.
The Vancouver [International AIDS
Conference] in 1996 the theme of that was
the rst time that we began discussing in
earnest the issue of having a combination
of drugs that would get the virus below a
detectable level and what impact would
that have on the longevity and the lifestyle
and functionality of people. That was the
big theme of that meeting.
The 2000 [International AIDS
Conference] in Durban was can we start
getting drugs that we know work in the
developed world to the developing
world when there were demonstrations in
Durban, South Africa.
So rather than there being meetings
where there are three or four scientic
breakthroughs there really is a sort of
consolidation or galvanization around a
theme. So the theme of this meeting, as
you know, is Turning the Tide Together.
Theyve asked me to lead off the opening
plenary session on Monday, July 23, with
a particular approach to the meeting. In
other words, to kind of set the scientic
tone of the meeting. And thats exactly
what it is because the title of my talk
is Ending the AIDS Epidemic From
Scientic Advances to Public Health
Implementation.
And what youre going to hear
throughout the meeting is various
iterations in different regions, in different
populations, different demographic
groups about the challenges the
biological, behavioral and other challenges
of getting that done. So Im going to talk
about how we went from fundamental
scientic discoveries to interventions that
you could actually use to help people
mostly treatments and prevention to
how we began to implement them, rst
in the developed world and then in the
developing world.
And now what the science-based
possibilities are for actually ultimately
ending the AIDS pandemic. Then you
are going to hear in rapid succession
after that either major talks or just minor
presentations of details of that. Like
Phill Wilson is going to talk about the
perspective from the African-American
community. Others will talk about it from
different countries Southern African
countries, the Caribbean, Europe, Asia,
etc. So thats going to be the prevailing
theme. And then obviously there are going
to be other approaches about individual
specic, more granular scientic issues like
the challenges of an HIV vaccine. We dont
have a vaccine. Where have we come
from? Where are we now and where do we
hope to go? There are going to be a lot of
discussions and panels on that.
Theres a satellite session before the
meeting starts on toward an HIV cure. You
know, what do we mean by a cure? How
does a cure relate to the rest of the things
that are going on? What are the scientic
challenges of a cure?
So we have a bunch of things that are
at the stage of having been developed
and they just need to be implemented.
So youre going to hear a lot about
implementing programs. And then there
are a couple of still existing major scientic
challenges, one of which is a vaccine and
theher of which is a cure.
Blade: Can you say where we stand on
both of those things?
Fauci: Well, with a vaccine we are
probably closer than we are to a cure.
Q&A with Dr. Anthony Fauci
Dr. ANTHONY FAUCI of the NIH has been
involved in the ght against AIDS since the onset
of the epidemic. (Photo courtesy NIH)
PHOTO COURTESY NIH
WASHI NGTONBLADE. COM JULY 20, 2012 15
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None of us expected to
live this long
By MICHAEL K. LAVERS
mlavers@washblade.com
D.C. resident John Klenert signed up
for a National Institutes of Health-funded
AIDS study at Johns Hopkins University
in 1984. The Centers for Disease Control
reported the rst cases of what became
known as AIDS three years earlier, but
some of Klenerts friends had already
passed away from the virus by the time the
research project had begun.
We gured if there was going to be
a cure that we would be the rst ones to
volunteer to get these tests, he said.
Johns Hopkins researchers in 1986
screened the rst blood samples that
Klenert and other study participants had
given once scientists discovered the virus
that causes AIDS. For me, the rst blood I
had given was positive, he said. I would
have been shocked had I turned out to be
negative.
Older people with HIV will be
the focus of a July 25 forum at the
International AIDS Conference. Panelists
will include Ricardo Jimenez of the
Ecuadorian Red Cross, Carolyn Massey
of Older Women Embracing Life, Inc.,
Wojciech Tomczynski of the Polish
Network of People Living with HIV/AIDS
Association and Ruth Waryaro of Help
Age International in Uganda. Doctor
Kevin Fenton of the Centers for Disease
Control and Prevention and Stephen
Karpiak and Mark Brennan-Ing of
AIDS Community Research Initiative of
Americas Center on HIV and Aging and
New York University College of Nursing
are among those who are scheduled to
speak during the plenary.
The CDC estimates that 10.8 percent
of the roughly 50,000 new HIV infections
that occur each year in the United States
are among those older than 50. It further
reports that 16.7 percent of new diagnoses
in 2009 were among this demographic,
with half of them also having AIDS. Federal
health ofcials predict that half of people
with HIV in the United States by 2015 will
be older than 50.
ACRIA, the New York-based Gay Mens
Health Crisis and Services and Advocacy
for GLBT Elders co-organized the forum
as part of what SAGE Senior Director of
Public Policy Robert Espinoza described
to the Blade as a need to increase visibility
around HIV-related aging issues.
We feel its an important conversation
because there are so many people who are
aging with HIV and AIDS, he told the Blade.
Increased access to treatment in the
United States and other developed
countries has allowed more people with
HIV to live longer. The arrival of more
widely available anti-retroviral drugs in
the mid-1990s has also contributed to this
trend.
If you were 35 in 1990 and you made it
to the mid to late 90s and got on protease
inhibitors, theres a good chance youre
still alive today and youd be above 50,
said ACRIA executive director Daniel
Tietz. And thats the reality.
Older people with HIV face unique
challenges
Johns Hopkins and CDC researchers
noted earlier this year that older people
with HIV are more likely to suffer
higher rates of cardiovascular disease,
osteoporosis, non-AIDS related cancers
and other chronic illnesses. Klenert, who
is now 63, has had a brain tumor removed
and an operation to repair an aneurysm
over the last 30 years. He said that his
neurologist and cardiologist both said
that his HIV status did not contribute to
either of these conditions.
There are many folks who age into
this theyve had HIV for a while, their
HIV is reasonably well-managed, said
Tietz. Its their other things. Its their
hypertension, the diabetes, the heart
disease that are posing challenges in
terms of management.
This population also faces the same
hurdles that service providers maintain
older LGBT people without the virus
routinely face. These include a lack of
health care, nancial insecurity and social
isolation, but a persons HIV status can
acerbate these problems.
The LGBT community in general is
not great on aging issues; they tend to be
more youth centered, said Espinoza. We
nd that a lot of older adults with HIV are
often looking just for both the caregiving
support they need to manage their health
and remain optimistic and maintain their
emotional health, but they are looking for
community.
He and other service providers stressed
that stigmas associated with HIV and
sexuality can dissuade older people from
discussing their sexual health with doctors
and other health care providers.
If youre not talking openly to people
who manage your health then its going
to then prevent the kind of services you
need to age successfully, said Espinoza,
further stressing that many health care
providers dont even provide HIV tests
to their older patients who could have
just become sexually active after leaving
a relationship or getting divorced.
Were dealing with constituents who
have been living with HIV and AIDS for
years. Were dealing with constituents
who have been infected for years, but
just got diagnosed, which often means
the illness has progressed more in their
bodies. And then were also dealing with
constituents who just became infected
and are trying to assimilate to both the
emotional and health issues related to
their infection.
The New York City Council has funded
ACRIAs efforts to bolster HIV prevention
efforts among older New Yorkers with HIV.
The National Institutes of Healths Ofce
of AIDS Research has also established a
working group to study the virus impact
on older people.
I dont think government ofcials have
put this on their radar screen as much
as they should, said Espinoza. As the
demographic really begins growing in the
next two years, were going to see more
questions from aging providers and health
care professionals about what it means
to appropriately serve older adults with
HIV and engage them in their facilities
or in their long-term care facilities. And
with that, Im hoping that government
ofcials will also increase their attention
and increase the funding for that kind of
programmatic prevention.
Seeking to increase visibility
Those who advocate on behalf of older
people with HIV further stress that lack of
visibility remains a problem.
The Graying of AIDS project proles
older people with the virus as a follow-
up to photojournalist Katja Heinemanns
eponymous photo essay that Time
published in 2006 to mark the epidemics
25th anniversary. D.C. resident Ronald
Johnson, vice president of policy and
advocacy for AIDS United, is among the
11 people that Heinemann and Naomi
Schegloff prole in photographs and short
videos.
Schegloff, who works in the public
health eld, told the Blade that she very
much appreciated what she described as
frank discussions about sexuality that
took place with many of those whom she
and Heinemann proled. Discrimination,
a desire for companionship and a general
lack of information about HIV are also
common themes.
A lot of older adults have not been
on the market in the last 30 years, or
have barely been on the market in the
last 30 years, said Schegloff. If theyve
been with a partner married or
otherwise for a long time, they may
or may not have dated at a time when
HIV was something we knew about. If
for them condoms are something that
you use to avoid getting pregnant
and theyre heterosexual and theyre
a woman and theyve gone through
menopause, theyre not worried about
that anymore. And it used to be that
for people of a certain generation, the
worst thing you could get through sex
as one person told us in an interview is
something you can take penicillin for
now. They werent necessarily thinking
about this thing [HIV] as being relevant
to them.
Heinemann and Schegloff plan to
photograph and interview those from
the United States and around the world
who are interested in participating in
their project during the Global Village at
the International AIDS Conference. They
will upload images, interview excerpts
and other content to an online exhibition
during the ve-day gathering.
For us as a visual project and a
documentary project, were hoping to
really put a face to this that will be a little
bit of a wakeup call where you dont just
read the statistic, said Heinemann. But
youre also able to see oh yeah wait a
minute, this is not just Bill in Chicago and
Ronald in D.C. This is also a person from
Tanzania; this is also a person from Russia
or someone from India.
Klenert, a former Victory Fund and Gay
and Lesbian Alliance Against Defamation
board member, also reected upon those
with HIV who continue to grow older.
Id like to think that people in my age
group are hopeful as well as surprised,
he said in response to a question about
the changes he has seen since he tested
positive. Im guessing that most of us
didnt think that we would live this long.
Theres that old greeting card [that says]
had I lived this long I would have taken
better care of us. Back when we were
in our 30s or late 30s none of us
expected to live this long because back
then the mortality rate was almost 100
percent.
washingtonblade.com
1 JULY 20, 2012 NATl ONAL NEWS
The graying of AIDS: living longer with HIV
None of us expected to live this long because
back then the mortality rate was almost 100
percent, said D.C. resident JOHN KLENERT,
who was diagnosed as HIV-positive in 1984.
BLADE FILE PHOTO BY MICHAEL KEY
Lifting of HIV travel ban
initiated by previous
administration
By CHRIS JOHNSON
cjohnson@washblade.com
HIV/AIDS advocates from around the
world are descending on D.C. for the
19th International AIDS Conference with
a shared goal: to eliminate a disease that
has taken the lives of more than 25 million
people worldwide.
Despite unity on this goal, politics
inevitably plays a role in the response to
the epidemic and advocates have widely
differing views on who has done more in
recent years to combat HIV/AIDS both
at home and abroad: former President
George W. Bush or President Obama.
Some praise the Obama administration
for laying out a comprehensive plan and
bumping up domestic funding to confront
the epidemic, while others yearn for the
Bush days because of the global initiatives
the Republican president started despite
his reputation for anti-gay policies.
Jim Driscoll, a gay Nevada-based
HIV/AIDS activist who served on the
Presidential Advisory Council on HIV/AIDS
during the Bush administration, is among
those who believes Bush did more to stop
the epidemic.
I never sat down and had a one-on-one
conversation with him, but people who did
talked about how open he was to doing
things on AIDS and how interested he was
in that subject, Driscoll said. There wasnt
anything the community asked him to do
that I was involved in that he didnt do.
Those who say Bush has done more for
HIV/AIDS identied three major initiatives
under the Bush administration: the start of a
program called the Presidents Emergency
Plan for AIDS Relief, or PEPFAR, to confront
the global AIDS epidemic; streamlining
fund allocation under the Ryan White
Care Act to consider people who have
HIV infection without full-blown AIDS; and
allowing the rst-ever rapid HIV tests to be
used outside medical ofces.
Driscoll, a Republican whos backing
GOP presumptive nominee Mitt
Romney in the upcoming presidential
election, recalled the process by which
Bush approved rapid testing and said it
was praised by many with the exception
of some Food & Drug Administration
ofcials whom he overruled.
It was a big step forward, and George
Bush actually personally had a lot to do
with that, Driscoll said. The president
actually overruled FDA, and I was in the
room when this was announced. There
were about 100 people in the room, I think.
I remember still that when he announced
his approval of rapid testing ... everybody
in the room gave him a standing ovation
except for the three people from FDA,
who sat glumly. They didnt applaud or
anything.
The AIDS Drug Assistance Programs
under Bush didnt see the waiting list levels
that have been seen under the Obama
administration. Under Obama, the waiting
list last year reached an all-time high of
9,928 low-income people awaiting HIV
drugs. That number has since dropped
to about 2,000 today, according to the
administration.
Thats not the only complaint thats
been lodged against Obama, whos been
criticized for reducing the global AIDS
program that was set up by Bush. In his
most recent budget request to Congress,
the White House cut the program by half
a billion dollars.
Michael Weinstein, president of the
AIDS Healthcare Foundation, said HIV/
AIDS was a higher priority for Bush than
it is for Obama, citing the ADAP waiting
list and the distinction in PEPFAR as a key
difference between the presidents.
We had practically no global AIDS
program prior to President Bush taking
ofce, and before he left ofce, they
approved a $48 billion plan for PEPFAR,
which Sen. Obama voted to authorize
and enact, Weinstein said. This year,
President Obama for the rst time in
the history of the program asked for less
money for global AIDS than we had last
year, and theres $1.4 billion in unspent
money in PEPFAR.
However, the presidents most recent
budget request includes an increase for
domestic programs against HIV/AIDS: a
$75 million increase for Ryan White and an
increase of $67 million for ADAP from last
year to eliminate waiting lists by 2013.
As for PEPFAR, the White House has
maintained that the program is doing
more with less by using generic drugs
and shipping commodities more cheaply.
On World AIDS Day, Obama announced
he would fully fund the balance of the
administrations three-year, $4 billion
pledge to the Global Fund to Fight AIDS,
Tuberculosis, and Malaria.
Shin Inouye, a White House
spokesperson, defended the
administrations work on HIV/AIDS by
citing achievements as well as plans set
into motion to confront the epidemic.
President Obama and his
administration are unwavering in their
commitment to addressing the issue
of HIV/AIDS on both the domestic
and global fronts, Inouye said. These
include steps such as establishing and
implementing the rst comprehensive
National HIV/AIDS Strategy, lifting the HIV
entry ban, and strengthening the impact
and sustainability of PEPFAR and the
Global Fund to Fight AIDS, Tuberculosis,
and Malaria.
Obamas signature legislative achievement,
the Affordable Care Act, is also slated to have
signicant impact on people living with HIV.
The Medicaid expansion under the health
care reform law is expected to signicantly
expand coverage because half the people
living with HIV already receive care through
the program.
Carl Schmid, deputy executive director
of the AIDS Institute, said Obama has
denitely done more on HIV/AIDS
at least on the domestic front in part
because of his willingness to talk about
how the disease impacts gay men.
They are over 60 percent of the
epidemic, Schmid said. Focusing on
this community that has been ravaged
by HIV, allowing a discussion and making
gay people more acceptable this could
really turn the tide on HIV prevention for
gay men. We have a president who is
focusing on the community [and directing]
resources that are more in line with how
the epidemic is.
In comparison, Bush took ak from HIV/
AIDS advocates for not taking action on
the epidemic in ways that might upset
his conservative base. Among his actions:
promoting abstinence-only sex education,
opposing federal funds for needle
exchange programs and remaining silent
on gay men and condoms for much of his
administration.
Michael Rajner, a gay Fort Lauderdale-
based HIV/AIDS advocate whos living with
AIDS and has been selected as a delegate
for the Democratic National Convention,
said he thinks Obama has absolutely
done more to ght HIV/AIDS based on a
more science-based approach hes taken
against the disease.
The difference between Republican
and Democrat in this case, George W.
Bush and President Obama is really
the difference in thought, whether theyre
going to be addressing HIV/AIDS through
ideology and through science, and
President Obama has certainly embraced
the issues of science, Rajner said.
One achievement often attributed to
Obama is the lifting of the regulatory travel
ban that prevented HIV-positive foreign
nationals from entering the country a
move that enabled the International AIDS
Conference to take place in the United
States. But this process actually started
under the Bush administration. Under
Bushs leadership, Congress repealed
a law that barred HIV-positive foreign
nationals from entering as part of the
legislative package authorizing PEPFAR.
Schmid said he was intimately
involved in the process under which Bush
starting lifting the HIV travel ban.
Credit goes to George Bushs
administration and the Congress for
lifting the travel ban in reauthorization of
PEPFAR, Schmid said. There still was
a process at HHS, and Obama nished
that process. It wasnt completed in time,
unfortunately, under President Bush, but
they denitely lifted it congressionally.
Driscoll said Bush should be
commended because he accomplished
work on HIV/AIDS despite being beholden
to social conservatives who elected him to
ofce.
Every president, every politician is
limited by his constituents, by the people
who put him in ofce, who voted for
him and the people he would depend
upon to do the same thing should he
run again, Driscoll said. You have to
consider what a president does in terms
of the limitations that are imposed. I think,
given, the limitations that George Bushs
constituencies imposed, he showed real
leadership.
PRESIDENT BUSH initiated the lifting of the HIV travel ban, but PRESIDENT OBAMAs administration
nished the job.
WHITE HOUSE PHOTO BY ERIC DRAPER VIA WIKIMEDIA
washingtonblade.com
NATI ONAL NEWS JULY 20, 2012 17
Obama vs. Bush: Whos done more on HIV/AIDS?
18 JULY 20, 2012 WASHl NGTONBLADE. COM
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IS THE PREZISTA
EXPERIENCE
RIGHT FOR YOU?
PREZISTA
/ritonavir (Norvir
PREZISTA
?
P8I|STA
?
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and ritonavir
combination treatment and call your healthcare professional
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supplement St. Johns wort (Hypericum perforatum), lovastatin
(Mevacor,
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), simvastatin (Zocor,
Simcor,
Vytorin
), rifampin (Rifadin,
Rifater,
Rifamate,
Rimactane
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sildenal (Revatio
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ABOUT PREZISTA
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File Name: 28PRZ12036A_666045_v1 (Page 2) Brand: Prezista
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There is no other person in the world who is exactly like you. And no
HIV treatments are exactly alike, either. Thats why you should ask your
healthcare professional about PREZISTA
(darunavir).
Once-Daily PREZISTA
viral loads with PREZISTA
/
ritonavir 800/200 mg/day (n=346).
Undetectable was dened as a viral load of less than 50 copies per mL. Registered trademarks are the property
of their respective owners.
tadalal (Cialis,
Adcirca
), atorvastatin (Lipitor
), rosuvastatin
(Crestor
), pravastatin (Pravachol
), or colchicine (Colcrys,
Col-Probenecid
?
Be|c|e |a||| PREZ|STA,
can be passed
to your baby in your breast milk and whether it could harm your
baby. Also, mothers with HIV should not breastfeed because HIV
can be passed to your baby in the breast milk
What are the possible side effects of PREZISTA
?
H|| o|ccd ua|, d|aoe|e c| Wc|e||| c| d|aoe|e, a|d
increased bleeding in people with hemophilia have been
reported in patients taking protease inhibitor medicines,
including PREZISTA
include diarrhea, nausea, rash, headache, stomach pain, and
vomiting. This is not a complete list of all possible side effects.
If you experience these or other side effects, talk to your
healthcare professional. Do not stop taking PREZISTA
or any other medicines without rst talking to your
healthcare professional
You are encouraged to report negative side effects of
prescription drugs to the FDA. Visit www.fda.gov/medwatch,
or call 1-800-FDA-1088.
Please refer to the ritonavir (Norvir
and discuss any questions you have with your doctor.
IMPORTANT SAFETY INFORMATION CONTINUED
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PREZISTA (pre-ZIS-ta)
(darunavir)
Oral Suspension
PREZISTA (pre-ZIS-ta)
(darunavir)
Tablets
Read this Patient Information before you start taking PREZISTA and each time
you get a refill. There may be new information. This information does not take the
place of talking to your healthcare provider about your medical condition or your
treatment.
Also read the Patient Information leaflet for NORVIR
(ritonavir).
What is the most important information I should know
about PREZISTA?
PREZISTA can interact with other medicines and cause serious side effects.
It is important to know the medicines that should not be taken with PREZISTA.
See the section Who should not take PREZISTA?
PREZISTA may cause liver problems. Some people taking PREZISTA in
combination with NORVIR
)
dihydroergotauine (.h.E. 15
, Embolex
, Migranal
), ergonovine, ergotamine
(Cafergot
, Ergomar
) methylergonovine
cisapride
pimozide (Orap
)
oral midazolam, triazolam (Halcion
)
the herbal supplement St. Johns Wort (Hypericum perforatum)
the cholesterol lowering medicines lovastatin (Mevacor
, Altoprev
, Advicor
)
or simvastatin (Zocor
, Simcor
, Vytorin
)
rifampin (Rifadin
, Rifater
, Rifamate
, Rimactane
)
sildenafil (Revatio
),
quinidine (Nuedexta
), amiodarone (Pacerone
, Cardarone
), digoxin
(Lanoxin
), flecainide (Tambocor
), propafenone (Rythmol
)
warfarin (Couuadin
, Jantoven
)
uedicine for seitures such as carbauatepine (Carbatrol
, Equetro
,
Tegretol
, Epitol
, Phenytek
)
uedicine for depression such as tratadone and desiprauine (Norprauin
)
clarithrouycin (Frevpac
, Biaxin
)
uedicine for fungal infections such as ketoconatole (Nitoral
), itraconazole
(Sporanox
, Onmel
), voriconazole (VFend
)
colchicine (Colcrys
, Col-Probenecid
)
rifabutin (Mycobutin
)
uedicine used to treat blood pressure, a heart attack, heart failure, or to
lower pressure in the eye such as metoprolol (Lopressor
, Toprol-XL
), timolol
(Cosopt
, Betimol
, Timoptic
, Isatolol
, Combigan
)
uidatolau aduinistered by injection
uedicine for heart disease such as felodipine (Flendil
), nifedipine
(Procardia
, Adalat CC
, Afeditab CR
), nicardipine (Cardene
)
steroids such as dexauethasone, fluticasone (Advair iskus
, Veramyst
,
Flovent
, Flonase
)
bosentan (Tracleer
)
IMPORTANT PATIENT INFORMATION
WASHI NGTONBLADE. COM JULY 20, 2012 21
uedicine to treat chronic hepatitis C such as boceprevir (victrelis
TM
),
telaprevir (Incivek
TM
)
uedicine for cholesterol such as pravastatin (Fravachol
), atorvastatin
(Lipitor
), rosuvastatin (Crestor
)
uedicine to prevent organ transplant failure such as cyclosporine (0engraf
,
Sandimmune
, Neoral
), tacrolimus (Prograf
), sirolimus (Rapamune
)
salueterol (Advair
, Serevent
)
uedicine for narcotic withdrawal such as uethadone (Methadose
, olophine
Hydrochloride), buprenorphine (Butrans
, Buprenex
, Subutex
),
buprenorphine/naloxone (Suboxone
)
uedicine to treat schitophrenia such as risperidone (Fisperdal
), thioridazine
uedicine to treat erectile dysfunction or puluonary hypertension such as
sildenafil (Viagra
, Revatio
), vardenafil (Levitra
, Staxyn
), tadalafil
(Cialis
, Adcirca
)
uedicine to treat anxiety, depression or panic disorder such as sertraline
(Zoloft
), paroxetine (Paxil
)
This is not a complete list of medicines that you should tell your healthcare
provider that you are taking. Ask your healthcare provider or pharmacist if you
are not sure if your medicine is one that is listed above. Know the medicines you
take. Keep a list of them to show your doctor or pharmacist when you get a new
uedicine. o not start any new uedicines while you are taking FFEZlSTA
without first talking with your healthcare provider.
How should I take PREZISTA?
Take FFEZlSTA every day exactly as prescribed by your healthcare provider.
You uust take ritonavir (N0FvlF
) with food.
Swallow FFEZlSTA tablets whole with a drink. lf you have difficulty
swallowing PREZISTA tablets, PREZISTA oral suspension is also available.
Your health care provider will help determine whether PREZISTA tablets or
oral suspension is right for you.
FFEZlSTA oral suspension should be given with the supplied oral dosing
syringe. Shake the suspension well before each usage.
lf you take too uuch FFEZlSTA, call your healthcare provider or go to the
nearest hospital emergency room right away.
What should I do if I miss a dose?
People who take PREZISTA one time a day:
lf you uiss a dose of FFEZlSTA by less than 12 hours, take your uissed dose
of PREZISTA right away. Then take your next dose of PREZISTA at your
regularly scheduled time.
lf you uiss a dose of FFEZlSTA by uore than 12 hours, wait and then take the
next dose of PREZISTA at your regularly scheduled time.
People who take PREZISTA two times a day
lf you uiss a dose of FFEZlSTA by less than hours, take your uissed dose of
PREZISTA right away. Then take your next dose of PREZISTA at your regularly
scheduled time.
lf you uiss a dose of FFEZlSTA by uore than hours, wait and then take the
next dose of PREZISTA at your regularly scheduled time.
lf a dose of FFEZlSTA is skipped, do not double the next dose. o not take uore
or less than your prescribed dose of PREZISTA at any one time.
What are the possible side effects of PREZISTA?
PREZISTA can cause side effects including:
See What is the most important information I should know about
PREZISTA?
iabetes aod high bIood sugar (hypergIyceia}. Some people who take
protease inhibitors including PREZISTA can get high blood sugar, develop
diabetes, or your diabetes can get worse. Tell your healthcare provider if you
notice an increase in thirst or urinate often while taking PREZISTA.
Changes in body fat. These changes can happen in people who take anti-
retroviral therapy. The changes may include an increased amount of fat in the
upper back and neck (buffalo huup"), breast, and around the back, chest, and
stomach area. Loss of fat from the legs, arms, and face may also happen. The
exact cause and long-term health effects of these conditions are not known.
Changes in your immune system (Immune Reconstitution Syndrome) can
happen when you start taking HIV medicines. Your immune system may get
stronger and begin to fight infections that have been hidden in your body for a
long time. Call your healthcare provider right away if you start having new
symptoms after starting your HIV medicine.
Increased bleeding for hemophiliacs. Some people with hemophilia have
increased bleeding with protease inhibitors including PREZISTA.
The most common side effects of PREZISTA include:
diarrhea
nausea
rash
headache
abdouinal pain
vouiting
Tell your healthcare provider if you have any side effect that bothers you or that
does not go away.
These are not all of the possible side effects of PREZISTA. For more information,
ask your health care provider.
Call your doctor for medical advice about side effects. You may report side
effects to the FA at 1-800-FA-1088.
How should I store PREZISTA?
Store FFEZlSTA oral suspension and tablets at roou teuperature [77F (25C)|.
o not refrigerate or freete FFEZlSTA oral suspension.
Keep FFEZlSTA away frou high heat.
FFEZlSTA oral suspension should be stored in the original container.
Keep PREZISTA and all medicines out of the reach of children.
General information about PREZISTA
Medicines are sometimes prescribed for purposes other than those listed in a
Fatient lnforuation leaflet. o not use FFEZlSTA for a condition for which it was
not prescribed. o not give FFEZlSTA to other people even if they have the saue
condition you have. It may harm them.
This leaflet summarizes the most important information about PREZISTA. If you
would like more information, talk to your healthcare provider. You can ask your
healthcare provider or pharmacist for information about PREZISTA that is written
for health professionals.
For uore inforuation, call 1-800-52-773.
What are the ingredients in PREZISTA?
Active ingredient: darunavir
Inactive ingredients:
PREZISTA Oral Suspension: hydroxypropyl cellulose, microcrystalline cellulose,
sodium carboxymethylcellulose, methylparaben sodium, citric acid monohydrate,
sucralose, masking flavor, strawberry cream flavor, hydrochloric acid (for pH
adjustuent), purified water.
PREZISTA 75 mg and 150 mg Tablets: colloidal silicon dioxide, crospovidone,
magnesium stearate, microcrystalline cellulose. The film coating contains:
0FAFY
, Equetro
, Tegretol
,
Tegretol-XR
, Teril
, Epitol
), oxcarbazepine (Trileptal
), phenobarbital (Luminal
),
phenytoin (Dilantin
, Dilantin-125
, Phenytek
)
s the anti-tuberculosis medicines rifabutin (Mycobutin), rifampin (Rifater
,
Rifamate
, Rimactane
, Rifadin
)
s a proton pump inhibitor medicine for certain stomach or intestinal problems,
including esomeprazole (Nexium
, Vimovo
), lansoprazole (Prevacid
),
omeprazole (Prilosec
), rabeprazole (Aciphex
)
s more than 1 dose of the steroid medicine dexamethasone or dexamethasone
sodium phosphate
s St. Johns wort (Hypericum perforatum)
s other medicines that contain tenofovir (VIREAD
, TRUVADA
, ATRIPLA
)
s other medicines that contain emtricitabine or lamivudine (EMTRIVA
, Combivir
,
Epivir
or Epivir-HBV
, Epzicom
, Trizivir
)
s rilpivirine (Edurant
)
s adefovir (HEPSERA
)
In addition, also tell your healthcare provider if you take:
s an antacid medicine that contains aluminum, magnesium hydroxide, or calcium
carbonate. Take antacids at least 2 hours before or at least 4 hours after you
take COMPLERA
s a histamine-2 blocker medicine, including famotidine (Pepcid
), cimetidine
(Tagamet
), nizatidine (Axid
). Take these
medicines at least 12 hours before or at least 4 hours after you take COMPLERA
s the antibiotic medicines clarithromycin (Biaxin
), erythromycin (E-Mycin
, Eryc
,
Ery-Tab
, PCE
, Pediazole
, Ilosone
)
s an antifungal medicine by mouth, including uconazole (Diucan
), itraconazole
(Sporanox
), ketoconazole (Nizoral
), posaconazole (Noxal
), voriconazole (Vfend
)
s methadone (Dolophine
)
This list of medicines is not complete. Discuss with your healthcare provider all
prescription and nonprescription medicines, vitamins, or herbal supplements you
are taking or plan to take.
INDICATION
COMPLERA
(emtricitabine), EDURANT
, Equetro
, Tegretol
,
Tegretol-XR
, Teril
, Epitol
), oxcarbazepine (Trileptal
), phenobarbital (Luminal
),
phenytoin (Dilantin
, Dilantin-125
, Phenytek
)
s the anti-tuberculosis medicines rifabutin (Mycobutin), rifampin (Rifater
,
Rifamate
, Rimactane
, Rifadin
)
s a proton pump inhibitor medicine for certain stomach or intestinal problems,
including esomeprazole (Nexium
, Vimovo
), lansoprazole (Prevacid
),
omeprazole (Prilosec
), rabeprazole (Aciphex
)
s more than 1 dose of the steroid medicine dexamethasone or dexamethasone
sodium phosphate
s St. Johns wort (Hypericum perforatum)
s other medicines that contain tenofovir (VIREAD
, TRUVADA
, ATRIPLA
)
s other medicines that contain emtricitabine or lamivudine (EMTRIVA
, Combivir
,
Epivir
or Epivir-HBV
, Epzicom
, Trizivir
)
s rilpivirine (Edurant
)
s adefovir (HEPSERA
)
In addition, also tell your healthcare provider if you take:
s an antacid medicine that contains aluminum, magnesium hydroxide, or calcium
carbonate. Take antacids at least 2 hours before or at least 4 hours after you
take COMPLERA
s a histamine-2 blocker medicine, including famotidine (Pepcid
), cimetidine
(Tagamet
), nizatidine (Axid
). Take these
medicines at least 12 hours before or at least 4 hours after you take COMPLERA
s the antibiotic medicines clarithromycin (Biaxin
), erythromycin (E-Mycin
, Eryc
,
Ery-Tab
, PCE
, Pediazole
, Ilosone
)
s an antifungal medicine by mouth, including uconazole (Diucan
), itraconazole
(Sporanox
), ketoconazole (Nizoral
), posaconazole (Noxal
), voriconazole (Vfend
)
s methadone (Dolophine
)
This list of medicines is not complete. Discuss with your healthcare provider all
prescription and nonprescription medicines, vitamins, or herbal supplements you
are taking or plan to take.
INDICATION
COMPLERA
(emtricitabine), EDURANT
(kom-PLEH-rah)
(emtricitabine, rilpivirine and tenofovir disoproxil fumarate) Tablets
Important: Ask your doctor or pharmacist about medicines that should not be
taken with COMPLERA. For more information, see the section What should I tell my
healthcare provider before taking COMPLERA?
Read this Patient Information before you start taking COMPLERA and each time you
get a rell. There may be new information. This information does not take the place of
talking to your healthcare provider about your medical condition or treatment.
What is the most important information I should know about COMPLERA?
COMPLERA can cause serious side effects, including:
1. Build-up of an acid in your blood (lactic acidosis). Lactic acidosis can happen in
some people who take COMPLERA or similar (nucleoside analogs) medicines. Lactic
acidosis is a serious medical emergency that can lead to death.
Lactic acidosis can be hard to identify early, because the symptoms could seem like
symptoms of other health problems. Call your healthcare provider right away if you
get any of the following symptoms which could be signs of lactic acidosis:
s feeling very weak or tired
s have unusual (not normal) muscle pain
s have trouble breathing
s have stomach pain with
- nausea (feel sick to your stomach)
- vomiting
s feel cold, especially in your arms and legs
s feel dizzy or lightheaded
s have a fast or irregular heartbeat
2. Severe liver problems. Severe liver problems can happen in people who take
COMPLERA or similar medicines. In some cases these liver problems can lead to death.
Your liver may become large (hepatomegaly) and you may develop fat in your liver
(steatosis) when you take COMPLERA.
Call your healthcare provider right away if you have any of the following symptoms
of liver problems:
s your skin or the white part of your eyes turns yellow (jaundice).
s dark tea-colored urine
s light-colored bowel movements (stools)
s loss of appetite for several days or longer
s nausea
s stomach pain
You may be more likely to get lactic acidosis or severe liver problems if you are
female, very overweight (obese), or have been taking COMPLERA or a similar
medicine containing nucleoside analogs for a long time.
3. Worsening of Hepatitis B infection. If you also have hepatitis B virus (HBV) infection
and you stop taking COMPLERA, your HBV infection may become worse (are-up). A
are-up is when your HBV infection suddenly returns in a worse way than before.
COMPLERA is not approved for the treatment of HBV, so you must discuss your HBV
therapy with your healthcare provider.
s Do not let your COMPLERA run out. Rell your prescription or talk to your healthcare
provider before your COMPLERA is all gone.
s Do not stop taking COMPLERA without rst talking to your healthcare provider.
s If you stop taking COMPLERA, your healthcare provider will need to check your health
often and do regular blood tests to check your HBV infection. Tell your healthcare
provider about any new or unusual symptoms you may have after you stop taking
COMPLERA.
What is COMPLERA?
COMPLERA is a prescription HIV (Human Immunodeciency Virus) medicine that:
s is used to treat HIV-1 in adults who have never taken HIV medicines before. HIV is the
virus that causes AIDS (Acquired Immunodeciency Syndrome).
s contains 3 medicines, (rilpivirine, emtricitabine, tenofovir disoproxil fumarate)
combined in one tablet. EMTRIVA and VIREAD are HIV-1 (human immunodeciency
virus) nucleoside analog reverse transcriptase inhibitors (NRTIs) and EDURANT is an
HIV-1 non-nucleoside analog reverse transcriptase inhibitor (NNRTI).
It is not known if COMPLERA is safe and effective in children under the age of 18 years.
COMPLERA may help:
s Reduce the amount of HIV in your blood. This is called your viral load.
s Increase the number of white blood cells called CD4+ (T) cells that help ght off
other infections.
Reducing the amount of HIV and increasing the CD4+ (T) cell count may improve your
immune system. This may reduce your risk of death or infections that can happen when
your immune system is weak (opportunistic infections).
COMPLERA does not cure HIV infections or AIDS.
s Always practice safer sex.
s Use latex or polyurethane condoms to lower the chance of sexual contact with any
body uids such as semen, vaginal secretions, or blood.
s Never re-use or share needles.
Ask your healthcare provider if you have any questions about how to prevent passing
HIV to other people.
Who should not take COMPLERA?
s Do not take COMPLERA if your HIV infection has been previously treated with
HIV medicines.
s Do not take COMPLERA if you are taking certain other medicines. For more
information about medicines that must not be taken with COMPLERA, see What
should I tell my healthcare provider before taking COMPLERA?
What should I tell my healthcare provider before taking COMPLERA?
Before you take COMPLERA, tell your healthcare provider if you:
s have liver problems, including hepatitis B or C virus infection
s have kidney problems
s have ever had a mental health problem
s have bone problems
s are pregnant or plan to become pregnant. It is not known if COMPLERA can harm
your unborn child
Pregnancy Registry. There is a pregnancy registry for women who take antiviral
medicines during pregnancy. Its purpose is to collect information about the health
of you and your baby. Talk to your healthcare provider about how you can take part
in this registry.
s are breast-feeding or plan to breast-feed. The Centers for Disease Control and
Prevention recommends that mothers with HIV not breastfeed because they can pass
the HIV through their milk to the baby. It is not known if COMPLERA can pass through
your breast milk and harm your baby. Talk to your healthcare provider about the best
way to feed your baby.
Tell your healthcare provider about all the medicines you take, including prescription
and nonprescription medicines, vitamins, and herbal supplements.
COMPLERA may affect the way other medicines work, and other medicines may
affect how COMPLERA works, and may cause serious side effects. If you take certain
medicines with COMPLERA, the amount of COMPLERA in your body may be too low and
it may not work to help control your HIV infection. The HIV virus in your body may become
resistant to COMPLERA or other HIV medicines that are like it.
Do not take COMPLERA if you also take these medicines:
s COMPLERA provides a complete treatment for HIV infection. Do not take other HIV
medicines with COMPLERA.
s the anti-seizure medicines carbamazepine (CARBATROL
, EQUETRO
, TEGRETOL
,
TEGRETOL-XR
, TERIL
, EPITOL
), oxcarbazepine (TRILEPTAL
), phenobarbital
(LUMINAL
), phenytoin (DILANTIN
, DILANTIN-125
, PHENYTEK
)
s the anti-tuberculosis medicines rifabutin (MYCOBUTIN
), rifampin (RIFATER
,
RIFAMATE
, RIMACTANE
, RIFADIN
)
s a proton pump inhibitor medicine for certain stomach or intestinal problems,
including esomeprazole (NEXIUM
, VIMOVO
), lansoprazole (PREVACID
), omeprazole
(PRILOSEC
), rabeprazole (ACIPHEX
)
s more than 1 dose of the steroid medicine dexamethasone or dexamethasone sodium
phosphate
s St. Johns wort (Hypericum perforatum)
If you are taking COMPLERA, you should not take:
s other medicines that contain tenofovir (VIREAD
, TRUVADA
, ATRIPLA
)
s other medicines that contain emtricitabine or lamivudine (EMTRIVA
, COMBIVIR
,
EPIVIR
or EPIVIR-HBV
, EPZICOM
, TRIZIVIR
)
s rilpivirine (EDURANT
)
s adefovir (HEPSERA
)
Also tell your healthcare provider if you take:
s an antacid medicine that contains aluminum, magnesium hydroxide, or calcium
carbonate. Take antacids at least 2 hours before or at least 4 hours after you take
COMPLERA.
s a histamine-2 blocker medicine, including famotidine (PEPCID
), cimetidine
(TAGAMET
), nizatidine (AXID
). Take these
medicines at least 12 hours before or at least 4 hours after you take COMPLERA.
s the antibiotic medicines clarithromycin (BIAXIN
), erythromycin (E-MYCIN
, ERYC
,
ERY-TAB
, PCE
, PEDIAZOLE
, ILOSONE
)
s an antifungal medicine by mouth, including uconazole (DIFLUCAN
), itraconazole
(SPORANOX
), ketoconazole (NIZORAL
), posaconazole (NOXAFIL
), voriconazole
(VFEND
)
s methadone (DOLOPHINE
)
Ask your healthcare provider or pharmacist if you are not sure if your medicine is
one that is listed above.
Know the medicines you take. Keep a list of your medicines and show it to your
healthcare provider and pharmacist when you get a new medicine. Your healthcare
provider and your pharmacist can tell you if you can take these medicines with
COMPLERA. Do not start any new medicines while you are taking COMPLERA without
rst talking with your healthcare provider or pharmacist. You can ask your healthcare
provider or pharmacist for a list of medicines that can interact with COMPLERA.
How should I take COMPLERA?
s Stay under the care of your healthcare provider during treatment with COMPLERA.
s Take COMPLERA exactly as your healthcare provider tells you to take it.
s Always take COMPLERA with a meal. Taking COMPLERA with a meal is important
to help get the right amount of medicine in your body. A protein drink does not
replace a meal.
s Do not change your dose or stop taking COMPLERA without rst talking with your
healthcare provider. See your healthcare provider regularly while taking COMPLERA.
s If you miss a dose of COMPLERA within 12 hours of the time you usually take it, take
your dose of COMPLERA with a meal as soon as possible. Then, take your next dose
of COMPLERA at the regularly scheduled time. If you miss a dose of COMPLERA by
more than 12 hours of the time you usually take it, wait and then take the next dose
of COMPLERA at the regularly scheduled time.
s Do not take more than your prescribed dose to make up for a missed dose.
s When your COMPLERA supply starts to run low, get more from your healthcare provider
or pharmacy. It is very important not to run out of COMPLERA. The amount of virus in
your blood may increase if the medicine is stopped for even a short time.
s If you take too much COMPLERA, contact your local poison control center or go to the
nearest hospital emergency room right away.
What are the possible side effects of COMPLERA?
COMPLERA may cause the following serious side effects, including:
s See What is the most important information I should know about COMPLERA?
s New or worse kidney problems can happen in some people who take COMPLERA.
If you have had kidney problems in the past or take other medicines that can cause
kidney problems, your healthcare provider may need to do blood tests to check your
kidneys during your treatment with COMPLERA.
s Depression or mood changes. Tell your healthcare provider right away if you have
any of the following symptoms:
- feeling sad or hopeless
- feeling anxious or restless
- have thoughts of hurting yourself (suicide) or have tried to hurt yourself
s Bone problems can happen in some people who take COMPLERA. Bone problems
include bone pain, softening or thinning (which may lead to fractures). Your
healthcare provider may need to do additional tests to check your bones.
s Changes in body fat can happen in people taking HIV medicine. These changes may
include increased amount of fat in the upper back and neck (buffalo hump), breast,
and around the main part of your body (trunk). Loss of fat from the legs, arms and
face may also happen. The cause and long term health effect of these conditions are
not known.
s Changes in your immune system (Immune Reconstitution Syndrome) can happen
when you start taking HIV medicines. Your immune system may get stronger
and begin to ght infections that have been hidden in your body for a long time.
Tell your healthcare provider if you start having new symptoms after starting your
HIV medicine.
The most common side effects of COMPLERA include:
s trouble sleeping (insomnia)
s abnormal dreams
s headache
s dizziness
s diarrhea
s nausea
s rash
s tiredness
s depression
Additional common side effects include:
s vomiting
s stomach pain or discomfort
s skin discoloration (small spots or freckles)
s pain
Tell your healthcare provider if you have any side effect that bothers you or that does
not go away.
These are not all the possible side effects of COMPLERA. For more information, ask your
healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to
FDA at 1-800-FDA-1088 (1-800-332-1088).
How do I store COMPLERA?
s Store COMPLERA at room temperature 77 F (25 C).
s Keep COMPLERA in its original container and keep the container tightly closed.
s Do not use COMPLERA if the seal over the bottle opening is broken or missing.
Keep COMPLERA and all other medicines out of reach of children.
General information about COMPLERA:
Medicines are sometimes prescribed for purposes other than those listed in a Patient
Information leaet. Do not use COMPLERA for a condition for which it was not prescribed.
Do not give COMPLERA to other people, even if they have the same symptoms you have.
It may harm them.
This leaet summarizes the most important information about COMPLERA. If you
would like more information, talk with your healthcare provider. You can ask your
healthcare provider or pharmacist for information about COMPLERA that is written
for health professionals. For more information, call (1-800-445-3235) or go to
www.COMPLERA.com.
What are the ingredients of COMPLERA?
Active ingredients: emtricitabine, rilpivirine hydrochloride, and tenofovir disoproxil
fumarate
Inactive ingredients: pregelatinized starch, lactose monohydrate, microcrystalline
cellulose, croscarmellose sodium, magnesium stearate, povidone, polysorbate 20. The
tablet lm coating contains polyethylene glycol, hypromellose, lactose monohydrate,
triacetin, titanium dioxide, iron oxide red, FD&C Blue #2 aluminum lake, FD&C Yellow
#6 aluminum lake.
This Patient Information has been approved by the U.S. Food and Drug Administration
Manufactured and distributed by:
Gilead Sciences, Inc.
Foster City, CA 94404
Issued: August 2011
COMPLERA, the COMPLERA Logo, EMTRIVA, HEPSERA, TRUVADA, VIREAD, GILEAD, and
the GILEAD Logo are trademarks of Gilead Sciences, Inc. or its related companies.
ATRIPLA is a trademark of Bristol-Myers Squibb & Gilead Sciences, LLC. All other
trademarks referenced herein are the property of their respective owners.
2012 Gilead Sciences, Inc. All rights reserved.
202123-GS-000 02AUG2011 CON12407 3/12
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WASHI NGTONBLADE. COM JULY 20, 2012 3
FDA-Approved Patient Labeling
Patient Information
COMPLERA
(kom-PLEH-rah)
(emtricitabine, rilpivirine and tenofovir disoproxil fumarate) Tablets
Important: Ask your doctor or pharmacist about medicines that should not be
taken with COMPLERA. For more information, see the section What should I tell my
healthcare provider before taking COMPLERA?
Read this Patient Information before you start taking COMPLERA and each time you
get a rell. There may be new information. This information does not take the place of
talking to your healthcare provider about your medical condition or treatment.
What is the most important information I should know about COMPLERA?
COMPLERA can cause serious side effects, including:
1. Build-up of an acid in your blood (lactic acidosis). Lactic acidosis can happen in
some people who take COMPLERA or similar (nucleoside analogs) medicines. Lactic
acidosis is a serious medical emergency that can lead to death.
Lactic acidosis can be hard to identify early, because the symptoms could seem like
symptoms of other health problems. Call your healthcare provider right away if you
get any of the following symptoms which could be signs of lactic acidosis:
s feeling very weak or tired
s have unusual (not normal) muscle pain
s have trouble breathing
s have stomach pain with
- nausea (feel sick to your stomach)
- vomiting
s feel cold, especially in your arms and legs
s feel dizzy or lightheaded
s have a fast or irregular heartbeat
2. Severe liver problems. Severe liver problems can happen in people who take
COMPLERA or similar medicines. In some cases these liver problems can lead to death.
Your liver may become large (hepatomegaly) and you may develop fat in your liver
(steatosis) when you take COMPLERA.
Call your healthcare provider right away if you have any of the following symptoms
of liver problems:
s your skin or the white part of your eyes turns yellow (jaundice).
s dark tea-colored urine
s light-colored bowel movements (stools)
s loss of appetite for several days or longer
s nausea
s stomach pain
You may be more likely to get lactic acidosis or severe liver problems if you are
female, very overweight (obese), or have been taking COMPLERA or a similar
medicine containing nucleoside analogs for a long time.
3. Worsening of Hepatitis B infection. If you also have hepatitis B virus (HBV) infection
and you stop taking COMPLERA, your HBV infection may become worse (are-up). A
are-up is when your HBV infection suddenly returns in a worse way than before.
COMPLERA is not approved for the treatment of HBV, so you must discuss your HBV
therapy with your healthcare provider.
s Do not let your COMPLERA run out. Rell your prescription or talk to your healthcare
provider before your COMPLERA is all gone.
s Do not stop taking COMPLERA without rst talking to your healthcare provider.
s If you stop taking COMPLERA, your healthcare provider will need to check your health
often and do regular blood tests to check your HBV infection. Tell your healthcare
provider about any new or unusual symptoms you may have after you stop taking
COMPLERA.
What is COMPLERA?
COMPLERA is a prescription HIV (Human Immunodeciency Virus) medicine that:
s is used to treat HIV-1 in adults who have never taken HIV medicines before. HIV is the
virus that causes AIDS (Acquired Immunodeciency Syndrome).
s contains 3 medicines, (rilpivirine, emtricitabine, tenofovir disoproxil fumarate)
combined in one tablet. EMTRIVA and VIREAD are HIV-1 (human immunodeciency
virus) nucleoside analog reverse transcriptase inhibitors (NRTIs) and EDURANT is an
HIV-1 non-nucleoside analog reverse transcriptase inhibitor (NNRTI).
It is not known if COMPLERA is safe and effective in children under the age of 18 years.
COMPLERA may help:
s Reduce the amount of HIV in your blood. This is called your viral load.
s Increase the number of white blood cells called CD4+ (T) cells that help ght off
other infections.
Reducing the amount of HIV and increasing the CD4+ (T) cell count may improve your
immune system. This may reduce your risk of death or infections that can happen when
your immune system is weak (opportunistic infections).
COMPLERA does not cure HIV infections or AIDS.
s Always practice safer sex.
s Use latex or polyurethane condoms to lower the chance of sexual contact with any
body uids such as semen, vaginal secretions, or blood.
s Never re-use or share needles.
Ask your healthcare provider if you have any questions about how to prevent passing
HIV to other people.
Who should not take COMPLERA?
s Do not take COMPLERA if your HIV infection has been previously treated with
HIV medicines.
s Do not take COMPLERA if you are taking certain other medicines. For more
information about medicines that must not be taken with COMPLERA, see What
should I tell my healthcare provider before taking COMPLERA?
What should I tell my healthcare provider before taking COMPLERA?
Before you take COMPLERA, tell your healthcare provider if you:
s have liver problems, including hepatitis B or C virus infection
s have kidney problems
s have ever had a mental health problem
s have bone problems
s are pregnant or plan to become pregnant. It is not known if COMPLERA can harm
your unborn child
Pregnancy Registry. There is a pregnancy registry for women who take antiviral
medicines during pregnancy. Its purpose is to collect information about the health
of you and your baby. Talk to your healthcare provider about how you can take part
in this registry.
s are breast-feeding or plan to breast-feed. The Centers for Disease Control and
Prevention recommends that mothers with HIV not breastfeed because they can pass
the HIV through their milk to the baby. It is not known if COMPLERA can pass through
your breast milk and harm your baby. Talk to your healthcare provider about the best
way to feed your baby.
Tell your healthcare provider about all the medicines you take, including prescription
and nonprescription medicines, vitamins, and herbal supplements.
COMPLERA may affect the way other medicines work, and other medicines may
affect how COMPLERA works, and may cause serious side effects. If you take certain
medicines with COMPLERA, the amount of COMPLERA in your body may be too low and
it may not work to help control your HIV infection. The HIV virus in your body may become
resistant to COMPLERA or other HIV medicines that are like it.
Do not take COMPLERA if you also take these medicines:
s COMPLERA provides a complete treatment for HIV infection. Do not take other HIV
medicines with COMPLERA.
s the anti-seizure medicines carbamazepine (CARBATROL
, EQUETRO
, TEGRETOL
,
TEGRETOL-XR
, TERIL
, EPITOL
), oxcarbazepine (TRILEPTAL
), phenobarbital
(LUMINAL
), phenytoin (DILANTIN
, DILANTIN-125
, PHENYTEK
)
s the anti-tuberculosis medicines rifabutin (MYCOBUTIN
), rifampin (RIFATER
,
RIFAMATE
, RIMACTANE
, RIFADIN
)
s a proton pump inhibitor medicine for certain stomach or intestinal problems,
including esomeprazole (NEXIUM
, VIMOVO
), lansoprazole (PREVACID
), omeprazole
(PRILOSEC
), rabeprazole (ACIPHEX
)
s more than 1 dose of the steroid medicine dexamethasone or dexamethasone sodium
phosphate
s St. Johns wort (Hypericum perforatum)
If you are taking COMPLERA, you should not take:
s other medicines that contain tenofovir (VIREAD
, TRUVADA
, ATRIPLA
)
s other medicines that contain emtricitabine or lamivudine (EMTRIVA
, COMBIVIR
,
EPIVIR
or EPIVIR-HBV
, EPZICOM
, TRIZIVIR
)
s rilpivirine (EDURANT
)
s adefovir (HEPSERA
)
Also tell your healthcare provider if you take:
s an antacid medicine that contains aluminum, magnesium hydroxide, or calcium
carbonate. Take antacids at least 2 hours before or at least 4 hours after you take
COMPLERA.
s a histamine-2 blocker medicine, including famotidine (PEPCID
), cimetidine
(TAGAMET
), nizatidine (AXID
). Take these
medicines at least 12 hours before or at least 4 hours after you take COMPLERA.
s the antibiotic medicines clarithromycin (BIAXIN
), erythromycin (E-MYCIN
, ERYC
,
ERY-TAB
, PCE
, PEDIAZOLE
, ILOSONE
)
s an antifungal medicine by mouth, including uconazole (DIFLUCAN
), itraconazole
(SPORANOX
), ketoconazole (NIZORAL
), posaconazole (NOXAFIL
), voriconazole
(VFEND
)
s methadone (DOLOPHINE
)
Ask your healthcare provider or pharmacist if you are not sure if your medicine is
one that is listed above.
Know the medicines you take. Keep a list of your medicines and show it to your
healthcare provider and pharmacist when you get a new medicine. Your healthcare
provider and your pharmacist can tell you if you can take these medicines with
COMPLERA. Do not start any new medicines while you are taking COMPLERA without
rst talking with your healthcare provider or pharmacist. You can ask your healthcare
provider or pharmacist for a list of medicines that can interact with COMPLERA.
How should I take COMPLERA?
s Stay under the care of your healthcare provider during treatment with COMPLERA.
s Take COMPLERA exactly as your healthcare provider tells you to take it.
s Always take COMPLERA with a meal. Taking COMPLERA with a meal is important
to help get the right amount of medicine in your body. A protein drink does not
replace a meal.
s Do not change your dose or stop taking COMPLERA without rst talking with your
healthcare provider. See your healthcare provider regularly while taking COMPLERA.
s If you miss a dose of COMPLERA within 12 hours of the time you usually take it, take
your dose of COMPLERA with a meal as soon as possible. Then, take your next dose
of COMPLERA at the regularly scheduled time. If you miss a dose of COMPLERA by
more than 12 hours of the time you usually take it, wait and then take the next dose
of COMPLERA at the regularly scheduled time.
s Do not take more than your prescribed dose to make up for a missed dose.
s When your COMPLERA supply starts to run low, get more from your healthcare provider
or pharmacy. It is very important not to run out of COMPLERA. The amount of virus in
your blood may increase if the medicine is stopped for even a short time.
s If you take too much COMPLERA, contact your local poison control center or go to the
nearest hospital emergency room right away.
What are the possible side effects of COMPLERA?
COMPLERA may cause the following serious side effects, including:
s See What is the most important information I should know about COMPLERA?
s New or worse kidney problems can happen in some people who take COMPLERA.
If you have had kidney problems in the past or take other medicines that can cause
kidney problems, your healthcare provider may need to do blood tests to check your
kidneys during your treatment with COMPLERA.
s Depression or mood changes. Tell your healthcare provider right away if you have
any of the following symptoms:
- feeling sad or hopeless
- feeling anxious or restless
- have thoughts of hurting yourself (suicide) or have tried to hurt yourself
s Bone problems can happen in some people who take COMPLERA. Bone problems
include bone pain, softening or thinning (which may lead to fractures). Your
healthcare provider may need to do additional tests to check your bones.
s Changes in body fat can happen in people taking HIV medicine. These changes may
include increased amount of fat in the upper back and neck (buffalo hump), breast,
and around the main part of your body (trunk). Loss of fat from the legs, arms and
face may also happen. The cause and long term health effect of these conditions are
not known.
s Changes in your immune system (Immune Reconstitution Syndrome) can happen
when you start taking HIV medicines. Your immune system may get stronger
and begin to ght infections that have been hidden in your body for a long time.
Tell your healthcare provider if you start having new symptoms after starting your
HIV medicine.
The most common side effects of COMPLERA include:
s trouble sleeping (insomnia)
s abnormal dreams
s headache
s dizziness
s diarrhea
s nausea
s rash
s tiredness
s depression
Additional common side effects include:
s vomiting
s stomach pain or discomfort
s skin discoloration (small spots or freckles)
s pain
Tell your healthcare provider if you have any side effect that bothers you or that does
not go away.
These are not all the possible side effects of COMPLERA. For more information, ask your
healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to
FDA at 1-800-FDA-1088 (1-800-332-1088).
How do I store COMPLERA?
s Store COMPLERA at room temperature 77 F (25 C).
s Keep COMPLERA in its original container and keep the container tightly closed.
s Do not use COMPLERA if the seal over the bottle opening is broken or missing.
Keep COMPLERA and all other medicines out of reach of children.
General information about COMPLERA:
Medicines are sometimes prescribed for purposes other than those listed in a Patient
Information leaet. Do not use COMPLERA for a condition for which it was not prescribed.
Do not give COMPLERA to other people, even if they have the same symptoms you have.
It may harm them.
This leaet summarizes the most important information about COMPLERA. If you
would like more information, talk with your healthcare provider. You can ask your
healthcare provider or pharmacist for information about COMPLERA that is written
for health professionals. For more information, call (1-800-445-3235) or go to
www.COMPLERA.com.
What are the ingredients of COMPLERA?
Active ingredients: emtricitabine, rilpivirine hydrochloride, and tenofovir disoproxil
fumarate
Inactive ingredients: pregelatinized starch, lactose monohydrate, microcrystalline
cellulose, croscarmellose sodium, magnesium stearate, povidone, polysorbate 20. The
tablet lm coating contains polyethylene glycol, hypromellose, lactose monohydrate,
triacetin, titanium dioxide, iron oxide red, FD&C Blue #2 aluminum lake, FD&C Yellow
#6 aluminum lake.
This Patient Information has been approved by the U.S. Food and Drug Administration
Manufactured and distributed by:
Gilead Sciences, Inc.
Foster City, CA 94404
Issued: August 2011
COMPLERA, the COMPLERA Logo, EMTRIVA, HEPSERA, TRUVADA, VIREAD, GILEAD, and
the GILEAD Logo are trademarks of Gilead Sciences, Inc. or its related companies.
ATRIPLA is a trademark of Bristol-Myers Squibb & Gilead Sciences, LLC. All other
trademarks referenced herein are the property of their respective owners.
2012 Gilead Sciences, Inc. All rights reserved.
202123-GS-000 02AUG2011 CON12407 3/12
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BS page 1 BS page 2 Washington Blade Washington Blade
Sticking stubbornly to our
broken model is wrong
By STEPHEN J. FALLON, Ph.D.
Earlier this month, the Republican-
controlled House of Representatives vot-
ed once again to repeal the Affordable
Care Act. House Speaker John Boehner
(R-Ohio) said the Act is making our
economy worse, driving up the cost of
healthcare and making it harder for small
business to hire workers. He has plenty
of Americans behind him in that belief. A
majority of Americans want the Act re-
pealed, though 82 percent support the
Acts new rule that bans insurance com-
panies from denying coverage to people
with pre-existing conditions. Our nation
has developed Care Act schizophrenia.
When the Supreme Court ruled on the
Affordable Care Act a couple of weeks
ago, I found myself in the perfect labora-
tory of national opinions, surrounded by
families, businesspeople, and gay ight
attendants all passing through Atlantas
Hartseld-Jackson airport. As CNN an-
nounced the breaking news that the Su-
preme Court had left the Affordable Care
Act standing, passengers waiting for
ights started speaking out:
There goes the middle class,
groused a guy behind me.
Now we know what we need to do
get that guy out of ofce, snorted a
woman sitting with her elderly mother.
This is why our forefathers left Eng-
land. Its Socialism! insisted a history-
challenged senior.
Right now, more Americans have come
around to accept gay marriage than are in
favor of the Affordable Care Act. Whats
behind this virulent hatred of a national
healthcare program? Ignorance.
Now, Im not saying that there arent
legitimate concerns about the ACA in its
current form. We can have a good debate
about the details of its roll out. But rst
lets put some common arguments to rest.
"The .S. has rhe Lesr healrhcare in
the world. Not if you agree that health-
care should prevent untimely deaths. The
.S. is in eihrh ro lasr place in rhe incus
trialized world when it comes to life ex-
pectancy. The only relatively developed
nations we outlive are the Czech Repub-
lic, Estonia, Hungary, Mexico, Poland,
Slovakia and Turkey. We rank dead last
among highly industrialized nations. Not
exactly what you would expect for the
third wealthiest country in the world with
the best healthcare.
"We |usr can'r allorc universal
healthcare. Were already paying the
price tag for universal healthcare, just not
errin irs Lenelrs. The .S. pays rwo
and-one-half times per person as much
for healthcare as the average for all other
industrialized nations. Pre-existing condi-
tion exclusions blocked many Americans
from getting health insurance, and high
premiums still block others. So many of
the 50 million uninsured Americans use
the emergency room as their primary
healthcare provider.
The average emergency room visit costs
$1,318, or $1,565 for patients over age
45. Worse, by the time uninsured people get
to the ER, their conditions are much more
costly to treat. For example, we spend more
than any country in the world on hospital
admissions for preventable diabetes. When
patients cant pay, you and I are already pick-
ing up the tab through increased insurance
premiums, and increased taxes as hospitals
write off their losses.
"Well, we con'r wanr ro Le like
Canada, with its rationed healthcare, or
socialist like France! Agreed, were an
innovative capitalist country. But since
were paying more and getting less for
our healthcare dollar, just saying no
to socialist ObamaCare isnt good
enough. Lets borrow a better business
model from one of the industrialized na-
tions that has a successful healthcare sys-
tem without resorting to universal health-
care. Have you got a country in mind? If
you do, you must have gone back in time,
because ever since Israel changed its sys-
tem in 1995, were the only nation in the
industrialized world that does not have
universal healthcare.
Thats right, its not just Canada and
France that have universal healthcare,
but also Australia, Austria, Bahrain,
Belgium, Brunei, Cyprus, Denmark, Fin-
land, Germany, Greece, Hong Kong,
Iceland, Ireland, Italy, Japan, Kuwait,
Luxemburg, New Zealand, the Neth-
erlands, Norway, Portugal, Singapore,
South Korea, Spain, Sweden, Switzer-
lanc, rhe nirec AraL Emirares, anc rhe
nirec Kincom. Anc rhey all pay less
per person, and all live longer, on aver-
age, than we do.
Not a single American Ive spoken to
who is opposed to the Affordable Care
Act knew this most basic fact.
The truth is, we cant afford not to have
universal healthcare. Among those em-
ployed, medical expenses are the No. 1
cause ol householc Lankruprcies in rhe .S.
washingtonblade.com
40 JULY 20, 2012 VI EWPOI NT
Americas health care act schizophrenia
VI EWPOI NT
Within a few years, half with
the disease will be 50 or older
By DANIEL TIETZ
As we convene from around the world
to discuss the future of HIV prevention and
treatment here in Washington, we must rec-
ognize that AIDS is not conned to young
people. Thanks to improved anti-retroviral
drugs, HIV is increasingly a chronic, manage-
able disease for those with access to care
and treatment. The CDC has estimated that
within the next few years more than half of all
Americans with HIV will be age 50 or older. In
New York City alone, as of 2010, more than
43 percent of people with HIV are in that
age group. The face of HIV is greying, which
brings with it its own set of challenges. Here
are just a few of the stories of the older adults
with which my organization, ACRIA, works.
Douglas says: Im dealing with HIV,
depression, kidney cancer, high blood
pressure, lipodystrophy, and now my
doctor tells me my cholesterol is going
up. He acknowledges that he hasnt al-
ways dealt well with his conditions, some-
times refusing to take all his drugs (num-
bering in the double digits) when he gets
tired of doing so. He has yet to tell his
doctor about this, and is unable to work
due to the side effects of his medications.
David, an African-American man, re-
mained HIV negative at age 50. But, as
he says, I could count on both hands the
number of people I wanted to invite to a
birthday bash, most of his past friends
and partners having succumbed to AIDS
before they turned 30. He spent his 50th
birthday alone at home with his god-
son. Having been burned out by the loss
of most of his gay peers, he has become
a reclusive, mature gay man. He lives a
life of self-imposed isolation, suffering
from poor eating habits, strange sleep-
ing hours, and incontinence. He chooses
not to date because he deems explaining
these issues not worth the hassle.
These are just a couple of examples
and each one illustrates a real problem.
Douglas, like many older adults with HIV,
has not only HIV but also a variety of other
medical conditions, some of which may be
more challenging now than dealing with
HIV. David is HIV-negative, but he faces
the same problem of isolation that many
of those aging with HIV face. Many older
persons, moreover, wrongly assume that
AIDS is a young persons disease, and that
their age can somehow protect them.
All of these problems have solutions,
but only if health and services providers
and policymakers alike work together to
solve them. Primary care providers whose
patients include older adults with HIV
must be trained to ensure that they are
prepared to help patients confront their
multiple chronic illnesses, and that they
adhere to a treatment regimen that will
keep them in the best possible health,
as difcult as it may be. That includes
addressing depression and other men-
tal health issues, which our research has
found to be the most consistent predic-
tor of non-adherence to HIV treatment.
It also includes helping patients to dis-
cuss risky behaviors in a nonjudgmental
space; if patients feel they will be subjected
to harsh criticism, rather than advice, for the
slightest bit of disclosure, they are less like-
ly to discuss such behavior openly, render-
ing it all the more difcult to reduce. ACRIA
has created an ad campaign based on this
non-moralistic approach with the slogan
Have Sex? Age is Not a Condom. And
as Davids story shows, these older adults
are more likely to become depressed when
theyre isolated and lack social support
networks. Without intervention, theyre
unlikely to remain in good health. These
adults need opportunities to socialize with
their peers and we need to endeavor to
ensure they have them.
These are not the only challenges that
older adults with HIV face. But these is-
sues, and others, are why this week, at the
International AIDS Conference in Wash-
ington, D.C., ACRIA, SAGE and GMHC,
together with several international part-
ners, will host a satellite conference on
HIV and aging, sponsored by the MAC
AIDS Fund. At this conference, we will
describe and address HIV and aging as
a truly global issue. Scientists, health and
services providers, activists, policy mak-
ers, and older adults with HIV will speak,
as will a panel of older adults with HIV. To-
gether, we are working to create a world
in which AIDS is universally recognized as
a disease that people over 50 get and
in which we unite to ensure that they get
the care and services they need.
The aging face of HIV
Daniel Tietz is executive director of AIDS Community
Research Initiative of America. Reach him via acria.org.
Stephen Fallon is president of Skills4, a healthcare
consulting rm that provides services to CDC and
HRSA funded providers, primarily gay- or minority-
based agencies and clinics. Reach him via skills4.org.
CONTINUES AT WASHINGTONBLADE.COM
washingtonblade.com
VI EWPOI NT JULY 20, 2012 41
So far, hes silent on the disease
unlike President Bush
By JAMES DRISCOLL, Ph.D.
What can Mitt Romney do for AIDS? In
a word plenty. As we approach the XIX
International AIDS Conference opening in
Washington July 22, Mitt Romney has so
far said nothing about AIDS. Perhaps his
advisers are reluctant to touch the sub-
ject. They shouldnt be. George W. Bush
learned early that AIDS holds opportuni-
ties for conservative activism; he then built
the best AIDS record of any president.
The Bush record provides a ne ex-
ample and starting place for Mitt Rom-
ney. Bush cleared regulatory hurdles to
rapid HIV testing and reformed federal
AIDS care programs. He launched PEP-
FAR, the Presidents Emergency Plan for
AIDS, which has become the most suc-
cessful foreign aide initiative since the
Marshall Plan. Bringing AIDS drug treat-
ment to millions in Asia and Africa, PEP-
FAR has saved countless lives and earned
America worldwide respect and good will.
However, many more lives can now be
saved by improved use of PEPFAR resourc-
es. As president, Romney could focus the
program more on antiretroviral drug treat-
ment and less on administration. Program
efciencies, boosted by falling drug costs,
could allow PEPFAR to treat many more
patients with current funding.
Tariffs and taxes on medical products re-
main serious obstacles to combating AIDS
and other killers throughout the developing
world. More than 30 countries, including
the U.S., have abolished tariffs on medical
products. Nonetheless, in too many trade
negotiations, medical products still have the
same priority as balloons, boom boxes and
rum. Everything is a trading chip, regardless
of whether it is triing or essential to human
health. This must change.
Countries like India, China and Thai-
land, with chronic trade surpluses and
large HIV epidemics, continue to im-
pose trade barriers on medications for
AIDS and other life-threatening diseas-
es. Elimination of all taxes worldwide on
vital medical products would be a great
boon to world health. At the same time it
would help reduce dangerous trade im-
balances between the West and Asia, an
important priority for the next president.
PEPFAR gave President Bush a chance
to pursue a lofty international goal. Presi-
dent Romney will have a unique opportu-
nity to advance Americas domestic AIDS
goals. Last year NIHs 052 study, cited
by Science as the top advance of 2011,
proved that anti-retroviral treatment is 96
percent effective in preventing infection
of HIV negative partners. We now know
that widespread HIV testing and treat-
ment can prevent the spread of AIDS.
However, more than 20 percent of HIV
positives in America do not know their
status. We must get them tested and into
treatment. President Obama formulated
a viable National AIDS Strategy, but he
has neglected the hardest part, imple-
mentation. As a result, the AIDS virus
continues to spread rapidly among many
groups, especially gay men, Latinos and
African-American women.
President Romney would need to re-
prioritize AIDS funding in order to nd sav-
ings and efciencies to pay for more testing,
linkage to care and AIDS drug treatment for
many additional HIV patients. He can, there-
by, reduce the rate of new infections and at
last turn the tide against AIDS in America.
Keeping down AIDS regimen costs
is essential to HIV treatment expansion
given a troubled global economy and
soaring decits in every developed coun-
try. We must recognize that nearly all AIDS
patients are poor people whose treatment
hinges on some form of taxpayer funding.
There is no true free market in AIDS drugs.
Presidential leadership will be crucial to
negotiating agreements with pharmaceu-
tical companies that allow us to treat many
more HIV-positive Americans with current
funding. The global AIDS drug market is
$22 billion. A share of a market that size is
a powerful incentive to continue develop-
ment of new HIV drugs, though additional
inducements would be helpful.
The next president needs to create ef-
fective tax, IP and regulatory avenues to
speed private sector research on cures and
better treatments for the big killers with the
heaviest impact on healthcare budgets, like
Alzheimers, cancer, diabetes, and HIV-AIDS.
What can Mitt Romney do for HIV/AIDS?
James Driscoll, Ph.D., is a longtime AIDS activist and
was a member of the Presidential Advisory Council
on HIV/AIDS under President George W. Bush.
CONTINUES AT WASHINGTONBLADE.COM
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30-65, who are experiencing life changes:
Relationships, Careers, Retirement, Choices.
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301-942-3237 GRiddell@lgbtc.com LGBTC.com
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42 JULY 20, 2012 WASHl NGTONBLADE. COM
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For more information about The International AIDS Film Festival please go to www.InternationalAIDSFilmFestival.org
Reel Afrmations #Reel Afrmation www.ReelAfrmations.org
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HONORING THE AIDS MEMORIAL QUILT
Visit The Textile Museum July 21-27
to see a special display of an
AIDS Memorial Quilt panel
LOCATED IN DUPONT CIRCLE
2320 S ST. NW
WASHINGTON, DC
TUESSAT 10 AM 5 PM
SUN 15 PM
$8 SUGGESTED DONATION
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By BRIAN T. CARNEY
The International AIDS Conference
in Washington offers an opportunity to
look back at how artists have responded
to the disease. Since the very rst days of
the crisis, artists of all kinds have actively
responded, both in their artistic works and
as fundraisers and activists.
THE NAMES PROJECT
AIDS MEMORIAL QUILT
The Names Project AIDS Memorial Quilt, on
display throughout the city through the month
of July, is the largest community art project in
the world. More than 48,000 panels have been
created by lovers, family members and friends
to memorialize those who have died of AIDS.
The Quilt has redened the traditional folk-art
of quilt-making into a modern art form that
serves as a memorial, a tool for education,
a work of art and a call to arms. Each of the
panels has been photographically preserved
in the AIDS Memorial Quilt Archive. About
14 million around the world have seen panels
from the Quilt.
The Quilt has its root in a powerful piece
of political theater. While preparing for the
annual candlelight march honoring Harvey
Milk and George Moscone in 1985, San
Francisco activist Cleve Jones was shocked
to learn that more than 1,000 people in the
city had already died of AIDS. He asked his
friends to bring placards with the names of
the dead to the march. After the march, the
activists taped the placards to the side of the
San Francisco Federal Building and realized
that the signs now looked like a patchwork
quilt. Inspired by the sight, Jones and his
friends made plans for a larger memorial
and in 1986 Jones created the rst quilt
panel in honor of his friend Marvin Feldman.
THE ART OF ACTIVISM
One of the remarkable features of the
ght against AIDS has been the ability
to use visual art to generate a powerful
public response. This was especially true
for the AIDS Coalition to Unleash Power
(ACT UP), an international direct action
advocacy group that worked to impact
the lives of people with AIDS. Founded
in New York City in 1987, the leaderless
anarchist network effectively combined
powerful direct action protests with
provocative visual images to effectively
generate media attention for their cause.
Veteran media activist Cathy Renna,
who describes herself as coming out
and coming of age when ACT UP was
forming, says the global impact of the
group came from its ability to use visual
art to drive home a message.
They had people like Ann Northrup
and Larry Kramer who understood the
media really well and who understood
the power of images, Renna says. They
created iconic images that demanded
the attention of the media and became
embedded in the minds of people.
Renna notes that the members of ACT
UP really showed the power of visual art to
move people and the power of creativity
and humor to reach people.
Not everyone agreed with their tactics,
but at the end of the day none of us can
argue with the indelible impact they had
on the public perception of AIDS and the
entire LGBT movement, she says.
CLASSICAL MUSIC
For centuries, theres been a debate
about how well classical music can
respond to specic cultural events. Gay
composer John Corigliano leapt into this
fray when he wrote his Symphony No. 1 in
1991 as a response to the AIDS epidemic.
During the past decade I have lost
many friends and colleagues to the AIDS
epidemic, Corigliano writes in his notes to
the rst recording of the symphony. My
First Symphony was generated by feelings
of loss, anger and frustration.
Corigliano, best known for his opera
The Ghost of Versailles and his Oscar-
winning score for The Red Violin, says
that the form of his AIDS symphony was
inspired by a viewing of the NAMES
Project AIDS Memorial Quilt.
A few years ago I was extremely moved
when I rst saw The Quilt, an ambitious
interweaving of several thousand fabric
panels, each memorializing a person who
had died of AIDS, and most importantly,
each designed and constructed by his or
her loved ones, he wrote. This made me
want to memorialize in music those I have
lost, and reect on those I am losing.
THEATER
Perhaps no other artistic medium has
been as responsive to the AIDS crisis as
theater. From ground-breaking pieces like
Larry Kramers The Normal Heart (an
ART S AND E NT E RTAI NME NT WAS H NGT NB L ADE . CM v L ME 4 3 S S E 2 J LY 2 0 2 0 1 2 FAGE 4 3
CONTI NUES ON PAGE 61
The cast of The Normal Heart at Arena
Stage. The show, a groundbreaking
dramatization of the early years of the AIDS
crisis in New York, runs through July 29.
PHOTOBY SCOTT SUCHMAN; COURTESY ARENA
FROM THE QUILT TO HOLLYWOOD TO BROADWAY, POP CULTURE HELPED US MAKE SENSE OF GRIEF, LOSS
By JOEY DiGUGLIELMO
joeyd@washblade.com
Wayne Turner remembers crying on the rst day of school although it was law
school at UDC David A. Clarke School of Law and it was his 40th birthday that day in 2005.
The founding professor, Edgar Cahn, was there telling us in this big orientation
that their mission was to take bad-ass activists and unleash them on the world,
Turner says. He said, Youre not just here alone, youre on the shoulders of
everyone whos come through here before. It was about seven years since my
partner had died and I thought, Yes, I have found my home. The tears just started
streaming down my face so there I was, crying on the rst day of school.
Turner and his late partner, Steve Michael, who died of AIDS at age 42 in 1998
(Turner took Michaels body to the White House as a gesture of protest), had what
Turner calls a roller coaster seven-year relationship in which they dedicated
themselves solely to activism and lived a very hand-to-mouth existence. We were
always changing residences, changing phone numbers. We lived a very mission-
focused life and it was just like, We gotta do this stuff. It was an issue nobody
wanted to deal with. Turner, who remains HIV-negative, was a founding member of
the AIDS advocacy and protest group ACT UP (AIDS Coalition to Unleash Power).
Turner, a Culver City, Calif., native, went to college in Portland, spent time in
Europe, then lived in Seattle for about ve years where he met Michael. They
moved to Washington in 1993 with the express goal of keeping Bill Clinton
accountable for his AIDS-related campaign promises.
Turner says going to law school he earned full scholarships and graduated
with honors was perfect for him.
I think of it as activism on steroids, he says. You gain so much clarity of how things
work and how things are supposed to work. I highly recommend it to anyone who is
active and involved. Its like opening up a clock and saying, Oh, thats how that works.
Turner says he now has his dream job as a staff attorney at the National
Health Law Program focusing on health care quality and access for low-income
and disabled individuals enrolled in Medicaid.
Hes single, lives on the H Street corridor in Northeast Washington and enjoys
camping and hiking with his dog, Mister, in and around Shenandoah National Park.
WASHINGTON BLADE PHOTO BY MICHAEL KEY
washingtonblade.com
44 JULY 20, 2012 QUEERY: 20 QUESTI ONS FOR WAYNE TURNER
HOW LONG HAVE YOU BEEN OUT
AND WHO WAS THE HARDEST
PERSON TO TELL?
After the rst year of college, my high
school friend Robert and I came out to
each other. We were just stating what
was plainly obvious to each of us (and
everyone else), but we had never talked
about it before.
WHOS YOUR LGBT HERO?
My late partner Steve and the other
amazing frontline AIDS activists, living
and dead, who struggle and sacrice so
that others might live.
WHATS WASHINGTONS BEST
NIGHTSPOT, PAST OR PRESENT?
Otter Crossing at the DC Eagle.
DESCRIBE YOUR DREAM WEDDING.
One where DOMA has been
overturned by the Supreme Court so
that same-sex marriages are legally
recognized by the federal government
and in all 50 states.
WHAT NON-LGBT ISSUE ARE YOU
MOST PASSIONATE ABOUT?
Single payer health care. It means
getting better care for less money from
cradle to grave whats not to like
about that?
WHAT HISTORICAL OUTCOME
WOULD YOU CHANGE?
I wish Mario Cuomo went to New
Hampshire in 1992. He would have
won the primary, won the Democratic
nomination and won the White House.
We wouldnt have had the disaster
known as the Clinton administration
with DOMA, DADT and the HIV
immigration ban and travel restrictions.
We might even have seen a Manhattan
Project for AIDS, and could very well
have a cure by now.
WHATS BEEN THE MOST
MEMORABLE POP CULTURE
MOMENT OF YOUR LIFETIME?
Probably when Tinky Winky came out.
I mean, we all knew, what with that red
purse and all.
ON WHAT DO YOU INSIST?
Punctuality
WHAT WAS YOUR LAST FACEBOOK
POST OR TWEET?
YES WE CAN! celebrating the
Supreme Court decision upholding
Obamacare. It is a huge victory,
particularly for people with HIV who can
qualify for Medicaid without having to
wait for an AIDS diagnosis, and cant be
denied health coverage because of a
pre-existing condition.
IF YOUR LIFE WERE A BOOK, WHAT
WOULD THE TITLE BE?
Fasten your seatbelts, because it
has been one bumpy ride.
IF SCIENCE DISCOVERED A WAY TO
CHANGE SEXUAL ORIENTATION,
WHAT WOULD YOU DO?
Find Ben Cohen.
WHAT DO YOU BELIEVE IN BEYOND
THE PHYSICAL WORLD?
Theres something besides the
physical world? Ill believe it when I see
it.
WHATS YOUR ADVICE FOR LGBT
MOVEMENT LEADERS?
Too many so-called leaders
seem to mistake photo-ops and
cocktail party receptions for
actual accomplishments. On-the-
ground activists are providing the
real leadership. Look at marriage
equality activists in Massachusetts
propelled that issue forward in 2001
with Goodridge v. Dept. of Public
Health. The national groups have
been playing catch up ever since.
WHAT WOULD YOU WALK ACROSS
HOT COALS FOR?
Nothing. I have nice feet.
WHAT LGBT STEREOTYPE ANNOYS
YOU MOST?
Victimhood. It perpetuates the
perception that we are weak. Pity is no
substitute for demanding respect and
dignity.
WHATS YOUR FAVORITE LGBT
MOVIE?
Carrie, the original with Sissy
Spacek and Piper Laurie. It shows us
that the best way to deal with high
school bullies is to turn a fire hose
on them.
WHATS THE MOST OVERRATED
SOCIAL CUSTOM?
Saying bless you when someone
sneezes. (See physical world
response above).
WHAT TROPHY OR PRIZE DO YOU
MOST COVET?
Raphael Nadal.
WHAT DO YOU WISH YOUD KNOWN
AT 18?
That Apple stock would have been a
really good idea.
WHY WASHINGTON?
Sometimes at night I walk the
dog around the Capitol. Ill sit on
the West steps and look out over
the city, with stars and the moon
and the Mall and the monuments
and the glistening city lights, and
I think this view, at this moment
almost makes up for the excruciating
summer heat and humidity. Almost.
Actually, I really love D.C. I just wish
I had a couple of senators and a
representative.
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competition, defamation, invasion of privacy or rights of celebrity, violation of anti-discrimination law or regulation,
or any other right of any person or entity. Advertiser agrees to idemnify brown naff pitts omnimedia llc (dba the
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by brown naff pitts omnimedia llc, arising out of or related to advertisers breach of any of the foregoing representations
and warranties.
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WASHI NGTONBLADE. COM JULY 20, 2012 45
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Creating a comeback for
the 1970s contemporary
By DONNA EVERS
Buyers are always attracted to houses
that show well, but they should take a sec-
ond look at some of the often overlooked
houses we have for sale in the Washington
Metro area.
In the spring, we looked at ways to up-
date and refresh the 1930s to 1940s colonial
homes, (known as the red brick box) and
the 1950s rambler, generally regarded as
bland and dated. By doing simple decora-
tive xes or more involved remodeling work
to the interior and exteriors of these styles
of homes, both of these housing types are
extraordinarily redeemable.
We are going to tackle another type of
house that was popular in the 1970s the
contemporary house that now seems so
dated that most buyers dont want to pur-
chase this type of home. However, if you
can see the potential with this style house
and know what to do with it, you can end
up with a beautiful home for less money.
Looking at some of the less desir-
able elements of the contemporary-style
home, many were built with the split-level
oor plan. This allowed the builder to pro-
duce more living space with a smaller foot-
print but now seems dated. The second
biggest aw is the lack of thermo pane
windows. Energy costs were not a big con-
cern then, but since these contemporary-
style houses have big expanses of glass, it
is a genuine issue for current buyers.
While it is denitely an investment to re-
place these large exterior windows, there
is a plus side to this nancial equation. If
you nd a dated-looking contemporary
house with non-thermo pane windows
and no major structural renovations, you
probably wont get into a bidding war to
buy it. In fact, it will probably be sitting on
the market for a while, which means you
can save enough money on the purchase
price of the home to cover the investment
for new, energy-saving windows.
These houses have a lot of great quali-
ties that can be often overlooked because
the overall appearance of the house is
dated. The same square footage in these
style contemporaries can give you a lot
more spatial and visual bang for the buck
because of the open spaces, high ceilings
and light from the oversized windows.
If the front windows look onto the
street, a lattice screen can offer privacy
and functionality for the front outdoor
space. Put a lattice screen in the front
yard to create an atrium effect, so that
your living room is not looking onto the
street but into a mini-garden instead.
Most of these houses have oak oors
throughout, so get rid of the carpeting
and enhance the feeling of open space. If
the stairs to the second level are close to
the living room, use a stair carpet runner
to create a transition and minimize noise
between the living space and the stairs to
the bedroom wing.
Try to create a transition between the
open front hall space and the kitchen.
There wont be room for a butlers pan-
try, but you can create that effect with a
change in color of the cabinets leading
into the kitchen, or even add a small half
wall. Most of these homes come with eat-
ing space in the kitchen. The smartest
use of this space is to add an island this
gives you a combination of much needed
eating, cooking and entertaining space.
The dining room is generally small, but
thats alright as it is the most unused room
in most homes. Dont weigh it down with
big pieces. Adding shallow built-ins gives
you both storage and space. If there is a wall
between the living room and dining room,
consider getting rid of it for better sense of
open space. If there are glass doors to the
backyard in the dining room, create your pa-
tio or deck right outside the doors to extend
the feeling and utility of living space.
While there are generally three to four
bedrooms in the upper oors of these
homes, the master suites are inadequate,
so you may want to combine two bed-
rooms in order to come up with a com-
fortable space for adequate closets and
a true master bath. And, a small faux-bal-
cony with French doors is the most cost-
effective way to add glamour and a sense
of space to the master bedroom.
If the front of the house lacks appeal,
the lattice screening mentioned earlier will
help a lot. You might even want to add an
additional half wall of screening/fencing
with a stone bench and decorative plant-
ings. This allows you to enter the house
as soon as you leave the sidewalk or curb,
capturing more living space and privacy.
You can update the exterior with paint,
sticking to natural hues that blend with the
environment whether the house is brick,
frame or a combination of the two. Keep it
simple and contemporary and you might
just end up with a modernized dream
house where the price is right.
REAL ESTATE
The ugly duckling revisited
WASHI NGTONBLADE. COM JULY 20, 2012 3
Donna Evers is the owner and broker of Evers & Co. Real
Estate, the largest woman-owned and run real estate rm
in the Washington, D.C. area; the proprietor of historic Twin
Oaks Tavern Winery in Bluemont, Va.; and a devoted stu-
dent of architecture and history in the Washington Metro
area. Reach her at devers@eversco.com.
The Brady Bunch house epitomized dull 1970s architecture.
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The Realtors
you refer to
your friends
and
Buying or
Selling a Home?
Licensed VA, MD, DC
info@gayrealtors.us.com s www.gayrealtors.us.com
THE GALE STORM TEAM
703.301.1258 301.575.133
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Azads Oriental
Rug Emporium
WELCOME
AIDS 2012
Conference Attendees
Visit our new showroom
for the most exquisite
selection of Persian rugs at
unbelievable pricing.
2625 Connecticut Ave. NW Washington, DC 20008
202.588.0028 240.329.7715 rugemporium@verizon.net
azadorientalrugs.com midatlanticorientalrugs.com
Just 2 miles from Convention Center. Using Metro, go to Gallery Place/Chinatown Metro and take
Red Line four stops to Woodley Park. Azads Oriental Rug Emporium is across the street.
4 JULY 20, 2012 WASHl NGTONBLADE. COM
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3 BRS
2.5 BATHS
On 3 levels
with in home
elevator to all three floors.
Impressive, light and bright
condo, with a fabulous kitchen featuring up to the minute appliances
hardwood floors, beautiful baths, 2 balconies, den with fireplace,
dramatic entry foyer, a gallery, a to die for master suite, 2 adjacent garage
spaces and a wrap around terrace on the top level with amazing views are
just some of the highlights! Walk or take public transit to
almost anywhere. Just a few blocks to the Tenleytown Metro, The Shops at Chevy Chase,
Mazza Gallery. Open Sunday, July 22, from 1-4. From Friendship Heights
follow Wisconsin Ave. into DC and make a sharp left onto 41st St to 4750, #507.
Your open house agent will be Long and Fosters Gary Bledsoe 202-294-1500.
For complete details contact
DEBBIE C0HEN at 202-288-9939. List Price is $1,399,000.
PERFECT PENTHOUSE, 3 BEDROOM CONDO PERFECT PENTHOUSE, 3 BEDROOM CONDO CHEVY CHASE, DC LOCATION WALK TO METRO CHEVY CHASE, DC LOCATION WALK TO METRO
Long and Foster Real Estate,
www.debbiecohen.com Email: debbiecohen@msn.com 301-907-7600 (O)
D DEBBIE EBBIE C C0HEN 0HEN
ape-|eace,
Licensed in DC, MD & VA
Presented By
THE PERFECT 1 BEDROOM CONDO THE PERFECT 1 BEDROOM CONDO IN IN CHEVY CHASE, DC WALK TO METRO OPEN SUN., 1 CHEVY CHASE, DC WALK TO METRO OPEN SUN., 1- -4 4
The good life is right here at The Harrison
Condominiums in the heart of Chevy Chase, DC,
between Tenleytown Metro and Friendship Heights
Metro. This 18 months young home has hardwood
floors throughout, laundry, balcony, gorgeous bath
and a fabulous granite and stainless steel kitchen.
Just Reduced to $368,995! To arrange your showing,
Call D DEBBIE EBBIE C C0HEN 0HEN, 202-288-9939.
Or attend the Open House this Sunday, July 15, from 1-4. From Friendship Heights follow
Wisconsin Avenue into DC to a left on Harrison St. . Its the first building on the left,
5301 Wisconsin Ave., NW, #310. Your Open House Agent will be Gary Bledsoe. 202-294-1500
Long and Foster Real Estate, Inc.
D DEBBIE EBBIE C C0HEN 0HEN
ape-|eace, ace||eace
www.debbiecohen.com Email: debbiecohen@msn.com 301-907-7600 (O)
Licensed in DC, MD & VA
A Long and Foster Masters Hall of Fame Agent
Presented By
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ALL ITEMS ARE DISCOUNTED 20% EVERY DAY*
(301) 231-7999 (800) 420-9610 israeliaccents.com
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3 Jiue ^ugie's Lisl Super Service ^ward wiuuer
Couuilled lo Perecliou
Exceediug Your Expeclalious
GAY OWNED & OPERATED
Call Ron Gallant @ 240.398.7006 or
ron@argent-llc.com or visit argenthvac.com
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TTR Sothebys International Realty
BILL HOUNSHELL 202.271.7111 or william.hounshell@sothebysrealty.com
MICHAEL FOWLER 202.812.0272 or michael.fowler@sothebysrealty.com
Opportunity to own a gorgeous 2
bedroom unit in the Metropole!
Entertain in your chic kitchen with
custom cabinets and Bosch appliances
or relax in your 3 spa-like bathrooms.
Enjoy the phenomenal nishes in this
spacious 1490 sq ft condo located in the
heart of Logan Circle. Use your garage
parking spot or walk to all that Logan
Circle has to offer Vida, Whole Foods,
theater, shops, and dining. $975,000
1515 15
TH
ST. NW, #430
*Each Oce is Independently Owned and Operated
WASHI NGTONBLADE. COM JULY 20, 2012 5
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Uptown 06 0fce 202.32.3400
Valerie M. Blake
Associate Broker, GRI
202.24.802
Va|er|e06home0uest.com
www.06home0uest.com
Va|errea|estate.b|ogspot.com
Pussycat, Pussycat,
where did you go?
To Adams Morgan
to buy a condo.
Mother
Goose
is Loose!
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1-800-ROOF-495
MAGGIOROOFING.COM
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Sid Binks, PhD, ABPP-CN
Board Certied in Clinical Neuropsychology
Licensed Clinical Psychologist
Individual & Couples Therapy
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Cognitive-Behavioral
Therapy
Results-Oriented Affordable
Larry Cohen, LICSW
24 years serving the lgbt community
202-244-0903
socialanxietyhelp.com
See website for NPR story on my work
Results-Oriented
24 years serving the lgbt community
See website for NPR story on my work
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for any legal liability arising out of or relating to the advertisement, and/or any material to which users can link through
the advertisement. Advertiser represents that its advertisement will not violate any criminal laws or any rgihts of third
parties, including, but not limited to, such violations as infringement or misapporpriation of any copyright, patent,
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defamation, invasion of privacy or rights of celebrity, violation of anti-discrimination law or regulation, or any other right
of any person or entity. Advertiser agrees to idemnify brown naff pitts omnimedia llc (dba the washington blade) and
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omnimedia llc, arising out of or related to advertisers breach of any of the foregoing representations and warranties.
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IndividualsCouplesSex
Helping People
Grow Stronger
in Rough Times
Michael Radkowsky, Psy.D.
Licensed Psychologist 20 years experience
Near Woodley & Cleveland Park metro
(202) 234-3278
www.personalgrowthzone.com
Joel C. Ang, M.D.
Family Medicine, HIV Diagnosis & Treatment
www.qstreetmds.com
202-667-5041
1759 Q Street NW, Washington, DC
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Parking Availablo Froo Wi-Fi
Samo Oay Appointmonts
Adult Primary Care
Copios o rooords at oaon visit
nsuranoo Aoooptod
nstant Hv/Sypnilis/Horpos Tosting
CLA Cortihod n-Houso Laboratory
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omnimedia llc (dba the washington blade) is not responsible for the content and/or design of your ad. Advertiser is
responsible for any legal liability arising out of or relating to the advertisement, and/or any material to which users
can link through the advertisement. Advertiser represents that its advertisement will not violate any criminal laws or
any rgihts of third parties, including, but not limited to, such violations as infringement or misapporpriation of any
copyright, patent, trademark, trade secret, music, image, or other proprietary or propety right, false advertising, unfair
competition, defamation, invasion of privacy or rights of celebrity, violation of anti-discrimination law or regulation,
or any other right of any person or entity. Advertiser agrees to idemnify brown naff pitts omnimedia llc (dba the
washington blade) and to hold brown naff pitts omnimedia llc (dba the washington blade) harmless from any and all
liability, loss, damages, claims, or causes of action, including reasonable legal fees and expenses that may be incurred
by brown naff pitts omnimedia llc, arising out of or related to advertisers breach of any of the foregoing representations
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A D V E R T I S I N G P R O O F
PROOF #1 ISSUE DATE: 02.03.12 SALES REPRESENTATIVE: JERYL PARADE (jparade@washblade.com)
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THOMAS JENKINS
& COMPANY
Certied Public Accountants
Corporation, Partnership, Trust, Individual
Income Tax & Financial Planning
202-547-9004
Washington, DC
REVIEW AD FOR COPY AND DESIGN ACCURACY. Revisions must be submitted within 24 hours of the date of
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omnimedia llc (dba the washington blade) is not responsible for the content and/or design of your ad. Advertiser is
responsible for any legal liability arising out of or relating to the advertisement, and/or any material to which users
can link through the advertisement. Advertiser represents that its advertisement will not violate any criminal laws or
any rgihts of third parties, including, but not limited to, such violations as infringement or misapporpriation of any
copyright, patent, trademark, trade secret, music, image, or other proprietary or propety right, false advertising, unfair
competition, defamation, invasion of privacy or rights of celebrity, violation of anti-discrimination law or regulation,
or any other right of any person or entity. Advertiser agrees to idemnify brown naff pitts omnimedia llc (dba the
washington blade) and to hold brown naff pitts omnimedia llc (dba the washington blade) harmless from any and all
liability, loss, damages, claims, or causes of action, including reasonable legal fees and expenses that may be incurred
by brown naff pitts omnimedia llc, arising out of or related to advertisers breach of any of the foregoing representations
and warranties.
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PROOF #1 ISSUE DATE: 07.06.12 SALES REPRESENTATIVE: BRIAN PITTS (bpitts@washblade.com)
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Ian Griffin, LCSW
Specializing in Issues Related to:
comingOut
Relationships
Self EsteemEnhancement
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MASSAGE / CERTIFIED
YOURE WORKING THAT BODY HARD.
Come to a professional massage
therapist offering the best deep tissue
massage available. Stretching, Swedish
& Sports massage. $70-1 hr./$100-90
mins. Dupont. Marcio (202) 271-9440.
www.MarciosMassage.com.
INDULGE YOURSELF WITH RELAXING,
DEEP TISSUE MASSAGE! Feel the
stress leave your body. CMT w/ 17 yrs
exp. Located in Logan/Dupont Circle.
www.DCMassageTherapist.com David
(202) 213-9646. Lic #MT410.
REFRESH YOURSELF SOOTH your body
and spirit with a restoring massage.
Great for gym bodies and ofce workers
alike. Easy N. Arlington location. Sun-
Wed 12-9. Gary 301-704-1158. http://
www.mymassagebygary.com/.
ITALIAN JOCK GIVES full body massage.
Masculine, muscular, VGL masseur,
offers, full-body, Swedish, sports, deep
tissue massage on a table, including
stretching, shower available. See my
photos on www.massagem4m.com/
jockguy. Located downtown, parking
available. Credit Cards Accepted. Brian
312-961-7724.
PAMPER YOURSELF with a 60 or
90 min. massage. With 11 years
experience let me tailor a session
right for you. Ben 202.277.7097.
www.benmassagedc.com.
WAT MASSAGE Imagine being
transported to an oasis of serenity
where your own nature is rested,
renewed & refreshed. A luxurious
studio near 18th & Florida Ave.
SUMMER SPECIAL- $90/ 90 min.
session (with this ad, rst time
clients only). (202)588-9393. http://
watmassage.com.
YOU NEED ME. I knead you.
Experienced healing male hands
release pain, stress, tension & fatigue.
DC/VA appointments. 703-402-6698.
Energy work available.
Jim is back & Expertly Crafted
Massage is now EC Wellness -
Integrative Massage & Aquatic
Therapy. Dupont & Petworth
Locations www.ecwellnessdc.com.
202-257-9726
MASSAGE WITH NURTURING TOUCH
Experience a professional full body
relaxing massage .Swedish, deep
tissue & accupressure reduces stress &
promotes wellness. Ask about Sunday
afternoon/evening discount rates 202-
641-1078
NEED TO RELAX after your meeting?
Unwind with a botanical massage by
Christopher & enjoy a complimentary
herbal bath after your service. Please
call 202-368-8465.
AUTOS
FAST CASH!!! WANTED Cars & Trucks.
Don t throw your money away, call
me! I will buy your vehicle. Call Marty
Salins, at Auto Plaza, in Rockville,
(301) 340-1390.
BULLETIN BOARD
VOTE GAY! VOTE for Bruce Majors
in Novembers election. Volunteer,
donate, petition! We want you! I
will vote against DOMA and taxation
without representation. Majors4DC.
blogspot.com
CATERING
SUMMER IS HERE! Casual event or
elegant affair, we are your catering
specialist! A catering service that
provides the nest food & fresh
baked goods. Call Ms. Wanda 301-
653-1190. Wharris94@Comcast.Net.
CLEANING
TOO NEAT GUYS INC. Residential &
Commercial cleaning in DC & Northern
VA. Over 17 years experience, gay
owned, licensed, bonded & insured
(703) 622-5983.
FERNANDOS CLEANING:
RESIDENTIAL & Commercial Cleaning,
Reasonable Rates, Free Estimates,
Routine, 1-Time, Move-In/Move-Out.
(202) 234-7050, 202-486-6183.
MAID TO CLEAN. Rated #1 in Metro
DC. Gay owned. Serving DC/VA/MD.
DC & VA (703) 299-0101. MD (301) 656-
7171. Visit www.maidtoclean.com
A CLEANING SERVICE invites you to
relax while our team of experts cleans
your home. Established in 1985, we are
licensed, bonded & insured. Please
email acleaningsvce@aol.com or call
for an online estimate & be sure to
include the size of your home or ofce
& the frequency with which you would
like the services. A Cleaning Service,
winner of the 2011 Angies List Super
Service award. 703.892.8648.
COUNSELING
A MINDFULNESS-BASED MENTAL
HEALTH PRACTICE specializing
in a holistic approach to anxiety,
depression, careers, & relationships.
20 years experience helping people
identify & overcome impediments
to a fullling life, satisfying careers,
& healthy relationships. Jonathan
Kirkendall MA LPC, 202.550.3589, www.
dclpc.com.
LGBTQ AFFIRMING THERAPY at
Dupont Circle Individuals, couples,
families, adolescents. Over 15
years serving the community. Mike
Giordano, LICSW. 202/460-6384 mike.
giordano.msw@gmail.com. www.
WhatIHearYouSaying.com.
COUNSELING FOR GAY MEN.
Individual/couple counseling with
volunteer peer counselor. Gay Mens
Counseling Community since 1973.
202-265-6495. gaymenscounseling.
org. No fees, donation requested.
CHANGES ARE EASIER WITH
HELP. Small, private practice
group of experienced, caring
therapists. Safe, condential
setting. Ofces in Woodley Park &
Takoma Park near Metro. Licensed
professionals. Insurance
reimbursable. Washington Therapy
Guild. Call 202-483-2660. www.
therapyguild.net.
ITS ALL ABOUT CHANGE! Lesbian
Group, 30-65. Relationships, Careers,
Retirement, Interpersonal Skills,
Assertiveness. Tuesday evenings in
Northwest DC. Call 301-942-3237.
GRACE RIDDELL, LICSW. GRiddell@
lgbtc.com. LGBTC.com.
ELECTRICAL
EMPLOYMENT
LOCKER ROOM ATTENDANTS
NEEDED! The Crew Club, a gay mens
naturist gym & sauna, is now hiring
Locker Room Attendants. We all scrub
toilets & do heavy cleaning. You must
be physically able to handle the work
& have a great attitude doing it. No
drunks/druggies need apply. Please call
Richard at (202) 319-1333. from 9-5pm,
to schedule an interview.
FINANCIAL SERVICES
HEALTH & BEAUTY
BRONZ SENZA SOLE! A unique
custom-mixed air brushed tan. No
orange spray. Contour musculature.
Minimize stretch marks and scars. We
come to you by appointment only.
240.750.3085. bronzeair1@yahoo.com.
http://bronzess.com/.
JULY 20, 2012 WASHl NGTONBLADE. COM
REVIEW AD FOR COPY AND DESIGN ACCURACY. Revisions must be submitted within 24 hours of the date of proof.
Proof will be considered nal and will be submitted for publication if revision is not submitted within 24 hours of the date
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llc (dba the washington blade) is not responsible for the content and/or design of your ad. Advertiser is responsible
for any legal liability arising out of or relating to the advertisement, and/or any material to which users can link through
the advertisement. Advertiser represents that its advertisement will not violate any criminal laws or any rgihts of third
parties, including, but not limited to, such violations as infringement or misapporpriation of any copyright, patent,
trademark, trade secret, music, image, or other proprietary or propety right, false advertising, unfair competition,
defamation, invasion of privacy or rights of celebrity, violation of anti-discrimination law or regulation, or any other right
of any person or entity. Advertiser agrees to idemnify brown naff pitts omnimedia llc (dba the washington blade) and
to hold brown naff pitts omnimedia llc (dba the washington blade) harmless from any and all liability, loss, damages,
claims, or causes of action, including reasonable legal fees and expenses that may be incurred by brown naff pitts
omnimedia llc, arising out of or related to advertisers breach of any of the foregoing representations and warranties.
A D V E R T I S I N G P R O O F
PROOF #1 ISSUE DATE: 06.15.12 SALES REPRESENTATIVE: PHIL ROCKSTROH (prockstroh@washblade.com)
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Wat Massage
Because your body is a temple
Swedish - Deep Tissue - Thai Massage
Hawaiian Lomi Lomi - Reflexology - 4hands Massage
(202) 588-9393
www.watmassage.com
1804 Vernon St. NW, Suite 300
Open 7 Days a Week Near 18th & U Sts, NW
Summer Special 90min. for $90 with this ad. New clients only.
PLACE YOUR CLASSIFIED ONLINE
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PLACE YOUR CLASSIFIED ONLINE
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HOME IMPROVEMENT
HARDWOOD FLOORING
INSTALLATION, renishing & repairs.
Complete renovation & painting
services also available. Licensed &
bonded. email: jehjr112@aol.com
or Call John 202-905-1195.
SHARE / REHOBOTH
REHOBOTH ROOM RENTAL Private
room in house in quiet setting,
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downtown RB. Reasonable rates for
day/weekend or potentially longer. .
rbamingo@comcast.net.
SALE / DE
RBS BEST BUYS are at the Edgewater
House. Oceanfront Condos for sale &
priced to move, $510,000 & $456,900,
wow! Studio & 1 BR are the best
oceanfront offered today. Call Groves
Real Estate today, 302- 227-9120 or
Tims Cell 302-423-8906.
SALE / MD
Historic Mount Rainier $265,000
- $299,000 Discover these Lovely
treasures! 4 Bedrooms! 2+
Bathrooms! Move-In Ready! Terric
Renovations /Restorations! Garages /
Driveways! LARRY PERRIN,Realtor (R)
LJPerrin@aol.com. (301) 983-0601
SALE / VA
VACATION/ WEEK-END home on 2
acres, partially wooded. 3 BR, 3 BA,
fully furnished, vineyard community
with /pool & kayak dock access, Search
MLS# 88405. http://www.youtube.com/
watch?v=2zMMrVrA5FM.
SALE / WV
CHALET STYLE CUSTOM home. 25+
acres. North of Wardensville, WV.
Approx. 20 mins. to Lost River Guest
House & Lost River Grill. http://www.
real tor.com/real estateandhomes-
det ai l / 101- Ri ver- Ri dge_Capon-
Springs_WV_26823_M31200-67019
. Contact Rhonda Augenstein
(304) 822-3399.
INSURANCE
NATIONWIDE INSURANCE GAY
Owned Insurance Agency, we are
on your side for Auto, Home, & Life
insurance. David Cropper Agency. Call
today 877-822-9495 or email cropped@
nationwide.com.
LEGAL SERVICES
FULL SERVICE LAW FIRM Representing
the GLBT community for over 30 years.
Family adoptions, estate planning,
immigration, employment. (301) 891-
2200. Silber, Perlman, Sigman & Tilev,
P.A. www.SP-Law. com.
ADOPTION & ASSISTED
REPRODUCTIVE Law Attorney Jennifer
Fairfax represents clients in Maryland
& D.C. interested in adoption or ART
matters. 301-221-9651, JFairfax@
jenniferfairfax.com.
LIMOUSINES
KASPERS LIVERY SERVICE Town Car
Service since 1987 Gay & Veteran
Owned! 24 Hour Reservations &
Information (202)-554-2471. (800)-455-
2471. http://www.KasperLivery.com.
click the rates tab!
MOVERS
GEORGETOWN MOVING
STORAGE CO. - Excellent Local
Movers - Licensed, Insured, BBB A+
Get Free Estimates -
(202)536-3868.
www.GeorgetownMoving.com
JOHN HENRY MOVERS since 1990,
Experienced, Equipped, Honest.
Pianos & Packing. Please visit us at
www.johnhenrymovers.com or call,
703-597-5561.
GREAT SCOTT MOVING INC. Local &
Long Distance, Pianos! Call us For a
Great Move at a Great Price (301) 699-
2066. Highly rated in Consumer Check
Book, Better Business Bureau, Yelp &
Angies List.
OUR TWO GUYS at MovingMovers.
com. Professional Movers. Let Our
Guys Do The Heavy Lifting. Mention
the Blade for 10% off of our regular
rates. Call today 202.730.1075. www.
movingmovers.com.
NIC OF TIME movers. Affordable,
professional, experienced movers.
Specializing in short notice, local
& long distance moves. Deliveries
& in house moves. Call for free
estimate 2406715757 or 2407503069.
nicoftimemovers@yahoo.com. Free
Boxes Available.
PAINTERS
GIL PAINTING COMPANY INC.
18 Years Of Experience! Bonded,
Licensed & Insured. Interior/Exterior
Painting. Plaster & Dry Wall. Power
Washing. Carpentry. Roong &
Remodeling. www.Gilpainting.
Com. Walter (301) 370-9940
Gilpainting@Comcast.Net.
ECO-FRIENDLY. ADAMS MORGAN
based. Zero or Low VOC. Interior/
Exterior. Chalkboard & Dry Erase.
Wood Staining. Plaster Repairs.
Pressure Cleaning. Tile Re-Grouting.
Free Estimates. Paint Disposal. Elmer
240-462-3760.
PETS & SUPPLIES
ADOPT AN ADORABLE PUPPY OR
DOG All-breed, non-prot rescue. 100%
volunteer run. Donations welcome &
needed. www.aforeverhome.org.
LOOKING FOR THAT special
someone? Loving vet-checked
cats & kittens waiting to meet
you. Feline Foundation 703-920-
8665. Application & adoption fair
schedule online at www.ffgw.org.
PHOTOGRAPHY
STEVE OTOOLE PHOTOGRAPHY
Fine Art Photographer for portraits,
weddings & dating photos for the
internet. Call (703) 532-3031. www.
steveotoolephotography.com.
ROOFING
PJ MCTAVISH & CO. Roong Repairs,
New Roof, Gutter Cleaning. Licensed -
Bonded Insured. See our display ad in
this issue. 301-476-8551.
WOOD & WHITACRE CONTRACTING.
We replace all roof systems: Slate,
tile, & shingle roofs. We specialize in
at roofs: Modied Bitumen, EPDM,
Copper & Standing seam metal roofs.
25 yrs. exp. Historic renovation a
specialty. Please call Jeffrey Wood (301)
674-1991. Licensed-Bonded-Insured.
WASHI NGTONBLADE. COM JULY 20, 2012 7
OMG, FREE?
SHARE ADS ARE FREE!
Place your housing to share ad
on www.washingtonblade.
com and the ads print free in
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(25 words or less prints free - anything
more it is $1.00 per word)
A D V E R T I S E
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BODYWORK
DAVID EROTIC MASSAGE by certied
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YOUR LIBIDO Custom bodywork!
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certied, Irish/Italian US Navy
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BLONDE GI 6 0 , 165 lbs, Good
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AFTERNOON PLEASURE.
For a sensual toe curling
experience! Chad 202-329-7097.
MASSAGE SILVER SPRING Spanish/
Irish, 168 lbs, 510 great shape,
beach tan, strong soothing hands.
Full-body erotic experience,
masculine energy. Stress release.
Comfortable studio, private home.
$70/hr. Days/evenings, metro.
BRUNO (301) 580-2716.
EROTIC SWEDISH MASSAGE - healthy
clean cut guy, 61, 160 lbs, Dupont
Circle, massage table, noon to 1:00
a.m., indulge your body. $70 for 1 hour.
Bill 202-728-0238.
AFFORDABLE MASSAGE BY friendly
& intuitive Latin male, in relaxing, priv.
studio just 15 min from DC in Arlington.
Plenty of Parking same day appts,
(703)401-9093. or a2006mx@yahoo.
com.
THE MAGIC TOUCH: Swedish, Massage
or Deep Tissue. Appts 202-486-6183,
Low Rates, 24/7.
BLACK. TOP. 8 inches cut. Nude Erotic
Massage. Great hands & body. 202-
210-8397.
ESCORTS
ALL-AMERICAN BOY 59, 138 lbs,
29w. Very cute & clean-cut, w/a
smooth lean build. Affectionate
& versatile, loves older guys.
HotDCkid@gmail.com.
703-568-1560.
ENASARIS 5 11, 155LBS, 30yo, 9X6,
Versatile Top 202.271.0440.
M2M SENSUAL MASSAGE BY LATINO
41, in-shape, shaved head. OUT CALLS
ONLY! 202-276-9272.
FLORIDA BOY MUSCLE BODY! Extra
Large Endowment! Scott (202) 491-
5022.
ANYTHINGS POSSIBLE - FULL NUDE
EROTIC MASSAGE, BY VGL 30 yr
old, 59, 150 lbs, Blonde, Blue, Great
Rates In/Out. Looking to relax & enjoy?
You found it! Mick 202-570-3485. In
Arlington.
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MIGHTYMEN.COM MALE MODELS
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at MightyMen.com. Men of D.C.
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PHONE SERVICES
GET HIM ON the line! Try FREE! Call
202-448-0112. Or 800-777-
8000. InteractiveMale.com.
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