Most severe skin reactions and rashes happen in the first 6 weeks of treatment with viramune.
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people whose cd4 counts have significantly increased from taking another arv regimen to greater than 250 in women and 400 in men may can safely switch to viramune, however.
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in general, during the first 6 weeks of treatment, women have a 3-fold higher risk than men for symptomatic, often rash-associated, hepatic events 6 versus 2 , and patients with higher cd4 cell counts at initiation of viramune therapy are at higher risk for symptomatic hepatic events with viramune.
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