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OUR VOICES OUR VIEW OUR WORLD
PREMIERE ISSUE 2006
FEATURES
12 OUT LOUD AND PROUD
The New Black Gay Pride Agenda
16 YOU ME & HE My Husband,
His Friend and Their Secret
18 TINA, DANGEROUS LIASONS
Battling Crystalmeth
26 MAKE ROOM FOR DADDY
Gay Parenting Done Right
28 BOOTYLICIOUS An Owners
Guide for Your Most Prized Asset
36 THE NEW PLAYGROUND
The Joys, Disappointments
& Dangers of Internet Dating
38 OUTSTANDING Black Gay Men
of Power and Influence
42 SLEEPING WITH THE ENEMY
Debating Raw Sex
43 POCC BALL SCENE
50 JAMIE FOXX ON FIRE
Celebrity Profile
52 MIXED DOUBLES
Head to Toe Grooming for Men
54 THE TENDER TRAP
Bedding for Today’s Homme
66 MAN ON THE GLOW
Luminous Skin for Men
68 LOCKS TO DYE FOR
Dreads Soulful Hues
69 THE “N” WORD
Harlem’s New High-End Boutique
72 CAMOUFLAGE Going Under the
Radar with Corrective Cosmetics
PULSE + PTS
4 EDITOR’S LETTER
6 ASSOCIATE PUBLISHER’S LETTER
24 LUX Luxurious Accessories for Men
48 NON-STOP POP Music Review
70 SEOUL FOOD A Taste of Korea
71 BOTTOMS UP Sexy Signature Sips
78 PULSE AT A GLANCE Our Next Issue
80 HOLLA BACK
Q&A with Carnell Ambrose
80 YO MAMA
FASHION
23 FRESH
The Ultimate in Men’s Fragrances
44 UNDERNEATH IT ALL NYC’s Top
Personal Trainers In Designer Briefs
46 SIGNATURE KICKS
Designer Sneakers
56 WELL SUITED
Men’s Designer Couture
62 HOT ICE
Diamonds are a Man’s Best Friend
74 THUG PASSION
Urban Style on the Edge
76 THUG REALNESS Clothes Make the
Man but Details Make the Difference
TABLE OF CONTENTS
ON THE COVER: The essence of Black Manhood; Bertini from Cameroon West
Africa-and yes those are his natural emerald green eyes. Creative Director/
Make-up Artist: BYRON BARNES, Photographed by FADIL BERISHA. Art
Direction by LLEWELLYN JENKINS. Hair by Vincent LINDSEY GREEN.
Prop stylist: HASON AMED. Botanical by EXOTIC CUTS NYC. Fragrance
by B-MEN BY THIERRY MUGLER. LEFT: Photograph by FADIL BERISHA.
04 PULSEPULSE PREMIERE ISSUE 2006
PULSE : PTS
LETTER FROM
THE EDITOR
It’s the music we groove to; It’s the food we savor. It’s the way
we live; It’s the way we look. It’s a life style, It’s PULSE MAGA-
ZINE…The Heart Beat of Black Gay America. A quarterly peri-
odical with jaw dropping pictorials, stirring features and sober
content that speaks to our community: Currently we stand at
the crossroads of our greatest challenges. The firestorm around
same sex marriage, progressive hate crime legislation, domestic
partner benefits in the work place, more positive portrayals of
us in film and on television as well as an avalanche of black
gay themed books/ publications. We’ve come a long way baby,
from the 1950s when the very mention of “the love that dare
not speak its name” could land you in jail for the weekend. Still,
we endure.
Today living a lie and hiding in the shadows is not an option.
To live your life as a complete, productive, well-rounded human
being is to embrace everything that you are-your blackness, your
gayness, your culture. We must now realize there’s absolutely
no room for compromise. We must flex our collective muscles
to build a new community landscape. As we attend Black Pride
celebrations in record numbers, storming some 30 US Cities
with our presence and dollars, let us remember to celebrate our
individual and collective pride every day. It is the source of our
resounding strength. PULSE is the conduit to that strength. It
speaks directly to Black Gay American’s unique sensibilities.
PULSE is a true celebration of our passion, conviction and
greatness. With our fingers on the pulse of what’s hip, hot and
happening, we’re the guide to help you live your best life…
Health, Fitness, Fashion, Food, Travel, Politics, Celebrity features
and so much more. It’s all here, and it’s all for you. It’s a tailor
made comfort zone that’s inviting and as familiar as the place
you call home. So drop by. I’ll leave the light on.
Our Voices, Our View, Our World.
BYRON BARNES - Editor-In-Chief, PULSE Magazine
“We’ve come a long way baby, from
the 1950s when the very mention
of “the love that dare not speak its
name” could land you in jail for the
weekend. Still, we endure...”
Photographed by Fadil Berisha.
If you love PULSE visit our website
www.gmad.org for your next free copy.
06 PULSEPULSE PREMIERE ISSUE 2006
Editor-in Chief Byron Barnes
Managing Editor Vanessa Y. Turman
Art Director Gary Montalvo
Deputy Editor Major Andres Scurlock
Fashion Editor Llewellyn Jenkins
Associate Editor Melvin Miller
Copy Chief Edwin Smith
Associate Copy Editors Carnell Ambrose
Zulekha Haywood
Home Furnishing Editor Lorenzo McCain
Editorial Designer Jennifer Garcia
Traffic Manager Deavon Hibbert
Executive Asst.
To Editor-in Chief Justin Hall
Editorial Assist. Terrence Benjamin
Model Editor Oscar Reyes
Contributing Writers:
Luster Chauncey, Gia’na Garel, L. MichaelGipson, Mike Killmon,
Dr. Sasha Vington, Carnell Ambrose, Zulekha Haywood,
Andy Tarradath, Kevin R. Scott, Vanessa Y. Turman, Jason King
Contributing Photographers:
Fadil Barisha, George Chinsee,
Jeff Gamble, DeAlan Wilson, William Elliot Springfield, Daniel Green,
Michael McCollom, Jim Carroll, Michael Doenges
Art Editor Alvaro
Publisher & Founder Of Pulse Gay Men Of African Descent (GMAD)
Executive Director Tokes Osubu
Finance Director Susan Li
Executive Office Mgr. David Mayer
Publishing Consultant Robert E. Crawford
Pulse Magazine
103 East 125th Street, Suite 503 New York, NY 10035
Phone (212) 828-1697 Fax (212) 828-9602
www.pulsemag.org
T H E H E A R T B E A T O F B L A C K G A Y A M E R I C A
Opinions expressed by advertisers, columnists, feature writers or other contributors are not necessarily the opinions of PULSE Magazine or its staff. All advertisements, pictures, text
or illustrations are published with the understanding that the advertisers are fully authorized and have secured proper consent for use thereof. PULSE Magazine shall not be held
responsible for any errors, loss, expense or liabilities on advertisements accepted after the deadline. Publication of the name, photograph of any person or advertisement in PULSE
Magazine, is not to be construed as any indication of the sexual orientations of such person, advertiser or organization. Partial or complete reproduction of any advertisement,
news articles, features or photographers from PULSE Magazine is strictly prohibited. PULSE magazine is a registered trade mark. All rights reserved. PULSE is a quarterly publication
distributed and published freely through Gay Men of African Decent, a Non-Profit Organization.
H VH V
Indication1
KALETRA®
(lopinavir/ritonavir) is always used in combination with other anti-HIV medicines to treat people with human immunodeficiency virus
(HIV) infection. KALETRA is a combination of two medicines. They are lopinavir and ritonavir. KALETRA is a type of medicine called an HIV
protease (PRO-tee-ase) inhibitor. KALETRA is for adults and for children age 6 months and older.
Once daily dosing of KALETRA in combination with other anti-HIV medicines is not recommended for people with previous HIV treatment and
has not been evaluated in children (6 months to 12 years of age).
Important Safety Information1
KALETRA does not cure HIV infection or AIDS and does not reduce the risk of passing HIV to others.
KALETRA should not be taken by patients who have had an allergic reaction to KALETRA or any of its ingredients, including lopinavir or ritonavir.
Taking KALETRA with certain drugs can cause serious problems or death. KALETRA should not be taken with dihydroergotamine, ergonovine,
ergotamine, and methylergonovines such as Cafergot,®
Migranal,®
D.H.E. 45,®
Ergotrate Maleate, and Methergine, as well as Halcion,®
Hismanal,®
Orap,®
Propulsid,®
Seldane,®
or Versed.®
KALETRA should also not be taken with rifampin, also known as Rimactane,®
Rifadin,®
Rifater,®
or Rifamate®
; or with Flonase,®
Mevacor,®
Zocor,®
or products containing St. John’s wort (Hypericum perforatum). Once daily KALETRA should not be taken with Agenerase,®
Sustiva,®
Viracept,®
Viramune,®
Dilantin,®
Phenobarbital, or Tegretol.®
Particular caution should be used when taking Viagra,®
Cialis,®
or Levitra,®
since the interaction with KALETRA may result in an increase in their
related side effects. Discuss all medicines, including those without a prescription and herbal products you are taking or plan to take, with your
doctor or pharmacist.
Pancreatitis and liver problems, which can be fatal, have been reported in patients receiving KALETRA. Tell your doctor if you have nausea,
vomiting, or abdominal pain, which may be signs of pancreatitis, or if you have or have had liver disease such as hepatitis B or C.
• No refrigeration required*1
• Can be taken with or without food1
*Exposure to high humidity outside the original container for longer than 2 weeks is not recommended.
• Once or twice daily dosing,1
ask your doctor.
Once daily is not recommended for treatment-experienced patients.1
Talk to your doctor today and go to KALETRA.com to learn more about KALETRA and Magic Johnson.
KALETRA is not a cure for HIV infection. Individual results may vary.
In patients taking protease inhibitors, increased bleeding (in patients
with hemophilia) and diabetes/high blood sugar have occurred.
Changes in body fat have been seen in some patients receiving
antiretroviral therapy. The cause and long term health effects of
these conditions are not known at this time. Some patients receiving KALETRA have had large increases in triglycerides and cholesterol.
Varying degrees of cross-resistance among protease inhibitors have been observed.
The most commonly reported side effects of moderate severity are: abdominal pain, abnormal bowel movements, diarrhea, feeling weak
or tired, headache, and nausea. Children taking KALETRA may sometimes get a skin rash.This is not a complete list of reported side effects.
Diarrhea may be more common in patients taking KALETRA capsules once daily compared to the twice-daily dose (57% vs. 35% of mild
to severe events and possibly related to the drug; and 16% vs. 5% of events of at least moderate severity and possibly related to the drug
as found in a clinical study).
KALETRA oral solution contains alcohol.
KALETRA tablets should be stored at room temperature. Exposure of this product to high humidity outside the original container for longer
than 2 weeks is not recommended.
Refrigerated KALETRA oral solution remains stable until the expiration date printed on the label. If stored at room temperature up to 77°F
(25°C), KALETRA oral solution should be used within 2 months.
Avoid exposure to excessive heat. 1
KALETRA Prescribing Information, October 2005
Please see important patient information on adjacent page.
1-866-KALETRA (525-3872) ©2006 Abbott Laboratories | Abbott Park, IL 60064 | 06B-036-O492-2 | April 2006 | Printed in USA
II take KALETRA
as part of my regimen.
I take KALETRA
as part of my regimen.
I
CONSUMER BRIEF SUMMARY CONSULT PACKAGE INSERT FOR FULL PRESCRIBING INFORMATION
KALETRA®
(lopinavir/ritonavir) tablets
(lopinavir/ritonavir) oral solution
ALERT: Find out about medicines that should NOT be taken with KALETRA. Please also read the section
"MEDICINES YOU SHOULD NOT TAKE WITH KALETRA."
PATIENT INFORMATION
KALETRA® (kuh-LEE-tra)
Generic Name: lopinavir/ritonavir (lop-IN-uh-veer/rit-ON-uh-veer)
Read this leaflet carefully before you start taking KALETRA. Also, read it each time you get your KALETRA
prescription refilled, in case something has changed. This information does not take the place of talking with your
doctor when you start this medicine and at check ups. Ask your doctor if you have any questions about KALETRA.
Before taking your medicine, make sure you have received the correct medicine. Compare the name above with
the name on your bottle and the appearance of your medicine with the description provided below. Contact your
pharmacist immediately if you believe a dispensing error has occurred.
What is KALETRA and how does it work?
KALETRA is a combination of two medicines. They are lopinavir and ritonavir. KALETRA is a type of medicine
called an HIV (human immunodeficiency virus) protease (PRO-tee-ase) inhibitor. KALETRA is always used in
combination with other anti-HIV medicines to treat people with human immunodeficiency virus (HIV) infection.
KALETRA is for adults and for children age 6 months and older.
HIV infection destroys CD4 (T) cells, which are important to the immune system. After a large number of T cells
are destroyed, acquired immune deficiency syndrome (AIDS) develops.
KALETRA blocks HIV protease, a chemical which is needed for HIV to multiply. KALETRA reduces the amount
of HIV in your blood and increases the number of T cells. Reducing the amount of HIV in the blood reduces the
chance of death or infections that happen when your immune system is weak (opportunistic infections).
Does KALETRA cure HIV or AIDS?
KALETRA does not cure HIV infection or AIDS. The long-term effects of KALETRA are not known at
this time. People taking KALETRA may still get opportunistic infections or other conditions that happen
with HIV infection. Some of these conditions are pneumonia, herpes virus infections, and Mycobacterium
avium complex (MAC) infections.
Does KALETRA reduce the risk of passing HIV to others?
KALETRA does not reduce the risk of passing HIV to others through sexual contact or blood contamination.
Continue to practice safe sex and do not use or share dirty needles.
How should I take KALETRA?
• You should stay under a doctor's care when taking KALETRA. Do not change your treatment or stop treatment
without first talking with your doctor.
• You must take KALETRA every day exactly as your doctor prescribed it. The dose of KALETRA may be
different for you than for other patients. Follow the directions from your doctor, exactly as written on the label.
• Dosing in adults (including children 12 years of age and older):
The usual dose for adults is 2 tablets (400/100 mg) or 5.0 mL of the oral solution twice a day (morning and night),
in combination with other anti-HIV medicines.
The doctor may prescribe KALETRA as 4 tablets or 10.0 mL of oral solution (800/200 mg) once-daily in
combination with other anti-HIV medicines for some patients who have not taken anti-HIV medications in the past.
• KALETRA tablets should be swallowed whole and not chewed, broken, or crushed.
• KALETRA tablets can be taken with or without food.
• Dosing in children from 6 months to 12 years of age:
Children from 6 months to 12 years of age can also take KALETRA. The child's doctor will decide the right dose
based on the child's weight.
• Take KALETRA oral solution with food to help it work better.
• Do not change your dose or stop taking KALETRA without first talking with your doctor.
• When your KALETRA supply starts to run low, get more from your doctor or pharmacy. This is very important
because the amount of virus in your blood may increase if the medicine is stopped for even a short time. The
virus may develop resistance to KALETRA and become harder to treat.
• Be sure to set up a schedule and follow it carefully.
• Only take medicine that has been prescribed specifically for you. Do not give KALETRA to others or take
medicine prescribed for someone else.
What should I do if I miss a dose of KALETRA?
It is important that you do not miss any doses. If you miss a dose of KALETRA, take it as soon as possible and
then take your next scheduled dose at its regular time. If it is almost time for your next dose, do not take the missed
dose. Wait and take the next dose at the regular time. Do not double the next dose.
What happens if I take too much KALETRA?
If you suspect that you took more than the prescribed dose of this medicine, contact your local poison control
center or emergency room immediately.
As with all prescription medicines, KALETRA should be kept out of the reach of young children. KALETRA
liquid contains a large amount of alcohol. If a toddler or young child accidentally drinks more than the
recommended dose of KALETRA, it could make him/her sick from too much alcohol. Contact your local poison
control center or emergency room immediately if this happens.
Who should not take KALETRA?
Together with your doctor, you need to decide whether KALETRA is right for you.
• Do not take KALETRA if you are taking certain medicines. These could cause serious side effects that could
cause death. Before you take KALETRA, you must tell your doctor about all the medicines you are taking or are
planning to take. These include other prescription and non-prescription medicines and herbal supplements.
For more information about medicines you should not take with KALETRA, please read the section titled
"MEDICINES YOU SHOULD NOT TAKE WITH KALETRA."
• Do not take KALETRA if you have an allergy to KALETRA or any of its ingredients, including ritonavir or
lopinavir.
Can I take KALETRA with other medications?*
KALETRA may interact with other medicines, including those you take without a prescription. You must tell your
doctor about all the medicines you are taking or planning to take before you take KALETRA.
MEDICINES YOU SHOULD NOT TAKE WITH KALETRA:
• Do not take the following medicines with KALETRA because they can cause serious problems or death if taken
with KALETRA.
• Dihydroergotamine, ergonovine, ergotamine and methylergonovine such as Cafergot®, Migranal® D.H.E. 45®,
Ergotrate Maleate, Methergine, and others
• Halcion® (triazolam)
• Hismanal® (astemizole)
• Orap® (pimozide)
• Propulsid® (cisapride)
• Seldane® (terfenadine)
• Versed® (midazolam)
• Do not take KALETRA with rifampin, also known as Rimactane®, Rifadin®, Rifater®, or Rifamate®. Rifampin
may lower the amount of KALETRA in your blood and make it less effective.
• Do not take KALETRA with St. John's wort (hypericum perforatum), an herbal product sold as a dietary
supplement, or products containing St. John's wort. Talk with your doctor if you are taking or planning to take
St. John's wort. Taking St. John's wort may decrease KALETRA levels and lead to increased viral load and
possible resistance to KALETRA or cross-resistance to other anti-HIV medicines.
• Do not take KALETRA with the cholesterol-lowering medicines Mevacor® (lovastatin) or Zocor® (simvastatin)
because of possible serious reactions. There is also an increased risk of drug interactions between KALETRA
and Lipitor® (atorvastatin); talk to your doctor before you take any of these cholesterol-reducing medicines with
KALETRA.
Medicines that require dosage adjustments:
It is possible that your doctor may need to increase or decrease the dose of other medicines when you are also
taking KALETRA. Remember to tell your doctor all medicines you are taking or plan to take.
Before you take Viagra® (sildenafil), Cialis® (tadalafil), or Levitra® (vardenafil) with KALETRA, talk to
your doctor about problems these two medicines can cause when taken together. You may get increased side
effects of VIAGRA, CIALIS, or LEVITRA such as low blood pressure, vision changes, and penis erection
lasting more than 4 hours. If an erection lasts longer than 4 hours, get medical help right away to avoid
permanent damage to your penis. Your doctor can explain these symptoms to you.
• If you are taking oral contraceptives ("the pill") or the contraceptive patch to prevent pregnancy, you should use
an additional or different type of contraception since KALETRA may reduce the effectiveness of oral or patch
contraceptives.
• Efavirenz (Sustiva‰), nevirapine (Viramune®), Agenerase (amprenavir) and Viracept (nelfinavir) may lower the
amount of KALETRA in your blood. Your doctor may increase your dose of KALETRA if you are also taking
efavirenz, nevirapine, amprenavir or nelfinavir. KALETRA should not be taken once-daily with these medicines.
• If you are taking Mycobutin® (rifabutin), your doctor will lower the dose of Mycobutin.
• A change in therapy should be considered if you are taking KALETRA with:
• Phenobarbital
• Phenytoin (Dilantin® and others)
• Carbamazepine (Tegretol® and others)
These medicines may lower the amount of KALETRA in your blood and make it less effective. KALETRA should
not be taken once-daily with these medicines.
• If you are taking or before you begin using inhaled Flonase® (fluticasone propionate) talk to your doctor about
problems these two medicines may cause when taken together. Your doctor may choose not to keep you on
inhaled Flonase®.
• Other Special Considerations:
KALETRA oral solution contains alcohol. Talk with your doctor if you are taking or planning to take
metronidazole or disulfiram. Severe nausea and vomiting can occur.
• If you are taking both didanosine (Videx®) and KALETRA:
Didanosine (Videx®) can be taken at the same time as KALETRA tablets without food. Didanosine (Videx®)
should be taken one hour before or two hours after KALETRA oral solution.
What are the possible side effects of KALETRA?
• This list of side effects is not complete. If you have questions about side effects, ask your doctor, nurse, or
pharmacist. You should report any new or continuing symptoms to your doctor right away. Your doctor may be
able to help you manage these side effects.
• The most commonly reported side effects of moderate severity that are thought to be drug related are: abdominal
pain, abnormal stools (bowel movements), diarrhea, feeling weak/tired, headache, and nausea. Children taking
KALETRA may sometimes get a skin rash.
• Blood tests in patients taking KALETRA may show possible liver problems. People with liver disease such as
Hepatitis B and Hepatitis C who take KALETRA may have worsening liver disease. Liver problems including
death have occurred in patients taking KALETRA. In studies, it is unclear if KALETRA caused these liver
problems because some patients had other illnesses or were taking other medicines.
• Some patients taking KALETRA can develop serious problems with their pancreas (pancreatitis), which may
cause death. You have a higher chance of having pancreatitis if you have had it before. Tell your doctor if you
have nausea, vomiting, or abdominal pain. These may be signs of pancreatitis.
• Some patients have large increases in triglycerides and cholesterol. The long-term chance of getting
complications such as heart attacks or stroke due to increases in triglycerides and cholesterol caused by protease
inhibitors is not known at this time.
• Diabetes and high blood sugar (hyperglycemia) occur in patients taking protease inhibitors such as KALETRA.
Some patients had diabetes before starting protease inhibitors, others did not. Some patients need changes in
their diabetes medicine. Others needed new diabetes medicine.
• Changes in body fat have been seen in some patients taking antiretroviral therapy. These changes may include
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.
• Some patients with hemophilia have increased bleeding with protease inhibitors.
• There have been other side effects in patients taking KALETRA. However, these side effects may have been due
to other medicines that patients were taking or to the illness itself. Some of these side effects can be serious.
What should I tell my doctor before taking KALETRA?
• If you are pregnant or planning to become pregnant: The effects of KALETRA on pregnant women or their
unborn babies are not known.
• If you are breast-feeding: Do not breast-feed if you are taking KALETRA. You should not breast-feed if you
have HIV. If you are a woman who has or will have a baby, talk with your doctor about the best way to feed your
baby. You should be aware that if your baby does not already have HIV, there is a chance that HIV can be
transmitted through breast- feeding.
• If you have liver problems: If you have liver problems or are infected with Hepatitis B or Hepatitis C, you should
tell your doctor before taking KALETRA.
• If you have diabetes: Some people taking protease inhibitors develop new or more serious diabetes or high blood
sugar. Tell your doctor if you have diabetes or an increase in thirst or frequent urination.
• If you have hemophilia: Patients taking KALETRA may have increased bleeding.
How do I store KALETRA?
• Keep KALETRA and all other medicines out of the reach of children.
• KALETRA tablets should be stored at room temperature. Exposure of Kaletra tablets to high humidity outside
the original container for longer than 2 weeks is not recommended.
• Refrigerated KALETRA oral solution remains stable until the expiration date printed on the label. If stored at
room temperature up to 77°F (25°C), KALETRA oral solution should be used within 2 months.
• Avoid exposure to excessive heat.
Do not keep medicine that is out of date or that you no longer need. Be sure that if you throw any medicine away,
it is out of the reach of children.
General advice about prescription medicines:
Talk to your doctor or other health care provider if you have any questions about this medicine or your condition.
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information Leaflet. If you
have any concerns about this medicine, ask your doctor. Your doctor or pharmacist can give you information about
this medicine that was written for health care professionals. Do not use this medicine for a condition for which it
was not prescribed. Do not share this medicine with other people.
* The brands listed are trademarks of their respective owners and are not trademarks of Abbott Laboratories. The
makers of these brands are not affiliated with and do not endorse Abbott Laboratories or its products.
Ref: 03-5418-R1
Revised: October, 2005
05J-036-L298-2 MASTER
06B-036-O492-2
PRINTED IN U.S.A.
He wears it to raise desperately needed funds for HIV/AIDS care services, education and vaccine
development. Over half a million people have chosen to wear The Bracelet. What about you?
Available at: Kenneth Cole; Virgin Megastore; Ben Bridge Jewelers and other
fine retailers. Or to order call 1-800-88-UNTIL or visit us at WWW.UNTIL.ORG.
W H Y D O E S T R A C Y M c G R A D Y
W E A R T H E B R A C E L E T ?
© 2006 Until There’s A Cure Foundation Photo: Michael Collopy
12 PULSEPULSE PREMIERE ISSUE 2006
“They marched in protest so
we could stand with pride.”
PREMIERE ISSUE 2006 PULSEPULSE 13
OUT
LOUD
and
PROUD
@
@
The New Black
Gay Agenda
f f f f f f f f f f f f f f
f f f f f f f f f f f f f f
by Tokes Osubu
f f f f f f f f f f f f f f
14 PULSEPULSE PREMIERE ISSUE 2006
T
housands (giving
of credence to the
idea that 10% of
the whole popu-
lation is homo-
sexual) break out
of their yearlong
cocoon, permit-
ting themselves to be Gay for a day. That
brother from the gym who steals looks at
you but never acknowledges you publicly;
how about the one who takes every oppor-
tunity to talk about his baby mama and
then shows up in the Village shirtless and
cap pulled down to his nose in disguise?;
or the group of ‘straight guys who are at
Christopher street parade, ostensibly for
amusement? Right! Curiously, when the
parade is over, and all its ‘fringe benefits’
have been enjoyed, most of them disappear
into ether and only a few are left to carry
the banner. Till next June.
Our recent history has been defined
and colored by the AIDS epidemic. It is a
calamity which historically speaking is
routine in the human experience. It joins
other calamities like slavery, and racism
in the devastation wrought on our bodies
and our psyche. However, homophobia is
a greater calamity that has brought both
unimaginable crisis and great challenge.
It is exposing the fabric of our society that
ostensibly was founded on love, liberty
and equality, and in so doing, stirs the
human spirit out of its habitual compla-
cency to insist on, and fight for funda-
mental and far-reaching change.
It is often said that the black community
is more homophobic. Despite there being
no evidence to back this assertion, the
idea has taken on a life of its own. Every
community has struggles and challenges
with homosexuality, and some have done
a better job of addressing it than others. In
our community, it is fueled by our invisi-
bility and lack of participation in the black
experience. It is easier for us to be hated
and disrespected when they do not see us.
But when we are proudly visible, they fear
us. When we stand up as proud black gay
men, we will begin to drive homophobia
back into the closet, where it belongs. But
that is our responsibility. I believe that
history will judge us by the quality of our
response to this problem.
The contributions of black gay men
loom large in the annals of black America,
despite attempts to erase them from his-
tory. We have marched, protested, rallied,
been hung, jailed in the cause of the great-
er good, and we cannot, should not allow
this to be forgotten. We were not idle
bystanders when our sisters and mothers
were violated and when our brothers were
falsely accused and unjustly imprisoned.
We were there and we are still here. We
mourned for brothers, fathers and sis-
ters lost to an inhumane and cruel world.
We were there. We cheered when Jack-
son defied the pundits, applauded when
Sharpton ranted and answered when Far-
rakhan called us to action. We were there.
We were there because they are us and it
was about US.
Yet our struggle with being open
and equal partners in the black family
endures. Many of us still wrestle with
the fear of being called a sissy, or fag-
got. Instead, we have created a new lingo
that allows us to pass. No longer are we
gay, we maintain, because that is a white
and imperialist construct that has no rel-
evance to us as black men; in an effort
to remain ‘unclockable’, we foolishly
romanticize and normalize internalized
shame as represented by the DL phenom-
enon; others still are same gender-loving,
supposedly, a more authentic (and Afro-
centric) representation of what two black
men loving are. Negro, Black, African-
American. Gay, Same gender-loving, DL.
potato, potatoe. Queens, Fems, Trannies
as they are labeled, maintain their iden-
tity without concern of others critique. In
the same way that Toni Morrison express-
es her concern that if society sent a bus to
round up black people, we would end up
there regardless of complexion: Black is
Black, and Gay is Gay. If Bush sent a bus to
round up all the black gay men tomorrow,
there would not be a section on the bus for
the DL; same gender-loving or otherwise
defined. We would all be there together.
We have made significant strides
of which we can be proud. There is an
impressive and visible rise of Black Pride
sweeping across the nation like never
before. Many organizations sensitive to
our needs have developed and in many
cases, have thrived for many years; after
many years of complaining about having
no representation in some media, we have
thrown down the gauntlet and started
producing our own movies and publish-
Every June in New York is Gay Pride Month. By
design or chance, it’s our month to shine. For us gay
folks, that is, it is the time of the year when we present
to the world the results of months of dumbbell lifting,
abdominal crunches, and painstaking shedding of our
winter closet, to parade, party, play and perform.
f f f f f f f f f f f f f f f f f f f f f f f f f f f
PREMIERE ISSUE 2006 PULSEPULSE 15
ing magazines that reflect the realities
of our lives.
Nevertheless, there is still much to do.
Studies have shown that our economic
and spending power is significant, yet
remains underutilized. Without few
dependents, we have more disposable
income, or so it is thought. There is a
wealth of talent in our community that
can form the basis of a strong economic
development infrastructure. Many times,
I hear black gay men discuss their dreams
of owning businesses, but do not know
how to go about making it happen. Others
lament the lack of a loyal base within the
community to sustain such enterprises.
By the same token, black gay-owned busi-
nesses are criticized for not supporting
worthy social causes in the community.
Did someone say sell out? Walking along
the Bedford-Stuyvesant section of Fulton
Street in Brooklyn, I cannot help but envy
the thriving community that Muslims
(mostly immigrants, no less) have cre-
ated. We deserve business districts with
our own bars, restaurants, bookstores,
cafes, realtors, travel agencies, clothing
stores, porn shops, clubs and spas. Call it
a ghetto, but it’ll be our own ghetto. Run
by us, for us. The rest of the world can
then come to us, marvel at our brilliance,
ingenuity and ogle our beauty, while at
the same time consuming our products
and services.
Political power and influence have
eluded us as a community. In envision-
ing our future, I would like us to become
more strategic in managing our political
power. Without this, our lives will con-
tinue to be the ball that is kicked around
in the proverbial dirty game of politics.
Those who wield political power do not
consider it a dirty sport, especially when
they are on the winning end. It is time
to galvanize our community into the
indispensable bloc that it has the poten-
tial to be. From Central Harlem to Fort
Greene to Bedstuy, black gay men have
the numerical strength to influence the
course of events. Yet apathy and fear hold
us back. Audre Lorde put it best when she
said “When I dare to be powerful- to use
my strength in the service of my vision,
then it becomes less and less important
whether I am afraid”. While the goal is to
be on the right or winning side of every
issue, the larger goal is the visibility that
comes from being seen as an important
political force. Rightfully!
Younger black gay men often criticize
older gay men, especially those in posi-
tions of influence, for doing a miserable
job of cultivating new leadership. But it
is important to remember that almost an
entire generation of Black Gay Men were
wiped out by AIDS, thus creating a huge
vacuum, that not surprisingly, we have
not been able to fill. The list is endless.
Craig Harris, Marlon Riggs, Reggie Wil-
liams, Assotto Saint, Darrel Ellis, Raymond
Dumas, Charles Angel, Rory Buchanan,
Donald Woods, Bert Hunter, Steve Lang-
ley, and Derrick Hicks. They were the ones
who proudly championed our causes before
they were prematurely taken away from
us. In many ways, the community has not
recovered from this loss and is still going
through a post-traumatic stress existence,
in the same way as African Americans are
said to be going through post-traumatic
stress caused by slavery.
But nurture new leadership, we must.
First we must acknowledge the hole cre-
ated in our lives by AIDS and collectively
begin to find ways to address its linger-
ing effects on our psyche. Maintaining
silence is not a credible option. Second,
we should recognize that the leadership
that was thrust into the vacuum was
necessary, though in most cases it was
unprepared, untutored, and often unwill-
ing. They deserve our support for gallant-
ly stepping into the void and giving voice
to our hopes, our fears, our dreams and
often, our anger. Without our support, the
result is unthinkable: burn out, frustra-
tion, fear that every word uttered in the
name of the community is perceived as
furthering a personal agenda, causing a
deepening of the leadership vacuum and
creating a rudderless vessel, incapable of
helping to navigate the stormy waters of
our lives. Third, we can develop leader-
ship programs in partnership with an
institution of higher learning, much like
the LA-based Black AIDS Institute has
done. These programs should teach and
nurture critical thinking, while address-
ing issues like black male identity, stigma
and discrimination, being black and gay
in America, management skills develop-
ment, volunteerism and mentorship.
The future of the black community will
improve or falter in direct proportion to
the number of black gay men who are
honest about who they are and are willing
to stand up and proudly say that they are
gay, that they are black and are real men.
Too many issues collectively affect us
as a people: poverty, racism, unemploy-
ment, the impact of the prison industrial
complex on our community, and home-
lessness. We should be standing shoulder
to shoulder with the rest of our families
and community, advocating around these
issues and demanding change, unapolo-
getically as black gay men. When that
time comes, we will begin to celebrate
June 365 days of the year.
TOKES OSUBU is the Executive Director of
Gay Men of African Descent.
HOW COULD I NOT FALL IN LOVE with the man-
of-my-dreams; he was beautiful, even a little too
“beautiful”. Upon questioning he told me his fem-
inine tendencies were the results of his cultural
upbringing and even with all his gay friends, he
assured me that he was heterosexual. The truth is
I did everything I could to close my eyes to his real
sexuality and his life outside our family. He told me
he was faithful. Still, I wondered about all the clues
that said otherwise.
One day, I walked into our basement office space
when he was on the speakerphone. He quickly
switched to the cordless phone and walked upstairs;
but his conversation was still just loud enough for
me to hear. Then there was the painful but utterly
clear moment when I walked in on him and his “best
friend” discussing whether or not it was obvious
that he was gay. I questioned him again and again
for days. His answers were vague. I grew concerned
about my health, my privacy, and my reputation.
Tests would assuage my fears, for the moment.
Then came the anger: You motherf-@#$^!
I was surprised at how easy it was to separate.
When he called and claimed he hadn’t followed
through on any of his desires, I knew it was just
talk. But I wanted to believe it. It wasn’t hard for him
to convince me to return home with our daughter,
to try to work it out as a family. I wasn’t there a
week before I came across chat room fodder that
would make Liberace blush. I questioned him. “It’s
all good,” he said. I really needed it to be good since
my four-year-old and I had no place to live and
no plans without Daddy. But it didn’t stop there. I
uncovered videotapes, magazines, old love notes,
and engraved jewelry that dated back to what I
thought was a healthy point in our marriage. How
could I miss all that? It seems he was as good at
hiding, as I was at pretending. So I set out to charm
the B-Boy who was beginning to hang around but
seemed to know the house all too well. It took no
time for him to tell me every sordid detail.
I told my husband I wanted a divorce, but would
support him as a friend. He said he was grateful. It
wasn’t easy to take our daughter and just leave. Even
though our state had sodomy laws, it was just begin-
ning to support gay men as parents. And the divorce
process was set to shred our million-dollar estate.
We would have to do this civilly. I would get single
motherhood and the right to struggle through zero
child support; he would get everything else down
to the CD collection.
One day he telephoned and asked, “Do you have
a car?” “Yes, what’s wrong?” I answered, shaken by
the sound of his voice. “I need to go to the emer-
gency room.” I asked no questions and dashed out
to get him. He’d been beaten by some crack-selling
hood rats, while riding his bike “hmmmm.” I never
got the full story of what REALLY happened that
evening, my suspicion was a night of cruising trade
had gone bad. I wanted to beat him myself. “You
broke our vows and threw away our home for this?”
I thought. He asked me to call his B-Boy, and I took
my leave. He had his support.
I now hear about the Down-Low everywhere. It’s
as if it’s the new shade of lipstick everyone is wear-
ing. Twenty years later I remain relatively support-
ive, pretending not to sense other’s titillation at our
story; or swallowing whatever negativity others vol-
unteer about his lifestyle, even as I sometimes want
to scream into my fist. I still wonder if it all was my
fault, if he hid behind the cloak of secrecy out of fear
that I would deny him my unconditional love. But I
have still not recovered enough to trust the possibil-
ity of a whole, male/female relationship. I avoid it by
working too hard and ignoring tender moments with
loved ones. It vexes me that my ex-husband’s mate
looks like Brian Mcknight and is finer than any male
I can attract. That anger almost disappears when I
look at our daughter, who has grown into the best
of both of us.
These days I must trust that he will not betray
my trust again. For her sake, if not for mine, I hope
that he will keep his part of our bargain to co-parent
our daughter. He and I can be friends. But this time
I won’t fall in love.
I uncovered videotapes, magazines, old love
notes, and engraved jewelry that dated back
to what I thought was a healthy point in our
marriage. How could I miss all that?
by HOTTY J
16 PULSEPULSE PREMIERE ISSUE 2006
Dangerous Liaison
Imagine an 8-hour long orgy with any number of hot and uninhibited
guys acting out your kinkiest “Raw” fantasies; having sex for hours or
even days without getting tired or losing your sex drive. Then finally
you climax so intensely that you grunt and groan like a bad porn star.
The year is 2002 in Miami. There’s a room full of naked men, a few of
them have just taken hits of crystal meth.
TINA:
by Mike Killmon
18 PULSEPULSE PREMIERE ISSUE 2006
PhotobyDanielGreen
A
layer of smoke
along with the
scent of sex and
sweat lingers in
the air. Antoine
and his new bud-
dies want to try
something more immediate and more
intense, so they use a hot needle to slam
the crystal directly into their veins. Her-
oin users would call it “mainlining.” A
college boy does a booty bump (a meth
filled syringed is injected in the anus) to
numb it. The guys—including HIV-Posi-
tive Antoine—begin to have raw sex, then
engage in an all night bump and grind.
Once the high wears off the focus
quickly switches from the sex to the crys-
tal. After more crystal and many hours,
more men join in. Fueled by the crys-
tal illusion, no one notices their rotting
teeth, the dilated pupils that give their
eyes a psychotic glaze, the marks on
their bodies from the harsh smoke that
has seeped into the membranes of their
skin. No one really notices the emaciated,
ravaged bodies that are the remains of a
dangerous liaison with “Tina.” The spirit
is willing but the flesh is weak. Even
though physically exhausted and weak,
the meth fuels the sexual desperation of
the user for another eight hours with no
regard for time. It’s a euphoric; an out of
body experience.
He can still remember the vivid details of
his crystal-induced encounters. Listening
to his story, I can’t help but wonder at what
point does someone becomes so apathetic
that they go from being an occasional party
user to an addict, their life controlled by a
nasty bitch named “Tina.”
Now at 27, Antoine has been clean well
over a year, and along with his partner lives
in Brooklyn. He is studying to be a veteri-
narian and taking life one-day-at-a-time,
free of crystal meth. He studies Islam and
has no real desire for sex, he says.
Growing up on Chicago’s Southside, a
young black gay man has no other choice
but to learn to escape. Society tells gay
people that they don’t deserve happiness,
so their desire for it is probably greater
than anyone else’s. We learn to create an
illusion of happiness, sometimes we get
addicted to those illusions.
Antoine’s illusions were laced with
crystal meth. “Crystal not only makes you
sexually uninhibited, but it also shuts off
real feelings,” he says. And no one tells
you that once you have escaped reality,
there is no going back.” But Antoine got
a second chance and is steadily moving
back into the real world.
Anyone who’s gone online and found Mr.
Right-Now knows the rush that comes with
anonymous sex. In 2000, Antoine made his
way into a chat room late one fall night,
having just moved to NYC, intending to
maximize the perks of his open relation-
ship. He scored almost immediately, and
soon headed out to meet this Chelsea Boy
at his apartment. That’s when he was
invited to take his first hit of “Tina.” He
remembers taking a
hard, cold look at his
life. Seeing it for what
it was, he closed his
eyes to escape it. He
wouldn’t reconnect
with the Antoine
he had known for
another 3 years. His hunger for a constant
feeling of escape only grew stronger.
Sex without crystal was now boring,
so he would only have sex when he was
high, and only with guys who would
“PNP” (Party and Play). He preferred to
smoke it, and learned how to get the most
out of each hit.
Early in 2002, Antoine and his old boy-
friend—who was not a crystal user—
moved to Miami. It didn’t take long for
that relationship to end. Later that year,
Antoine stopped taking his HIV medication
and started going to work still high from
the night before. Soon after, he became
strapped for cash and started missing work
related appointments. He became a male
escort to earn extra money.
Miami was little more than a crystal
network for Antoine. As his rent arrears
grew, Antoine’s sexual encounters became
more extravagant. At sex parties around
Miami and Ft. Lauderdale, booty bumps of
crystal and cocaine were the norm. Some
men would slam crystal into the opening
of their penises, to ensure a bum rush of
simultaneous pleasure & pain.
One night, after a week of partying,
Antoine thought he heard someone break-
ing into his apartment—this was around
the time he was close to being evicted.
“This night, I knew “THEY” were coming
for me and I wanted to be ready, I went and
got a butcher’s knife. Suddenly, there was a
presence in the room. He was surrounded
by figures that pushed him to the floor.
The pain he experienced stretched along
his entire body, and seemed to come from
within. I saw black shadows; demon like
figures in the room coming towards me,
telling me to ‘live or die’. They felt like they
were surrounding me, coming out of me. I
sat on the floor writhing in pain, scream-
ing crying, I knew this was the end.” Later,
I came to realize this was a hallucination
brought on by ‘Tina’.”
He decided to attend a Crystal Meth
Anonymous meeting where he found
the men there were more interested in
looking for possible hook-ups rather than
getting clean. This triggered old habits
rather than discouraged his addiction. He
eventually decided to study Islam where
he found his salvation.
There will never be a cure for every-
thing that is difficult and/or wrong in
our lives. Using crystal meth or any other
drug as a means of escape will only get us
further away from the cure. Through the
teachings of the Koran, Antoine was able
to find inner peace and spiritual salva-
tion. Antoine has taught us that faith,
spirituality and honesty help us cope
with life’s difficulties. Through Antoine’s
experience, we learn life is about con-
necting, because the moment you discon-
nect, you begin to die; spiritually, emo-
tionally & physically. Antoine Shepard
is connecting to something deeper, more
profound than the surface we all try to
escape from…what are you connecting to?
For more information on kicking the Crystal
go to www.crystalmeth.org.
He can still remember the
vivid details of his crystal-
induced encounters.
A
PREMIERE ISSUE 2006 PULSEPULSE 19
Indication
LEXIVA is indicated in combination with other antiretroviral agents
for the treatment of HIV infection in adults.
• The PI-experienced patient study was not large enough to
reach a definitive conclusion that LEXIVA/ritonavir and
lopinavir/ritonavir are clinically equivalent.
• Once-daily administration of LEXIVA/ritonavir is not
recommended for PI-experienced patients.
LEXIVA does not cure HIV or prevent passing HIV to others.
Important Safety Information
• You should not take LEXIVA if you have had an allergic reaction
to LEXIVA or AGENERASE®
(amprenavir).
• High blood sugar, diabetes or worsening of diabetes, and
bleeding in hemophiliacs have occurred in some patients taking
protease inhibitors.
• When you start taking HIV medicines, your immune system may
get stronger and could begin to fight infections that have been
hidden in your body, such as pneumonia, herpes virus, or
tuberculosis. If you have new symptoms after starting your HIV
medicines, be sure to tell your doctor.
• Changes in body fat may occur in some patients taking
antiretroviral therapy. The cause and long-term health effects of
these conditions are not known at this time.
• Skin rashes can occur in patients taking LEXIVA. Rarely, rashes
were severe or life threatening.
• Opportunistic infections can develop when you have HIV and
your immune system is weak. It is very important that you see
your healthcare provider regularly while you are taking LEXIVA
to discuss any side effects or concerns.
• Most common side effects in clinical studies were diarrhea,
headache, nausea, rash, and vomiting. In most cases, these
side effects did not cause people to stop taking their medicine.
Drug Interactions
• LEXIVA should not be taken with: AGENERASE®
(amprenavir),
Halcion®
(triazolam), ergot medications (Cafergot®
, Migranal®
,
D.H.E. 45®
, and others), Propulsid®
(cisapride), Versed®
(midazolam), Orap®
(pimozide), Zocor®
(simvastatin), Mevacor®
(lovastatin), Rifadin®
(rifampin), Rescriptor®
(delavirdine
mesylate), or St. John’s wort (Hypericum perforatum). If you are
taking Norvir®
(ritonavir), you should not take Tambocor®
(flecainide), or Rythmol®
(propafenone hydrochloride).
• Serious and/or life-threatening events could occur between
LEXIVA and other medications, including Cordarone®
(amiodarone), lidocaine (intravenous only), Elavil®
(amitriptyline
HCl) and Tofranil®
(imipramine pamoate), tricyclic
antidepressants, and Quinaglute®
(quinidine).
• Women who use birth control pills should choose a
different kind of contraception. LEXIVA can affect the
safety and effectiveness of birth control pills.
They rely on me,
I rely on a regimen
with LEXIVA
If it’s time to start HIV treatment,
ask your doctor if LEXIVA plus
ritonavir may be right for you.
With LEXIVA plus ritonavir you can:
•Take once a day*
•Eat and drink when you want
•Take antacids and other
heartburn medications†
•Have a lower chance of diarrhea‡
LEXIVA does not cure HIV or
prevent passing HIV to others.
Individual results may vary.
Once-daily dosing is not recommended for patients who
have taken protease inhibitors in the past.
LEXIVA without ritonavir may be less effective due to
decreased blood levels of amprenavir when taking H2
antagonists with LEXIVA. No dose adjustments required
with PPIs when taken at the same time as LEXIVA.
5%-10% rate of moderate-to-severe drug-related
diarrhea in therapy-naive patients compared to 18%
for nelfinavir.
866-4-LEXIVA • www.LEXIVA.com
• Patients taking Viagra®
(sildenafil citrate) or LEVITRA®
(vardenafil HCl) with LEXIVA may be at an increased risk of side
effects.
• This list of drug interactions is not complete. Be sure to tell your
healthcare provider about all medicines you are taking or plan
to take, including over-the-counter drugs, vitamins, and herbals.
Resistance
• Missing or skipping doses of your medicine may make it easier
for the virus to mutate and multiply. Your medicines may not
work as well against a mutated virus and you may become
cross-resistant to other HIV medicines. It’s important to take
your medicine exactly as prescribed.
Please see important information on adjacent page.
†
‡
*
What is the most important information I should know about LEXIVA?
LEXIVA can cause dangerous and life-threatening interactions if taken with certain other medicines.
Tell your healthcare provider about all the medicines you take, including prescription and nonpre-
scription medicines, vitamins, and herbal supplements.
■
Some medicines cannot be taken at all with LEXIVA.
■
Some medicines will require dose changes if taken with LEXIVA.
■
Some medicines will require close monitoring if you take them with LEXIVA.
Know all the medicines you take, including prescription and nonprescription medicines, vitamins
and herbal supplements. Keep a list of the medicines you take. Show this list to all your healthcare
providers and pharmacists anytime you get a new medicine or refill. Your healthcare providers and phar-
macists must know all the medicines you take. They will tell you if you can take other medicines with LEXIVA.
Do not start any new medicines while you are taking LEXIVA without talking with your healthcare
provider or pharmacist. You can ask your healthcare provider or pharmacist for a list of medicines that can
interact with LEXIVA.
What is LEXIVA?
LEXIVA is a medicine you take by mouth to treat HIV infection. HIV is the virus that causes AIDS (acquired
immune deficiency syndrome.) LEXIVA belongs to a class of anti-HIV medicines called protease inhibitors.
LEXIVA is always used with other anti-HIV medicines. When used in combination therapy, LEXIVA may help
lower the amount of HIV found in your blood, raise CD4+ (T) cell counts, and keep your immune system
as healthy as possible, so it can help fight infection. However, LEXIVA does not work in all patients with HIV.
LEXIVA does not:
■ cure HIV infection or AIDS. We do not know if LEXIVA will help you live longer or have fewer of the med-
ical problems (opportunistic infections) that people get with HIV or AIDS. Opportunistic infections are
infections that develop because the immune system is weak. Some of these conditions are pneumonia,
herpes virus infections, and Mycobacterium avium complex (MAC) infections. It is very important that
you see your healthcare provider regularly while you are taking LEXIVA. The long-term effects of
LEXIVA are not known.
■ lower the risk of passing HIV to other people through sexual contact, sharing needles, or being exposed
to your blood. For your health and the health of others, it is important to always practice safer sex by using
a latex or polyurethane condom to lower the chance of sexual contact with semen, vaginal secretions, or
blood. Never use or share dirty needles.
LEXIVA has not been fully studied in children under the age of 18 or in adults over the age of 65.
Who should not take LEXIVA?
Do not take LEXIVA Tablets if you:
■
are taking certain other medicines. Read the section “What is the most important information I should
know about LEXIVA?” Do not take the following medicines* with LEXIVA. You could develop serious or
life-threatening problems.
– HALCION®
(triazolam; used for insomnia)
– Ergot medicines: dihydroergotamine, ergonovine, ergotamine, and methylergonovine such as CAFERGOT®
,
MIGRANAL®
, D.H.E. 45®
, ergotrate maleate, METHERGINE®
, and others (used for migraine headaches)
– PROPULSID®
(cisapride); used for certain stomach problems
– VERSED®
(midazolam); used for sedation
– ORAP®
(pimozide); used for Tourette’s disorder
Do not take the following medicines if you are taking LEXIVA and NORVIR®
(ritonavir) together. You could
develop serious or life-threatening problems.
– TAMBOCOR®
(flecainide); used for certain abnormal heart rhythms
– RYTHMOL®
(propafenone); used for certain abnormal heart rhythms
■ are allergic to LEXIVA or any of its ingredients. The active ingredient is fosamprenavir calcium. See the
end of this leaflet for a list of all the ingredients in LEXIVA.
■ are allergic to AGENERASE®
(amprenavir).
You should not take AGENERASE (amprenavir) and LEXIVA at the same time.
Before taking LEXIVA, tell your healthcare provider about all your medical conditions including if you:
■
are pregnant or planning to become pregnant. It is not known if LEXIVA can harm your unborn
baby. You and your healthcare provider will need to decide if LEXIVA is right for you. If you use
LEXIVA while you are pregnant, talk to your healthcare provider about how you can be on the
Antiretroviral Pregnancy Registry.
■
are breastfeeding. You should not breastfeed if you are HIV-positive because of the chance of
passing the HIV virus to your baby through your milk. Also, it is not known if LEXIVA can pass into
your breast milk and if it can harm your baby. If you are a woman who has or will have a baby, talk
with your healthcare provider about the best way to feed your baby.
■ have liver problems. You may be given a lower dose of LEXIVA or LEXIVA may not be right for you.
■ have kidney problems
■ have diabetes. You may need dose changes in your insulin or other diabetes medicines.
■ have hemophilia
■
are allergic to sulfa medicines
Before taking LEXIVA, tell your healthcare provider about all the medicines you take, including pre-
scription and nonprescription medicines, vitamins, and herbal supplements. LEXIVA can cause dan-
gerous and life-threatening interactions if taken with certain other medicines. You may need dose
changes in some of your medicines or closer monitoring with some medicines if you also take LEXIVA (see
“What is the most important information I should know about LEXIVA?”). Know all the medicines that you
take and keep a list of them with you to show healthcare providers and pharmacists.
Women who use birth control pills should choose a different kind of contraception. LEXIVA can affect
the safety and effectiveness of birth control pills. Talk to your healthcare provider about choosing an
effective contraceptive.
How should I take LEXIVA?
■ Take LEXIVA Tablets exactly as your healthcare provider prescribed.
■ Do not take more or less than your prescribed dose of LEXIVA Tablets at any one time. Do not change
your dose or stop taking LEXIVA without talking with your healthcare provider.
■
You can take LEXIVA Tablets with or without food.
■
When your supply of LEXIVA or other anti-HIV medicine starts to run low, get more from your healthcare
provider or pharmacy. The amount of HIV virus in your blood may increase if one or more of the medi-
cines are stopped, even for a short time.
■
Stay under the care of a healthcare provider while using LEXIVA.
■ It is important that you do not miss any doses. If you miss a dose of LEXIVA by more than 4 hours, wait
and take the next dose at the regular time. However, if you miss a dose by fewer than 4 hours, take your
missed dose right away. Then take your next dose at the regular time.
■ If you take too much LEXIVA, call your healthcare provider or poison control center right away.
What should I avoid while taking LEXIVA?
■ Do not use certain medicines while you are taking LEXIVA. See “What is the most important infor-
mation I should know about LEXIVA” and “Who should not take LEXIVA?”
■ Do not breastfeed. See “Before taking LEXIVA, tell your healthcare provider.” Talk with your health-
care provider about the best way to feed your baby.
■
Avoid doing things that can spread HIV infection since LEXIVA doesn't stop you from passing the HIV
infection to others.
■ Do not share needles or other injection equipment.
■
Do not share personal items that can have blood or body fluids on them, like toothbrushes or razor
blades.
■
Do not have any kind of sex without protection. Always practice safer sex by using a latex or
polyurethane condom to lower the chance of sexual contact with semen, vaginal secretions, or blood.
What are the possible side effects of LEXIVA?
LEXIVA may cause the following side effects:
■ skin rash. Skin rashes, some with itching have happened in patients taking LEXIVA. Tell your
healthcare provider if you get a rash after starting LEXIVA.
■ diabetes and high blood sugar (hyperglycemia). Some patients had diabetes before taking LEXIVA
while others did not. Some patients may need changes in their diabetes medicine. Others may need a
new diabetes medicine.
■ increased bleeding problems in some patients with hemophilia.
■ worse liver disease. Patients with liver problems, including hepatitis B or C, are more likely to get
worse liver disease when they take anti-HIV medicines like LEXIVA.
■ changes in blood tests. Some people have changes in blood tests while taking LEXIVA. These include
increases seen in liver function tests and blood fat levels, and decreases in white blood cells. Your
healthcare provider may do regular blood tests to see if LEXIVA is affecting your body.
■
changes in body fat. These changes have happened in patients taking antiretroviral medicines like
LEXIVA. The 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.
Common side effects of LEXIVA are nausea, vomiting, and diarrhea. Tell your healthcare provider about
any side effects that bother you or that won’t go away.
This list of side effects of LEXIVA is not complete. For more information, ask your healthcare provider
or pharmacist.
How should I store LEXIVA Tablets?
■ Store LEXIVA Tablets at room temperature between 59° and 86°F (15° to 30°C). Keep the container tight-
ly closed.
■ Keep LEXIVA and all medicines out of the reach of children.
■ Do not keep medicine that is out of date or that you no longer need. Be sure that if you throw any medi-
cine away, it is out of the reach of children.
General information about LEXIVA
Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets.
Do not use LEXIVA for a condition for which it was not prescribed. Do not give LEXIVA to other people,
even if they have the same symptoms you have. It may harm them.
This leaflet summarizes the most important information about LEXIVA. If you would like more information,
talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information
about LEXIVA that is written for health professionals. For more information you can call toll-free 888-825-
5249 or visit www.LEXIVA.com.
What are the ingredients in LEXIVA?
Active Ingredient: fosamprenavir calcium.
Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, microcrys-
talline cellulose, and povidone K30. The tablet film-coating contains the inactive ingredients hypromellose,
iron oxide red, titanium dioxide, and triacetin.
LEXIVA Tablets, 700 mg, are pink in color and are capsule-shaped, with the letters “GX LL7” printed on one
side of the tablet.
LEXIVA is a registered trademark of GlaxoSmithKline.
*The brands listed are trademarks of their respective owners and are not trademarks of GlaxoSmithKline.
The makers of these brands are not affiliated with and do not endorse GlaxoSmithKline or its products.
PATIENT INFORMATION
LEXIVA
(lex-EE-vah)
(fosamprenavir calcium) Tablets
Read the Patient Information that comes with LEXIVA before you start taking it and each time you get
a refill. There may be new information. This information does not take the place of talking with your
healthcare provider about your medical condition or treatment. It is important to remain under a
healthcare provider’s care while taking LEXIVA. Do not change or stop treatment without first talking
with your healthcare provider. Talk to your healthcare provider or pharmacist if you have any questions
about LEXIVA.
©2006 The GlaxoSmithKline Group of Companies
All rights reserved. Printed in USA. LXV197R0 May 2006
©2005, GlaxoSmithKline. All rights reserved. November 2005 RL-2247
GlaxoSmithKline Vertex Pharmaceuticals Incorporated
Research Triangle Park, NC 27709 Cambridge, MA 02139
GX LL7
PREMIERE ISSUE 2006 PULSEPULSE XX
Summer provides lazy days and sultry nights. As we transition the season, there is something
comforting and tranquil about autumn. The leaves change from green to rust and there’s a
gentle fresh snap in the air that immediately takes the mind to afternoons spent raking leaves
in childhood homes. Waiting for you inside was a sweet reward of hot cider and cinnamon
doughnuts for a job well done. Take an aromatherapy break from the hustle and bustle of
adulthood with elegantly poignant notes of bergamot, amber, and sandalwood that serve as
a gentle reminder to keep it simple.
F R E S H
LANVIN VETYVER
Every bit as exotic as the
moniker suggests, Lanvin
Vetyver causes a scent-
ual stir with lusty hints of
white jasmine and savory
nutmeg. 3.4 oz –$65
GIVENCHY VERY
IRRESISTABLE
Start your day on a crisp
high-energy note with
this invigorating blend of
mint leaf and grapefruit.
3.3 oz-$48
CK ONE SUMMER
CK One keeps the
androgynously clean vibe
going with the universal
appeal of orange zest and
vanilla. 3.4 oz-$40
ISSEY MIYAKE
Cedar, moss, and tar-
ragon mingle together to
create a decadently rich
aroma that is as revolu-
tionary and mysterious as
the designer himself.
4.2 oz-$52
Photographer by DANIEL GREEN Styled by LLEWELLYN JENKINSAll Available @ Sephora.com
by Zulekha Haywood
PREMIERE ISSUE 2006 PULSEPULSE 23
Louis Vuitton
“Bankable Status”
Check book and credit
card holder $200 est,
Card holder $175 est.,
Barry
Kieselstein-
Cord
“High-End Style
With Bite.”
Buckle and Multicolored
alligator Straps.
Buckle $1500, straps
$300 each. All
available at Bergdorf
Goodman New York.
Mont Blanc
& Cartier
“If you’re going to
write a bad check,
do it with a good
pen.”
Mont Blanc Orange &
Red Pens $175 est. At
Tourneau, NYC. Cartier
Gold Pen $375 est. At
Cartier.
Hermes
Grande
“The Man purse
comes of age”
Evelyne Bag in
black baby calf skin
$4,000 est.
YSL
“The Ultimate
Solar Vision
Experience”
White Aviator Sun
Glasses $250 EST at YSL
Boutiques
Godiva
Chocolates
“Rich & Dark ”
Truffles $15.00,
Assorted milk
chocolates $28.00
PULSE : PTS
“addLUXtoyourlife…”Byron Barnes, Editor-in-Chief
24 PULSEPULSE PREMIERE ISSUE 2006
Photographed by Daniel Green Styled by Llewellyn Jenkins
www.janetjackson.com
www.myspace.com/janetjackson
www.virginrecords.com
INCLUDES “CALL ON ME”
WITH NELLY AND “SO EXCITED”
FEATURING KHIA
SIXTEEN NEW TRACKS
Nelly appears courtesy
of Derrty Entertainment/
Universal Records,
a division of UMG
Recordings, Inc
Janet is a registered trademark of Janet Jackson.
©2006 Virgin Records America, Inc.
IN STORES AND
ONLINE 09.26.06
THE NEW ALBUM
26 PULSEPULSE PREMIERE ISSUE 2006
I find it amazing that in conversations
with straight people their immediate
thought of Gay men is either a reference
to Queer As Folk or the tragic love story
in Broke Back Mountain. There are never
any images of loving Black male couples,
and don’t dare attempt to migrate chil-
dren into the equation. Art sometimes
could definitely take a page from life.
Eddie Brady, a stylist, and Eric Reynolds, a
Front House Manager at Radio City Music
Hall never envisioned a long-term part-
nership. A casual encounter at a club, led
to a casual romance of summer BBQ’s that
unexpectedly transformed into a solid life
of mutual dedication for 17 years. A life
of partying and hangovers palled in com-
parison to a new hobby: traveling. “We
traveled every chance we got” said Eric
as Eddie interjected, “we left partying for
cruises, trips to the West Coast, and the
Caribbean.”
Their carefree lives would soon change
when Eric’s family life would require an
intervention. Bryant, Eric’s brother and his
girlfriend Robin, were expecting a baby.
Unfortunately, they were also severely
addicted to drugs and alcohol. Eric and his
mother would make an agreement. Robin
would be allowed to live in Brooklyn with
Eric’s mother during the pregnancy, but
after the baby was born, both mother and
child had to move out. Fast forward to due
date; Robin arrives to the ER as dilated as
she was intoxicated. Within a matter of
minutes and under the watchful eye of
Social Services, Eric’s mother signed docu-
ments granting her full parental rights for
little Bryant Joseph Reynolds, born with
Infant Distress in 1994. Making matters
worse, Eric’s mother would pass away in
1996 leaving no assigned legal guardian.
An uncle who had been staunch on his
position of not getting involved, had to
make an important decision regarding the
two year old child “I wouldn’t have done
this without Eddie,” said Eric, “I came to
terms with the certainty of my mother’s
death. She was diabetic and had a heart
condition, but we never had a chance to
discuss Bryant”. “Eddie supported and
carried this responsibility with more will
than I could muster.” Within 18 months,
they would obtain full custody of Bryant
(affectionately known as BJ).
Eric’s eyes move with evident gestures
of a proud Dad as he remembers the
first time he fell in love with Bryant: “I
was nervous about having a small child
and not knowing what to do.” Fearing
the worst, he was too afraid to allow the
baby to sleep on the bed. Instead, he cre-
ated a bed nest of blankets, pillows and
down. For Eric, those thoughts now seem
ancient. “He’ll soon be a teenager,” says
Dad with a quiet sigh.
Although fear subsided, they described
parenting as a struggle. “It doesn’t come
with a manual,” Eddie points out: “Your
life changes; children get sick, they need
your attention. I still find it hard to let my
son out of the house in a city filled with
danger and uncertainty.”
Here began the story of anxiety. Eddie
and Eric, as unprepared as they were
reluctant, embarked on a struggle of rais-
ing a possibly disabled child. Eight years
into their relationship and already com-
fortably settled into a sunny apartment in
Clinton, their usual routine would become
a thing of the past. Eric would wake up at
five, get Bryant ready for school and head
to work while Eddie’s more flexible sched-
ule would allow him to prepare dinner as
he helped with his homework.
Bryant would also cease medication to
deal with his hyperactivity whose side
effect was lowering his blood count. Luck-
ily, Bryant quickly adjusted. “We realized
that what he truly needed was a fixed
routine,” says Eric. Eric devised a routine
for Bryant where he would do an exer-
cise every morning. (continued on page 77)
Make Room
for Daddy
Gay Parenting Done Right
A FAMILY AFFAIR - (Left to Right) Eddie, Bryant and Eric
By Vanessa Y. Turman & Andy Tarradath
DECEMBER 1-3, 2006 213-480-7088 OUTFEST.ORG
Fusion is a multicultural film festival with
great movies
parties
music
workshops
and a spoken-word event.
Dec. 1: Japan America Theater, Downtown LA
Dec. 2: Barnsdall Art Park, Los Feliz
Dec. 3: Egyptian Theatre, Hollywood
Presenting Sponsor
Major Sponsors
Founding Sponsor
R
ECENTLY I vis-
ited my General
Practitioner for
my yearly check
up. Now Thirty-
Something, as I reluctantly barrel towards
the big Four-O, I asked if there were any
health concerns or risks I should be
aware of. After the routine blood sample
and taking of my pressure, he informed
me he wanted to perform a pap smear.
I assumed he made a mistake. To my
surprise, he matter-of-factly went on to
describe the procedure: “That’s where
I…,” he began, and I cut him off. “I know
what a pap smear is. That’s an exam
for women to test for cervical cancer.”
“Yes, that’s one purpose for a pap smear.
But we now know there are similarities
between cervical cancer and anal cancer.
We can use the same test on men who
have receptive sex with other men to test
for cancer of the rectum.” I didn’t know
any other man who had had a pap smear,
I thought. I could only think of my moth-
er, aunt, sisters and other female friends
talking about their procedures.
Dr. Stephen Goldstone is now my ano-
rectal specialist. I suggest all gay men,
especially those who engage in receptive
anal sex, see one periodically. Dr. Gold-
stone wrote the book The Ins and Outs of
Gay Sex: A Medical Handbook for Men, in
which he addresses the common anorec-
tal problems that we usually don’t talk
about. Lucky for me, I followed Dr. Gold-
stone’s advice. This resulted in the detec-
tion and removal of the pre-cancerous
tissue. The bottom line is there are a lot
of diseases that can lurk in this area and
not show any symptoms; or the symptoms
may be so minor that they go unnoticed.
Any of these diseases can cause major
problems for you, and can also be easily
spread to unsuspecting partners.
It’s not just about HIV and AIDS. One
of these diseases is caused by the human
papiloma virus (HPV). Recent television
commercials have highlighted this as a
growing epidemic of concern for women,
but the fact is that HPV is as prevalent
among gay men, and poses no less dan-
ger. In The Ins and Outs, Dr. Goldstone
notes that “The Center for Disease Con-
trol estimates that close to 1 million
new HPV infections occur each year,
with more than 24 million Americans
already infected.” Goldstone tailors his
discussion for the gay population: “It is
estimated that more than half of all HIV-
negative men who have sex with men
carry [HPV], and the number increases
to almost 100 percent for HIV-positive
men.” HPV can also cause condyloma,
which is genital or venereal warts. “Gay
men with healthy sex lives are finding it
increasingly difficult to avoid HPV infec-
tion,” He adds.
According to Goldstone, most STDs
like HPV, “are spread by skin-to- skin
contact and do not require ejaculation. A
condom may not be sufficient protection.
Gay men who have anal sex should be
screened at least annually for gonorrhea,
chlamydia, syphilis and HIV. Often you
can have these infections and not even
know it. If your doctor doesn’t suggest
having these tests, then you should.”
On the home front, a dangerous prec-
edent is being set by HIV-positive gay
men. Some guys have concluded that it
makes no difference if two positive men
practice unprotected sex. Well, it makes
a great deal of difference for one, there
is a strong possibility of catching a more
resistant strain of the virus. Also, HIV-
positive people may live longer if they
can remain free of additional diseases—
including hepatitis or herpes—that fur-
ther compromise the immune system. Be
aware that not all condoms are created
equal. Just because a condom is thicker
doesn’t mean that it is stronger. The
publication Consumer Reports rates
condoms for strength, advises Dr. Gold-
stone. (Clearly, if a top is poking with
a pierced piece, so to speak, you defi-
nitely want to avoid thin condoms.) As
for size, use Magnums only if you really
need them. If a condom is too big you
stand the chance of leakage, or losing
the condom (Guess where?). If it’s too
tight, the likelihood is great that it will
break with just one good thrust. And
using two condoms won’t double your
security. Goldstone advises against it
because it actually increases the risk
of breakage or slippage.
AN OWNERS GUIDE TO CARING
FOR YOUR MOST PRIZED ASSET!
LICIOUSLICIOUS
BOOTYBOOTYby LusterLuster
ChaunceyChauncey
R
28 PULSEPULSE PREMIERE ISSUE 2006
SLIPPERY WHEN WET
Lubricants should be water based and
preferably contain a spermicidal, even if
there isn’t enough spermicide in a con-
dom to kill all the HIV in an ejaculation.
Studies show Nonoxynol-9 can cause
damage in the colon lining because it
kills healthy cells, making it easier for
HIV to pass between partners. Dr. Gold-
stone adds that “surprisingly, condoms
fail because they aren’t used properly.” As
silly as it sounds, read the directions.
EASY DOES IT
New information suggests that the
old adage, “Cleanliness is next to Godli-
ness” is in need of an update. Bottoms
actually should not douche before every
sexual encounter. It may do more dam-
age to your insides than good. After a
second or third enema in as
many as two days, you are no
longer cleaning your rectum, but strip-
ping it of natural defenses to diseases.
Too frequent an enema might also lead
to severe constipation. In the worst
case scenario, says Dr. Goldstone, some
men become so dependent on enemas
that they can’t move their bowels with-
out them. Besides these complications,
sometimes not all of the liquid is elimi-
nated right away, and you’ll find your-
self in the same mess you were trying
to avoid. Also, I learned the hard way
that by wiping and wiping until the toi-
let tissue was stain-free, I was actually
irritating my skin and causing it to tear.
If fecal matter gets into the scarring tis-
sue, it could cause painful infections
that might result in an abscess or fistula.
Doctors recommend that you use medi-
cated wipes such as Tucks, if you feel the
need to wipe yourself spotless.
Andplease—beconsiderateofyour
partner. Colognes, perfumes,
powders and lotions don’t
always taste as good as
they smell. After all, you
don’t want to substitute your
naturally sweet taste for one
that is decidedly tart or medici-
nal. At least not if you hope he’ll
come back for seconds.
TIGHT-END
Then there is the matter of aes-
thetics. A nice ass is a pleasure to
see and more of a pleasure to feel.
Some men are blessed with an appeal-
ingly round bottom. Others have to work
to sculpt a perfectly muscled butt. Even-
tually, time and gravity will take its toll. So
you might want to think ahead. The glu-
tei—the large muscles of the buttocks and
the largest set of muscles on the body—
are also the most difficult to develop.
Still, there are a number of exercises that
will help you hold onto what you have, or
maybe even develop what you want. In the
gym, the basic gluteal exercises include
squats, leg presses, leg curls and leg exten-
sions. At home you can perform dumbbell
squats, dumbbell lunges, flat-back dead
lifts and walking lunges. Since good form
is important, for safety and results, ask a
trainer to demonstrate each exercise or
purchase a workout video. Dumbbells, a
body ball and a mat are inexpensive and
can easily be stored.
Removing hair from the anal area has
become a fairly common practice among
gay men.
Depilatories are commonly used to
remove pesky unwanted hair but you
may run the risk of slight skin irritation,
so be careful. Shaving with a razor can
cause small cuts that can become infect-
ed; so wash thoroughly. Doing so before
sexual activity may put you at a higher
risk for exposure to diseases, bacteria
and viruses transmitted via skin contact.
When asked what the safest method of
hair removal is, Dr. Goldstone says that
trimming may be the best option.
THE CENTER FOR DISEASE CONTROL ESTIMATES THAT CLOSE TOTHE CENTER FOR DISEASE CONTROL ESTIMATES THAT CLOSE TO
1 MILLION NEW HPV INFECTIONS OCCUR EACH YEAR1 MILLION NEW HPV INFECTIONS OCCUR EACH YEAR, WITH, WITH
MORE THANMORE THAN 24 MILLION AMERICANS ALREADY INFECTED24 MILLION AMERICANS ALREADY INFECTED.
THE BOOTY BAG
Bag: Delsey Helium Lite 100, Towel: The Royal Company, Shorts: Marlin, Cap:
Black Fives, The Ins and Outs of Gay Sex by Dr. Steven Goldstone, Prepara-
tion H Ointment, Fleet Enema, Neutrogena Razor Defense Shave Gel, Cot-
tonelle Moist Wipes, Wet Ones Moist Wipes, Neutrogena Skin Clearing Shave
Gel, ID Glide Personal Lubricant Water Based Formula, Deep Clean Invigo-
rating Foaming Scrub, Lubriderm Daily Moisture Lotion, Nair for Men Hair
Remover Body Cream, Gillette Good News Razors, Curél Continuous Comfort
24 Hour Daily Moisturizer, Lifestyle Ultra Lubricated, AstroGlide Personal
Lubricant Water Based. Photo by DE ALAN WILSON
Right now
Kevin is
fighting HIV.
INDICATION: REYATAZ (atazanavir sulfate) is a
prescription medicine used in combination with other
medicines to treat people who are infected with the
human immunodeficiency virus (HIV). REYATAZ has
been studied in 48-week trials in both patients who
have taken or have never taken anti-HIV medicines.
REYATAZ does not cure HIV or help prevent
passing HIV to others.
IMPORTANT SAFETY INFORMATION:
Do not take REYATAZ if you are taking the
following medicines: ergot medicines,Versed®
,
Halcion®
, Orap®
, Propulsid®
, Camptosar®
, Crixivan®
,
Mevacor®, Zocor®, rifampin,St.John’s wort,AcipHex®,
Nexium®, Prevacid®, Prilosec® or Protonix®.Do not use
Viagra®, Levitra®, Cialis®, Vfend®, Advair®, Flonase®, or
Flovent® while you are taking REYATAZ without first
speaking with your healthcare provider. This list of
medicinesisnotcomplete. Discussallprescription
and non-prescription medicines,vitamin and
herbalsupplements,orotherhealthpreparations
you are taking or plan to take with your
healthcare provider.
Tell your healthcare provider right away if you have
any side effects or conditions,including the following:
• A change in the way your heart beats may
occur and could be a symptom of a heart problem.
• Diabetes and high blood sugar may occur in
patients taking protease inhibitor medicines like
REYATAZ (atazanavir sulfate).
• Yellowing of the skin and/or eyes may occur
due to increases in bilirubin levels in the blood
(bilirubin is made by the liver).
• Rash (redness and itching) sometimes occurs in
patients taking REYATAZ,most often in the first few
weeks after the medicineisstarted,andusuallygoes
awaywithintwoweekswith no change in treatment.
• If you have liver disease, including hepatitis B
or C,your liver disease may get worse when you
take anti-HIV medicines like REYATAZ.
• Somepatientswithhemophilia have increased
bleedingproblemswithproteaseinhibitormedicines
like REYATAZ.
Changesinbodyfathavebeenseeninsome
patientstaking anti-HIV medicines.The cause and
long-term effects are not known at this time.
Other side effects of REYATAZ taken with other
anti-HIV medicines include:nausea,headache,
stomach pain,vomiting,diarrhea,depression,fever,
dizziness,trouble sleeping,numbness,and tingling
or burning of hands or feet.
You should take REYATAZ once daily with food
(a meal or snack). You should take REYATAZ and your
other anti-HIV medicines exactly as instructed by
your healthcare provider.
Once Daily REYATAZ®
(atazanavir sulfate)
is a protease inhibitor (PI) that is
taken in HIV combination therapy:
◆ Can help raise your T-cells
◆ Can help lower your
viral load to undetectable*
◆ Low chance of diarrhea
(shown in clinical trials)†
◆ Two pills taken once a day
(with a snack or meal)‡
* Undetectableisdefinedasaviralloadoflessthan
400or50copies/mL(dependingonthetestused).
†
REYATAZincombinationtherapyhada1-3%rateof
moderate-to-severediarrhea.
‡
Peoplewhohavetakenanti-HIV medicinesbefore
usuallytakeREYATAZwithritonavironcedailyas
partoftheirHIVcombinationtherapy.
REYATAZ does not cure HIV,
a serious disease,or help prevent
passing HIV to others.
WWW.REYATAZ.COM
REYATAZ is a registered trademark of Bristol-Myers Squibb Company. © 2006 Bristol-Myers Squibb Company,Princeton,NJ 08543 U.S.A. March 2006 F1-K0268R
fight HIV your way.
Individual results may vary.
Please see Important Patient Information about REYATAZ on the next page.
ASK YOUR DOCTOR if REYATAZ, in
HIV combination therapy,
can help you
PATIENT INFORMATION
REYATAZ®
(RAY-ah-taz)
(generic name = atazanavir sulfate) Capsules
ALERT: Find out about medicines that should NOT be taken with
REYATAZ (atazanavir sulfate). 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 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. At present there is no
cure for HIV infection. People taking REYATAZ may still get opportunistic
infections or other conditions that happen with HIV infection.
Opportunistic infections are infections that develop because the immune
system is weak. Some of these conditions are pneumonia, herpes virus
infections, and Mycobacterium avium complex (MAC) infections. It is
very important that you see your healthcare provider regularly while
taking REYATAZ.
REYATAZ does not lower your chance of passing HIV to other
people through sexual contact, sharing needles, or being exposed to
your blood. For your health and the health of others, it is important to
always practice safer sex by using a latex or polyurethane condom or
other barrier to lower the chance of sexual contact with semen, vaginal
secretions, or blood. Never use or share dirty needles.
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 ingre-
dient 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 planning to become pregnant. It is not
known if REYATAZ can harm your unborn baby. 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.
• If you are breast-feeding. You should not breast-feed if you are HIV-
positive because of the chance of passing HIV to your baby. Also, it is
not known if REYATAZ can pass into your breast milk and if it can harm
your baby. If you are a woman who has or will have a baby, talk with
your healthcare provider about the best way to feed your baby.
• 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 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 nonpre-
scription 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.
• For adults who have never taken anti-HIV medicines before, the
usual dose is 400 mg (two 200-mg capsules) once daily taken with
food.
• For adults who have taken anti-HIV medicines in the past, the usual
dose is 300 mg (two 150-mg capsules) plus 100 mg of NORVIR®
(ritonavir) once daily taken with food.
Your dose will depend on your liver function and on the other anti-HIV
medicines that you are taking. REYATAZ is always used with other anti-
HIV medicines. If you are taking REYATAZ with SUSTIVA®
(efavirenz) or
with VIREAD®
(tenofovir disoproxil fumarate), you should also be taking
NORVIR® (ritonavir).
• 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 VIDEX® (didanosine) Chewable/
Dispersible Buffered Tablets, or Enteric-Coated Tablets, take
REYATAZ (atazanavir sulfate) 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), or ZANTAC® (ranitidine), talk to your healthcare
provider.
• Do not change your dose or stop taking REYATAZ without first
talking with your healthcare provider. It is important to stay under a
healthcare provider’s care while taking REYATAZ.
• When your supply of REYATAZ starts to run low, get more from
your healthcare provider or pharmacy. It is important not to run out of
REYATAZ. The amount of HIV in your blood may increase if the medi-
cine is stopped for even a short time.
• If you miss a dose of REYATAZ, take it as soon as possible and then
take your next scheduled dose at its regular time. If, however, it is
within 6 hours of your next dose, do not take the missed dose. Wait
and take the next dose at the regular time. Do not double the next
dose. It is important that you do not miss any doses of REYATAZ or
your other anti-HIV medicines.
• If you take more than the prescribed dose of REYATAZ, call your
healthcare provider or poison control center right away.
Can children take REYATAZ?
REYATAZ has not been fully studied in children under 16 years of age.
REYATAZ should not be used in babies under the age of 3 months.
What are the possible side effects of REYATAZ?
The following list of side effects is not complete. Report any new or
continuing symptoms to your healthcare provider. If you have questions
about side effects, ask your healthcare provider. Your healthcare provider
may be able to help you manage these side effects.
The following side effects have been reported with REYATAZ:
• rash (redness and itching) sometimes occurs in patients taking REYATAZ,
most often in the first few weeks after the medicine is started. Rashes
usually go away within 2 weeks with no change in treatment. Tell your
healthcare provider if rash occurs.
• yellowing of the skin or eyes. These effects may be due to increases
in bilirubin levels in the blood (bilirubin is made by the liver). Call your
healthcare provider if your skin or the white part of your eyes turn
yellow. Although these effects may not be damaging to your liver, skin,
or eyes, it is important to tell your healthcare provider promptly if they
occur.
• a change in the way your heart beats (heart rhythm change). Call
your healthcare provider right away if you get dizzy or lightheaded.
These could be symptoms of a heart problem.
• diabetes and high blood sugar (hyperglycemia) sometimes happen
in patients taking protease inhibitor medicines like REYATAZ. Some
patients had diabetes before taking protease inhibitors while others did
not. Some patients may need changes in their diabetes medicine.
• if you have liver disease including hepatitis B or C, your liver disease
may get worse when you take anti-HIV medicines like REYATAZ.
• some patients with hemophilia have increased bleeding problems
with protease inhibitors like REYATAZ.
• 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.
Other common side effects of REYATAZ taken with other anti-HIV medi-
cines include nausea; headache; stomach pain; vomiting; diarrhea;
depression; fever; dizziness; trouble sleeping; numbness, tingling, or
burning of hands or feet; and muscle pain.
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: dihydroergotamine, ergonovine, ergotamine, and
methylergonovine such as CAFERGOT®, MIGRANAL®, D.H.E. 45®,
ergotrate maleate, METHERGINE®, and others (used for migraine
headaches).
• HALCION® (triazolam, used for insomnia).
• VERSED® (midazolam, used for sedation).
• ORAP® (pimozide, used for Tourette’s disorder).
• PROPULSID® (cisapride, used for certain stomach problems).
Do not take the following medicines with REYATAZ because of
possible serious side effects:
• CAMPTOSAR® (irinotecan, used for cancer).
• CRIXIVAN® (indinavir, used for HIV infection). Both REYATAZ and
CRIXIVAN sometimes cause increased levels of bilirubin in the blood.
• Cholesterol-lowering medicines MEVACOR® (lovastatin) or ZOCOR®
(simvastatin).
Do not take the following medicines with REYATAZ because they
may lower the amount of REYATAZ in your blood. This may lead to
an increased HIV viral load. Resistance to REYATAZ or cross-resistance to
other HIV medicines may develop:
• Rifampin (also known as RIMACTANE®, RIFADIN®, RIFATER®, or
RIFAMATE®, used for tuberculosis).
• St. John’s wort (Hypericum perforatum), an herbal product sold as a
dietary supplement, or products containing St. John’s wort.
• “Proton-pump inhibitors” used for indigestion, heartburn, or ulcers
such as AcipHex® (rabeprazole), NEXIUM® (esomeprazole),
PREVACID® (lansoprazole), PRILOSEC® (omeprazole), or PROTONIX®
(pantoprazole).
Do not take the following medicine if you are taking REYATAZ
(atazanavir sulfate) and NORVIR® together.
• VFEND® (voriconazole).
The following medicines may require your healthcare provider to
monitor your therapy more closely:
• CIALIS® (tadalafil), LEVITRA® (vardenafil), or VIAGRA® (sildenafil).
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.
• LIPITOR® (atorvastatin). There is an increased chance of serious side
effects if you take REYATAZ with this cholesterol-lowering medicine.
• Medicines for abnormal heart rhythm: CORDARONE® (amiodarone),
lidocaine, quinidine (also known as CARDIOQUIN®, QUINIDEX®, and
others).
• VASCOR® (bepridil, used for chest pain).
• COUMADIN® (warfarin).
• Tricyclic antidepressants such as ELAVIL® (amitriptyline),
NORPRAMIN® (desipramine), SINEQUAN® (doxepin), SURMONTIL®
(trimipramine), TOFRANIL® (imipramine), or VIVACTIL® (protriptyline).
• Medicines to prevent organ transplant rejection: SANDIMMUNE® or
NEORAL® (cyclosporin), RAPAMUNE® (sirolimus), or PROGRAF®
(tacrolimus).
• The antidepressant trazodone (DESYREL® and others).
• Fluticasone propionate (ADVAIR®, FLONASE®, FLOVENT®), given by
nose or inhaled to treat allergic symptoms or asthma. Your doctor
may choose not to keep you on fluticasone, especially if you are also
taking NORVIR®.
The following medicines may require a change in the dose or dose
schedule of either REYATAZ or the other medicine:
• FORTOVASE®, INVIRASE® (saquinavir).
• NORVIR® (ritonavir).
• SUSTIVA® (efavirenz).
• Antacids or buffered medicines.
• VIDEX® (didanosine).
• VIREAD® (tenofovir disoproxil fumarate).
• MYCOBUTIN® (rifabutin).
• Calcium channel blockers such as CARDIZEM® or TIAZAC® (diltiazem),
COVERA-HS® or ISOPTIN SR® (verapamil), and others.
• BIAXIN® (clarithromycin).
• Medicines for indigestion, heartburn, or ulcers such as AXID®
(nizatidine), PEPCID AC® (famotidine), TAGAMET® (cimetidine), or
ZANTAC® (ranitidine).
Women who use birth control pills or “the patch” should choose a
different kind of contraception. REYATAZ may affect the safety and
effectiveness of birth control pills or the patch. Talk to your healthcare
provider about choosing an effective contraceptive.
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?
• Store REYATAZ Capsules at room temperature, 59° to 86° F (15° to
30° C). Do not store this medicine in a damp place such as a bathroom
medicine cabinet or near the kitchen sink.
• Keep your medicine in a tightly closed container.
• Throw away REYATAZ when it is outdated or no longer needed by
flushing it down the toilet or pouring it down the sink.
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
you can call 1-800-321-1335.
What are the ingredients in REYATAZ?
Active Ingredient: atazanavir sulfate
Inactive Ingredients: Crospovidone, lactose monohydrate (milk sugar),
magnesium stearate, gelatin, FD&C Blue #2, and titanium dioxide.
* VIDEX® is a registered trademark of Bristol-Myers Squibb Company.
COUMADIN® and SUSTIVA® are registered trademarks of Bristol-Myers
Squibb Pharma Company. DESYREL® is a registered trademark of
Mead Johnson and Company. Other brands listed are the trademarks of
their respective owners and are not trademarks of Bristol-Myers Squibb
Company.
Princeton, NJ 08543 USA
This Patient Information Leaflet has been approved by the U.S. Food and
Drug Administration.
1193697A1 Revised January 2006
F1-B0001B-01-06 Based on package insert dated January 2006
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PULSE Magazine (Premiere 2006)

  • 1. OUR VOICES OUR VIEW OUR WORLD PREMIERE ISSUE 2006
  • 2.
  • 3.
  • 4. FEATURES 12 OUT LOUD AND PROUD The New Black Gay Pride Agenda 16 YOU ME & HE My Husband, His Friend and Their Secret 18 TINA, DANGEROUS LIASONS Battling Crystalmeth 26 MAKE ROOM FOR DADDY Gay Parenting Done Right 28 BOOTYLICIOUS An Owners Guide for Your Most Prized Asset 36 THE NEW PLAYGROUND The Joys, Disappointments & Dangers of Internet Dating 38 OUTSTANDING Black Gay Men of Power and Influence 42 SLEEPING WITH THE ENEMY Debating Raw Sex 43 POCC BALL SCENE 50 JAMIE FOXX ON FIRE Celebrity Profile 52 MIXED DOUBLES Head to Toe Grooming for Men 54 THE TENDER TRAP Bedding for Today’s Homme 66 MAN ON THE GLOW Luminous Skin for Men 68 LOCKS TO DYE FOR Dreads Soulful Hues 69 THE “N” WORD Harlem’s New High-End Boutique 72 CAMOUFLAGE Going Under the Radar with Corrective Cosmetics PULSE + PTS 4 EDITOR’S LETTER 6 ASSOCIATE PUBLISHER’S LETTER 24 LUX Luxurious Accessories for Men 48 NON-STOP POP Music Review 70 SEOUL FOOD A Taste of Korea 71 BOTTOMS UP Sexy Signature Sips 78 PULSE AT A GLANCE Our Next Issue 80 HOLLA BACK Q&A with Carnell Ambrose 80 YO MAMA FASHION 23 FRESH The Ultimate in Men’s Fragrances 44 UNDERNEATH IT ALL NYC’s Top Personal Trainers In Designer Briefs 46 SIGNATURE KICKS Designer Sneakers 56 WELL SUITED Men’s Designer Couture 62 HOT ICE Diamonds are a Man’s Best Friend 74 THUG PASSION Urban Style on the Edge 76 THUG REALNESS Clothes Make the Man but Details Make the Difference TABLE OF CONTENTS ON THE COVER: The essence of Black Manhood; Bertini from Cameroon West Africa-and yes those are his natural emerald green eyes. Creative Director/ Make-up Artist: BYRON BARNES, Photographed by FADIL BERISHA. Art Direction by LLEWELLYN JENKINS. Hair by Vincent LINDSEY GREEN. Prop stylist: HASON AMED. Botanical by EXOTIC CUTS NYC. Fragrance by B-MEN BY THIERRY MUGLER. LEFT: Photograph by FADIL BERISHA.
  • 5.
  • 6. 04 PULSEPULSE PREMIERE ISSUE 2006 PULSE : PTS LETTER FROM THE EDITOR It’s the music we groove to; It’s the food we savor. It’s the way we live; It’s the way we look. It’s a life style, It’s PULSE MAGA- ZINE…The Heart Beat of Black Gay America. A quarterly peri- odical with jaw dropping pictorials, stirring features and sober content that speaks to our community: Currently we stand at the crossroads of our greatest challenges. The firestorm around same sex marriage, progressive hate crime legislation, domestic partner benefits in the work place, more positive portrayals of us in film and on television as well as an avalanche of black gay themed books/ publications. We’ve come a long way baby, from the 1950s when the very mention of “the love that dare not speak its name” could land you in jail for the weekend. Still, we endure. Today living a lie and hiding in the shadows is not an option. To live your life as a complete, productive, well-rounded human being is to embrace everything that you are-your blackness, your gayness, your culture. We must now realize there’s absolutely no room for compromise. We must flex our collective muscles to build a new community landscape. As we attend Black Pride celebrations in record numbers, storming some 30 US Cities with our presence and dollars, let us remember to celebrate our individual and collective pride every day. It is the source of our resounding strength. PULSE is the conduit to that strength. It speaks directly to Black Gay American’s unique sensibilities. PULSE is a true celebration of our passion, conviction and greatness. With our fingers on the pulse of what’s hip, hot and happening, we’re the guide to help you live your best life… Health, Fitness, Fashion, Food, Travel, Politics, Celebrity features and so much more. It’s all here, and it’s all for you. It’s a tailor made comfort zone that’s inviting and as familiar as the place you call home. So drop by. I’ll leave the light on. Our Voices, Our View, Our World. BYRON BARNES - Editor-In-Chief, PULSE Magazine “We’ve come a long way baby, from the 1950s when the very mention of “the love that dare not speak its name” could land you in jail for the weekend. Still, we endure...” Photographed by Fadil Berisha. If you love PULSE visit our website www.gmad.org for your next free copy.
  • 7.
  • 8. 06 PULSEPULSE PREMIERE ISSUE 2006 Editor-in Chief Byron Barnes Managing Editor Vanessa Y. Turman Art Director Gary Montalvo Deputy Editor Major Andres Scurlock Fashion Editor Llewellyn Jenkins Associate Editor Melvin Miller Copy Chief Edwin Smith Associate Copy Editors Carnell Ambrose Zulekha Haywood Home Furnishing Editor Lorenzo McCain Editorial Designer Jennifer Garcia Traffic Manager Deavon Hibbert Executive Asst. To Editor-in Chief Justin Hall Editorial Assist. Terrence Benjamin Model Editor Oscar Reyes Contributing Writers: Luster Chauncey, Gia’na Garel, L. MichaelGipson, Mike Killmon, Dr. Sasha Vington, Carnell Ambrose, Zulekha Haywood, Andy Tarradath, Kevin R. Scott, Vanessa Y. Turman, Jason King Contributing Photographers: Fadil Barisha, George Chinsee, Jeff Gamble, DeAlan Wilson, William Elliot Springfield, Daniel Green, Michael McCollom, Jim Carroll, Michael Doenges Art Editor Alvaro Publisher & Founder Of Pulse Gay Men Of African Descent (GMAD) Executive Director Tokes Osubu Finance Director Susan Li Executive Office Mgr. David Mayer Publishing Consultant Robert E. Crawford Pulse Magazine 103 East 125th Street, Suite 503 New York, NY 10035 Phone (212) 828-1697 Fax (212) 828-9602 www.pulsemag.org T H E H E A R T B E A T O F B L A C K G A Y A M E R I C A Opinions expressed by advertisers, columnists, feature writers or other contributors are not necessarily the opinions of PULSE Magazine or its staff. All advertisements, pictures, text or illustrations are published with the understanding that the advertisers are fully authorized and have secured proper consent for use thereof. PULSE Magazine shall not be held responsible for any errors, loss, expense or liabilities on advertisements accepted after the deadline. Publication of the name, photograph of any person or advertisement in PULSE Magazine, is not to be construed as any indication of the sexual orientations of such person, advertiser or organization. Partial or complete reproduction of any advertisement, news articles, features or photographers from PULSE Magazine is strictly prohibited. PULSE magazine is a registered trade mark. All rights reserved. PULSE is a quarterly publication distributed and published freely through Gay Men of African Decent, a Non-Profit Organization.
  • 9.
  • 10. H VH V Indication1 KALETRA® (lopinavir/ritonavir) is always used in combination with other anti-HIV medicines to treat people with human immunodeficiency virus (HIV) infection. KALETRA is a combination of two medicines. They are lopinavir and ritonavir. KALETRA is a type of medicine called an HIV protease (PRO-tee-ase) inhibitor. KALETRA is for adults and for children age 6 months and older. Once daily dosing of KALETRA in combination with other anti-HIV medicines is not recommended for people with previous HIV treatment and has not been evaluated in children (6 months to 12 years of age). Important Safety Information1 KALETRA does not cure HIV infection or AIDS and does not reduce the risk of passing HIV to others. KALETRA should not be taken by patients who have had an allergic reaction to KALETRA or any of its ingredients, including lopinavir or ritonavir. Taking KALETRA with certain drugs can cause serious problems or death. KALETRA should not be taken with dihydroergotamine, ergonovine, ergotamine, and methylergonovines such as Cafergot,® Migranal,® D.H.E. 45,® Ergotrate Maleate, and Methergine, as well as Halcion,® Hismanal,® Orap,® Propulsid,® Seldane,® or Versed.® KALETRA should also not be taken with rifampin, also known as Rimactane,® Rifadin,® Rifater,® or Rifamate® ; or with Flonase,® Mevacor,® Zocor,® or products containing St. John’s wort (Hypericum perforatum). Once daily KALETRA should not be taken with Agenerase,® Sustiva,® Viracept,® Viramune,® Dilantin,® Phenobarbital, or Tegretol.® Particular caution should be used when taking Viagra,® Cialis,® or Levitra,® since the interaction with KALETRA may result in an increase in their related side effects. Discuss all medicines, including those without a prescription and herbal products you are taking or plan to take, with your doctor or pharmacist. Pancreatitis and liver problems, which can be fatal, have been reported in patients receiving KALETRA. Tell your doctor if you have nausea, vomiting, or abdominal pain, which may be signs of pancreatitis, or if you have or have had liver disease such as hepatitis B or C. • No refrigeration required*1 • Can be taken with or without food1 *Exposure to high humidity outside the original container for longer than 2 weeks is not recommended. • Once or twice daily dosing,1 ask your doctor. Once daily is not recommended for treatment-experienced patients.1 Talk to your doctor today and go to KALETRA.com to learn more about KALETRA and Magic Johnson. KALETRA is not a cure for HIV infection. Individual results may vary.
  • 11. In patients taking protease inhibitors, increased bleeding (in patients with hemophilia) and diabetes/high blood sugar have occurred. Changes in body fat have been seen in some patients receiving antiretroviral therapy. The cause and long term health effects of these conditions are not known at this time. Some patients receiving KALETRA have had large increases in triglycerides and cholesterol. Varying degrees of cross-resistance among protease inhibitors have been observed. The most commonly reported side effects of moderate severity are: abdominal pain, abnormal bowel movements, diarrhea, feeling weak or tired, headache, and nausea. Children taking KALETRA may sometimes get a skin rash.This is not a complete list of reported side effects. Diarrhea may be more common in patients taking KALETRA capsules once daily compared to the twice-daily dose (57% vs. 35% of mild to severe events and possibly related to the drug; and 16% vs. 5% of events of at least moderate severity and possibly related to the drug as found in a clinical study). KALETRA oral solution contains alcohol. KALETRA tablets should be stored at room temperature. Exposure of this product to high humidity outside the original container for longer than 2 weeks is not recommended. Refrigerated KALETRA oral solution remains stable until the expiration date printed on the label. If stored at room temperature up to 77°F (25°C), KALETRA oral solution should be used within 2 months. Avoid exposure to excessive heat. 1 KALETRA Prescribing Information, October 2005 Please see important patient information on adjacent page. 1-866-KALETRA (525-3872) ©2006 Abbott Laboratories | Abbott Park, IL 60064 | 06B-036-O492-2 | April 2006 | Printed in USA II take KALETRA as part of my regimen. I take KALETRA as part of my regimen. I
  • 12. CONSUMER BRIEF SUMMARY CONSULT PACKAGE INSERT FOR FULL PRESCRIBING INFORMATION KALETRA® (lopinavir/ritonavir) tablets (lopinavir/ritonavir) oral solution ALERT: Find out about medicines that should NOT be taken with KALETRA. Please also read the section "MEDICINES YOU SHOULD NOT TAKE WITH KALETRA." PATIENT INFORMATION KALETRA® (kuh-LEE-tra) Generic Name: lopinavir/ritonavir (lop-IN-uh-veer/rit-ON-uh-veer) Read this leaflet carefully before you start taking KALETRA. Also, read it each time you get your KALETRA prescription refilled, in case something has changed. This information does not take the place of talking with your doctor when you start this medicine and at check ups. Ask your doctor if you have any questions about KALETRA. Before taking your medicine, make sure you have received the correct medicine. Compare the name above with the name on your bottle and the appearance of your medicine with the description provided below. Contact your pharmacist immediately if you believe a dispensing error has occurred. What is KALETRA and how does it work? KALETRA is a combination of two medicines. They are lopinavir and ritonavir. KALETRA is a type of medicine called an HIV (human immunodeficiency virus) protease (PRO-tee-ase) inhibitor. KALETRA is always used in combination with other anti-HIV medicines to treat people with human immunodeficiency virus (HIV) infection. KALETRA is for adults and for children age 6 months and older. HIV infection destroys CD4 (T) cells, which are important to the immune system. After a large number of T cells are destroyed, acquired immune deficiency syndrome (AIDS) develops. KALETRA blocks HIV protease, a chemical which is needed for HIV to multiply. KALETRA reduces the amount of HIV in your blood and increases the number of T cells. Reducing the amount of HIV in the blood reduces the chance of death or infections that happen when your immune system is weak (opportunistic infections). Does KALETRA cure HIV or AIDS? KALETRA does not cure HIV infection or AIDS. The long-term effects of KALETRA are not known at this time. People taking KALETRA may still get opportunistic infections or other conditions that happen with HIV infection. Some of these conditions are pneumonia, herpes virus infections, and Mycobacterium avium complex (MAC) infections. Does KALETRA reduce the risk of passing HIV to others? KALETRA does not reduce the risk of passing HIV to others through sexual contact or blood contamination. Continue to practice safe sex and do not use or share dirty needles. How should I take KALETRA? • You should stay under a doctor's care when taking KALETRA. Do not change your treatment or stop treatment without first talking with your doctor. • You must take KALETRA every day exactly as your doctor prescribed it. The dose of KALETRA may be different for you than for other patients. Follow the directions from your doctor, exactly as written on the label. • Dosing in adults (including children 12 years of age and older): The usual dose for adults is 2 tablets (400/100 mg) or 5.0 mL of the oral solution twice a day (morning and night), in combination with other anti-HIV medicines. The doctor may prescribe KALETRA as 4 tablets or 10.0 mL of oral solution (800/200 mg) once-daily in combination with other anti-HIV medicines for some patients who have not taken anti-HIV medications in the past. • KALETRA tablets should be swallowed whole and not chewed, broken, or crushed. • KALETRA tablets can be taken with or without food. • Dosing in children from 6 months to 12 years of age: Children from 6 months to 12 years of age can also take KALETRA. The child's doctor will decide the right dose based on the child's weight. • Take KALETRA oral solution with food to help it work better. • Do not change your dose or stop taking KALETRA without first talking with your doctor. • When your KALETRA supply starts to run low, get more from your doctor or pharmacy. This is very important because the amount of virus in your blood may increase if the medicine is stopped for even a short time. The virus may develop resistance to KALETRA and become harder to treat. • Be sure to set up a schedule and follow it carefully. • Only take medicine that has been prescribed specifically for you. Do not give KALETRA to others or take medicine prescribed for someone else. What should I do if I miss a dose of KALETRA? It is important that you do not miss any doses. If you miss a dose of KALETRA, take it as soon as possible and then take your next scheduled dose at its regular time. If it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the regular time. Do not double the next dose. What happens if I take too much KALETRA? If you suspect that you took more than the prescribed dose of this medicine, contact your local poison control center or emergency room immediately. As with all prescription medicines, KALETRA should be kept out of the reach of young children. KALETRA liquid contains a large amount of alcohol. If a toddler or young child accidentally drinks more than the recommended dose of KALETRA, it could make him/her sick from too much alcohol. Contact your local poison control center or emergency room immediately if this happens. Who should not take KALETRA? Together with your doctor, you need to decide whether KALETRA is right for you. • Do not take KALETRA if you are taking certain medicines. These could cause serious side effects that could cause death. Before you take KALETRA, you must tell your doctor about all the medicines you are taking or are planning to take. These include other prescription and non-prescription medicines and herbal supplements. For more information about medicines you should not take with KALETRA, please read the section titled "MEDICINES YOU SHOULD NOT TAKE WITH KALETRA." • Do not take KALETRA if you have an allergy to KALETRA or any of its ingredients, including ritonavir or lopinavir. Can I take KALETRA with other medications?* KALETRA may interact with other medicines, including those you take without a prescription. You must tell your doctor about all the medicines you are taking or planning to take before you take KALETRA. MEDICINES YOU SHOULD NOT TAKE WITH KALETRA: • Do not take the following medicines with KALETRA because they can cause serious problems or death if taken with KALETRA. • Dihydroergotamine, ergonovine, ergotamine and methylergonovine such as Cafergot®, Migranal® D.H.E. 45®, Ergotrate Maleate, Methergine, and others • Halcion® (triazolam) • Hismanal® (astemizole) • Orap® (pimozide) • Propulsid® (cisapride) • Seldane® (terfenadine) • Versed® (midazolam) • Do not take KALETRA with rifampin, also known as Rimactane®, Rifadin®, Rifater®, or Rifamate®. Rifampin may lower the amount of KALETRA in your blood and make it less effective. • Do not take KALETRA with St. John's wort (hypericum perforatum), an herbal product sold as a dietary supplement, or products containing St. John's wort. Talk with your doctor if you are taking or planning to take St. John's wort. Taking St. John's wort may decrease KALETRA levels and lead to increased viral load and possible resistance to KALETRA or cross-resistance to other anti-HIV medicines. • Do not take KALETRA with the cholesterol-lowering medicines Mevacor® (lovastatin) or Zocor® (simvastatin) because of possible serious reactions. There is also an increased risk of drug interactions between KALETRA and Lipitor® (atorvastatin); talk to your doctor before you take any of these cholesterol-reducing medicines with KALETRA. Medicines that require dosage adjustments: It is possible that your doctor may need to increase or decrease the dose of other medicines when you are also taking KALETRA. Remember to tell your doctor all medicines you are taking or plan to take. Before you take Viagra® (sildenafil), Cialis® (tadalafil), or Levitra® (vardenafil) with KALETRA, talk to your doctor about problems these two medicines can cause when taken together. You may get increased side effects of VIAGRA, CIALIS, or LEVITRA such as low blood pressure, vision changes, and penis erection lasting more than 4 hours. If an erection lasts longer than 4 hours, get medical help right away to avoid permanent damage to your penis. Your doctor can explain these symptoms to you. • If you are taking oral contraceptives ("the pill") or the contraceptive patch to prevent pregnancy, you should use an additional or different type of contraception since KALETRA may reduce the effectiveness of oral or patch contraceptives. • Efavirenz (Sustiva‰), nevirapine (Viramune®), Agenerase (amprenavir) and Viracept (nelfinavir) may lower the amount of KALETRA in your blood. Your doctor may increase your dose of KALETRA if you are also taking efavirenz, nevirapine, amprenavir or nelfinavir. KALETRA should not be taken once-daily with these medicines. • If you are taking Mycobutin® (rifabutin), your doctor will lower the dose of Mycobutin. • A change in therapy should be considered if you are taking KALETRA with: • Phenobarbital • Phenytoin (Dilantin® and others) • Carbamazepine (Tegretol® and others) These medicines may lower the amount of KALETRA in your blood and make it less effective. KALETRA should not be taken once-daily with these medicines. • If you are taking or before you begin using inhaled Flonase® (fluticasone propionate) talk to your doctor about problems these two medicines may cause when taken together. Your doctor may choose not to keep you on inhaled Flonase®. • Other Special Considerations: KALETRA oral solution contains alcohol. Talk with your doctor if you are taking or planning to take metronidazole or disulfiram. Severe nausea and vomiting can occur. • If you are taking both didanosine (Videx®) and KALETRA: Didanosine (Videx®) can be taken at the same time as KALETRA tablets without food. Didanosine (Videx®) should be taken one hour before or two hours after KALETRA oral solution. What are the possible side effects of KALETRA? • This list of side effects is not complete. If you have questions about side effects, ask your doctor, nurse, or pharmacist. You should report any new or continuing symptoms to your doctor right away. Your doctor may be able to help you manage these side effects. • The most commonly reported side effects of moderate severity that are thought to be drug related are: abdominal pain, abnormal stools (bowel movements), diarrhea, feeling weak/tired, headache, and nausea. Children taking KALETRA may sometimes get a skin rash. • Blood tests in patients taking KALETRA may show possible liver problems. People with liver disease such as Hepatitis B and Hepatitis C who take KALETRA may have worsening liver disease. Liver problems including death have occurred in patients taking KALETRA. In studies, it is unclear if KALETRA caused these liver problems because some patients had other illnesses or were taking other medicines. • Some patients taking KALETRA can develop serious problems with their pancreas (pancreatitis), which may cause death. You have a higher chance of having pancreatitis if you have had it before. Tell your doctor if you have nausea, vomiting, or abdominal pain. These may be signs of pancreatitis. • Some patients have large increases in triglycerides and cholesterol. The long-term chance of getting complications such as heart attacks or stroke due to increases in triglycerides and cholesterol caused by protease inhibitors is not known at this time. • Diabetes and high blood sugar (hyperglycemia) occur in patients taking protease inhibitors such as KALETRA. Some patients had diabetes before starting protease inhibitors, others did not. Some patients need changes in their diabetes medicine. Others needed new diabetes medicine. • Changes in body fat have been seen in some patients taking antiretroviral therapy. These changes may include 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. • Some patients with hemophilia have increased bleeding with protease inhibitors. • There have been other side effects in patients taking KALETRA. However, these side effects may have been due to other medicines that patients were taking or to the illness itself. Some of these side effects can be serious. What should I tell my doctor before taking KALETRA? • If you are pregnant or planning to become pregnant: The effects of KALETRA on pregnant women or their unborn babies are not known. • If you are breast-feeding: Do not breast-feed if you are taking KALETRA. You should not breast-feed if you have HIV. If you are a woman who has or will have a baby, talk with your doctor about the best way to feed your baby. You should be aware that if your baby does not already have HIV, there is a chance that HIV can be transmitted through breast- feeding. • If you have liver problems: If you have liver problems or are infected with Hepatitis B or Hepatitis C, you should tell your doctor before taking KALETRA. • If you have diabetes: Some people taking protease inhibitors develop new or more serious diabetes or high blood sugar. Tell your doctor if you have diabetes or an increase in thirst or frequent urination. • If you have hemophilia: Patients taking KALETRA may have increased bleeding. How do I store KALETRA? • Keep KALETRA and all other medicines out of the reach of children. • KALETRA tablets should be stored at room temperature. Exposure of Kaletra tablets to high humidity outside the original container for longer than 2 weeks is not recommended. • Refrigerated KALETRA oral solution remains stable until the expiration date printed on the label. If stored at room temperature up to 77°F (25°C), KALETRA oral solution should be used within 2 months. • Avoid exposure to excessive heat. Do not keep medicine that is out of date or that you no longer need. Be sure that if you throw any medicine away, it is out of the reach of children. General advice about prescription medicines: Talk to your doctor or other health care provider if you have any questions about this medicine or your condition. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information Leaflet. If you have any concerns about this medicine, ask your doctor. Your doctor or pharmacist can give you information about this medicine that was written for health care professionals. Do not use this medicine for a condition for which it was not prescribed. Do not share this medicine with other people. * The brands listed are trademarks of their respective owners and are not trademarks of Abbott Laboratories. The makers of these brands are not affiliated with and do not endorse Abbott Laboratories or its products. Ref: 03-5418-R1 Revised: October, 2005 05J-036-L298-2 MASTER 06B-036-O492-2 PRINTED IN U.S.A.
  • 13. He wears it to raise desperately needed funds for HIV/AIDS care services, education and vaccine development. Over half a million people have chosen to wear The Bracelet. What about you? Available at: Kenneth Cole; Virgin Megastore; Ben Bridge Jewelers and other fine retailers. Or to order call 1-800-88-UNTIL or visit us at WWW.UNTIL.ORG. W H Y D O E S T R A C Y M c G R A D Y W E A R T H E B R A C E L E T ? © 2006 Until There’s A Cure Foundation Photo: Michael Collopy
  • 14. 12 PULSEPULSE PREMIERE ISSUE 2006 “They marched in protest so we could stand with pride.”
  • 15. PREMIERE ISSUE 2006 PULSEPULSE 13 OUT LOUD and PROUD @ @ The New Black Gay Agenda f f f f f f f f f f f f f f f f f f f f f f f f f f f f by Tokes Osubu f f f f f f f f f f f f f f
  • 16. 14 PULSEPULSE PREMIERE ISSUE 2006 T housands (giving of credence to the idea that 10% of the whole popu- lation is homo- sexual) break out of their yearlong cocoon, permit- ting themselves to be Gay for a day. That brother from the gym who steals looks at you but never acknowledges you publicly; how about the one who takes every oppor- tunity to talk about his baby mama and then shows up in the Village shirtless and cap pulled down to his nose in disguise?; or the group of ‘straight guys who are at Christopher street parade, ostensibly for amusement? Right! Curiously, when the parade is over, and all its ‘fringe benefits’ have been enjoyed, most of them disappear into ether and only a few are left to carry the banner. Till next June. Our recent history has been defined and colored by the AIDS epidemic. It is a calamity which historically speaking is routine in the human experience. It joins other calamities like slavery, and racism in the devastation wrought on our bodies and our psyche. However, homophobia is a greater calamity that has brought both unimaginable crisis and great challenge. It is exposing the fabric of our society that ostensibly was founded on love, liberty and equality, and in so doing, stirs the human spirit out of its habitual compla- cency to insist on, and fight for funda- mental and far-reaching change. It is often said that the black community is more homophobic. Despite there being no evidence to back this assertion, the idea has taken on a life of its own. Every community has struggles and challenges with homosexuality, and some have done a better job of addressing it than others. In our community, it is fueled by our invisi- bility and lack of participation in the black experience. It is easier for us to be hated and disrespected when they do not see us. But when we are proudly visible, they fear us. When we stand up as proud black gay men, we will begin to drive homophobia back into the closet, where it belongs. But that is our responsibility. I believe that history will judge us by the quality of our response to this problem. The contributions of black gay men loom large in the annals of black America, despite attempts to erase them from his- tory. We have marched, protested, rallied, been hung, jailed in the cause of the great- er good, and we cannot, should not allow this to be forgotten. We were not idle bystanders when our sisters and mothers were violated and when our brothers were falsely accused and unjustly imprisoned. We were there and we are still here. We mourned for brothers, fathers and sis- ters lost to an inhumane and cruel world. We were there. We cheered when Jack- son defied the pundits, applauded when Sharpton ranted and answered when Far- rakhan called us to action. We were there. We were there because they are us and it was about US. Yet our struggle with being open and equal partners in the black family endures. Many of us still wrestle with the fear of being called a sissy, or fag- got. Instead, we have created a new lingo that allows us to pass. No longer are we gay, we maintain, because that is a white and imperialist construct that has no rel- evance to us as black men; in an effort to remain ‘unclockable’, we foolishly romanticize and normalize internalized shame as represented by the DL phenom- enon; others still are same gender-loving, supposedly, a more authentic (and Afro- centric) representation of what two black men loving are. Negro, Black, African- American. Gay, Same gender-loving, DL. potato, potatoe. Queens, Fems, Trannies as they are labeled, maintain their iden- tity without concern of others critique. In the same way that Toni Morrison express- es her concern that if society sent a bus to round up black people, we would end up there regardless of complexion: Black is Black, and Gay is Gay. If Bush sent a bus to round up all the black gay men tomorrow, there would not be a section on the bus for the DL; same gender-loving or otherwise defined. We would all be there together. We have made significant strides of which we can be proud. There is an impressive and visible rise of Black Pride sweeping across the nation like never before. Many organizations sensitive to our needs have developed and in many cases, have thrived for many years; after many years of complaining about having no representation in some media, we have thrown down the gauntlet and started producing our own movies and publish- Every June in New York is Gay Pride Month. By design or chance, it’s our month to shine. For us gay folks, that is, it is the time of the year when we present to the world the results of months of dumbbell lifting, abdominal crunches, and painstaking shedding of our winter closet, to parade, party, play and perform. f f f f f f f f f f f f f f f f f f f f f f f f f f f
  • 17. PREMIERE ISSUE 2006 PULSEPULSE 15 ing magazines that reflect the realities of our lives. Nevertheless, there is still much to do. Studies have shown that our economic and spending power is significant, yet remains underutilized. Without few dependents, we have more disposable income, or so it is thought. There is a wealth of talent in our community that can form the basis of a strong economic development infrastructure. Many times, I hear black gay men discuss their dreams of owning businesses, but do not know how to go about making it happen. Others lament the lack of a loyal base within the community to sustain such enterprises. By the same token, black gay-owned busi- nesses are criticized for not supporting worthy social causes in the community. Did someone say sell out? Walking along the Bedford-Stuyvesant section of Fulton Street in Brooklyn, I cannot help but envy the thriving community that Muslims (mostly immigrants, no less) have cre- ated. We deserve business districts with our own bars, restaurants, bookstores, cafes, realtors, travel agencies, clothing stores, porn shops, clubs and spas. Call it a ghetto, but it’ll be our own ghetto. Run by us, for us. The rest of the world can then come to us, marvel at our brilliance, ingenuity and ogle our beauty, while at the same time consuming our products and services. Political power and influence have eluded us as a community. In envision- ing our future, I would like us to become more strategic in managing our political power. Without this, our lives will con- tinue to be the ball that is kicked around in the proverbial dirty game of politics. Those who wield political power do not consider it a dirty sport, especially when they are on the winning end. It is time to galvanize our community into the indispensable bloc that it has the poten- tial to be. From Central Harlem to Fort Greene to Bedstuy, black gay men have the numerical strength to influence the course of events. Yet apathy and fear hold us back. Audre Lorde put it best when she said “When I dare to be powerful- to use my strength in the service of my vision, then it becomes less and less important whether I am afraid”. While the goal is to be on the right or winning side of every issue, the larger goal is the visibility that comes from being seen as an important political force. Rightfully! Younger black gay men often criticize older gay men, especially those in posi- tions of influence, for doing a miserable job of cultivating new leadership. But it is important to remember that almost an entire generation of Black Gay Men were wiped out by AIDS, thus creating a huge vacuum, that not surprisingly, we have not been able to fill. The list is endless. Craig Harris, Marlon Riggs, Reggie Wil- liams, Assotto Saint, Darrel Ellis, Raymond Dumas, Charles Angel, Rory Buchanan, Donald Woods, Bert Hunter, Steve Lang- ley, and Derrick Hicks. They were the ones who proudly championed our causes before they were prematurely taken away from us. In many ways, the community has not recovered from this loss and is still going through a post-traumatic stress existence, in the same way as African Americans are said to be going through post-traumatic stress caused by slavery. But nurture new leadership, we must. First we must acknowledge the hole cre- ated in our lives by AIDS and collectively begin to find ways to address its linger- ing effects on our psyche. Maintaining silence is not a credible option. Second, we should recognize that the leadership that was thrust into the vacuum was necessary, though in most cases it was unprepared, untutored, and often unwill- ing. They deserve our support for gallant- ly stepping into the void and giving voice to our hopes, our fears, our dreams and often, our anger. Without our support, the result is unthinkable: burn out, frustra- tion, fear that every word uttered in the name of the community is perceived as furthering a personal agenda, causing a deepening of the leadership vacuum and creating a rudderless vessel, incapable of helping to navigate the stormy waters of our lives. Third, we can develop leader- ship programs in partnership with an institution of higher learning, much like the LA-based Black AIDS Institute has done. These programs should teach and nurture critical thinking, while address- ing issues like black male identity, stigma and discrimination, being black and gay in America, management skills develop- ment, volunteerism and mentorship. The future of the black community will improve or falter in direct proportion to the number of black gay men who are honest about who they are and are willing to stand up and proudly say that they are gay, that they are black and are real men. Too many issues collectively affect us as a people: poverty, racism, unemploy- ment, the impact of the prison industrial complex on our community, and home- lessness. We should be standing shoulder to shoulder with the rest of our families and community, advocating around these issues and demanding change, unapolo- getically as black gay men. When that time comes, we will begin to celebrate June 365 days of the year. TOKES OSUBU is the Executive Director of Gay Men of African Descent.
  • 18. HOW COULD I NOT FALL IN LOVE with the man- of-my-dreams; he was beautiful, even a little too “beautiful”. Upon questioning he told me his fem- inine tendencies were the results of his cultural upbringing and even with all his gay friends, he assured me that he was heterosexual. The truth is I did everything I could to close my eyes to his real sexuality and his life outside our family. He told me he was faithful. Still, I wondered about all the clues that said otherwise. One day, I walked into our basement office space when he was on the speakerphone. He quickly switched to the cordless phone and walked upstairs; but his conversation was still just loud enough for me to hear. Then there was the painful but utterly clear moment when I walked in on him and his “best friend” discussing whether or not it was obvious that he was gay. I questioned him again and again for days. His answers were vague. I grew concerned about my health, my privacy, and my reputation. Tests would assuage my fears, for the moment. Then came the anger: You motherf-@#$^! I was surprised at how easy it was to separate. When he called and claimed he hadn’t followed through on any of his desires, I knew it was just talk. But I wanted to believe it. It wasn’t hard for him to convince me to return home with our daughter, to try to work it out as a family. I wasn’t there a week before I came across chat room fodder that would make Liberace blush. I questioned him. “It’s all good,” he said. I really needed it to be good since my four-year-old and I had no place to live and no plans without Daddy. But it didn’t stop there. I uncovered videotapes, magazines, old love notes, and engraved jewelry that dated back to what I thought was a healthy point in our marriage. How could I miss all that? It seems he was as good at hiding, as I was at pretending. So I set out to charm the B-Boy who was beginning to hang around but seemed to know the house all too well. It took no time for him to tell me every sordid detail. I told my husband I wanted a divorce, but would support him as a friend. He said he was grateful. It wasn’t easy to take our daughter and just leave. Even though our state had sodomy laws, it was just begin- ning to support gay men as parents. And the divorce process was set to shred our million-dollar estate. We would have to do this civilly. I would get single motherhood and the right to struggle through zero child support; he would get everything else down to the CD collection. One day he telephoned and asked, “Do you have a car?” “Yes, what’s wrong?” I answered, shaken by the sound of his voice. “I need to go to the emer- gency room.” I asked no questions and dashed out to get him. He’d been beaten by some crack-selling hood rats, while riding his bike “hmmmm.” I never got the full story of what REALLY happened that evening, my suspicion was a night of cruising trade had gone bad. I wanted to beat him myself. “You broke our vows and threw away our home for this?” I thought. He asked me to call his B-Boy, and I took my leave. He had his support. I now hear about the Down-Low everywhere. It’s as if it’s the new shade of lipstick everyone is wear- ing. Twenty years later I remain relatively support- ive, pretending not to sense other’s titillation at our story; or swallowing whatever negativity others vol- unteer about his lifestyle, even as I sometimes want to scream into my fist. I still wonder if it all was my fault, if he hid behind the cloak of secrecy out of fear that I would deny him my unconditional love. But I have still not recovered enough to trust the possibil- ity of a whole, male/female relationship. I avoid it by working too hard and ignoring tender moments with loved ones. It vexes me that my ex-husband’s mate looks like Brian Mcknight and is finer than any male I can attract. That anger almost disappears when I look at our daughter, who has grown into the best of both of us. These days I must trust that he will not betray my trust again. For her sake, if not for mine, I hope that he will keep his part of our bargain to co-parent our daughter. He and I can be friends. But this time I won’t fall in love. I uncovered videotapes, magazines, old love notes, and engraved jewelry that dated back to what I thought was a healthy point in our marriage. How could I miss all that? by HOTTY J 16 PULSEPULSE PREMIERE ISSUE 2006
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  • 20. Dangerous Liaison Imagine an 8-hour long orgy with any number of hot and uninhibited guys acting out your kinkiest “Raw” fantasies; having sex for hours or even days without getting tired or losing your sex drive. Then finally you climax so intensely that you grunt and groan like a bad porn star. The year is 2002 in Miami. There’s a room full of naked men, a few of them have just taken hits of crystal meth. TINA: by Mike Killmon 18 PULSEPULSE PREMIERE ISSUE 2006 PhotobyDanielGreen
  • 21. A layer of smoke along with the scent of sex and sweat lingers in the air. Antoine and his new bud- dies want to try something more immediate and more intense, so they use a hot needle to slam the crystal directly into their veins. Her- oin users would call it “mainlining.” A college boy does a booty bump (a meth filled syringed is injected in the anus) to numb it. The guys—including HIV-Posi- tive Antoine—begin to have raw sex, then engage in an all night bump and grind. Once the high wears off the focus quickly switches from the sex to the crys- tal. After more crystal and many hours, more men join in. Fueled by the crys- tal illusion, no one notices their rotting teeth, the dilated pupils that give their eyes a psychotic glaze, the marks on their bodies from the harsh smoke that has seeped into the membranes of their skin. No one really notices the emaciated, ravaged bodies that are the remains of a dangerous liaison with “Tina.” The spirit is willing but the flesh is weak. Even though physically exhausted and weak, the meth fuels the sexual desperation of the user for another eight hours with no regard for time. It’s a euphoric; an out of body experience. He can still remember the vivid details of his crystal-induced encounters. Listening to his story, I can’t help but wonder at what point does someone becomes so apathetic that they go from being an occasional party user to an addict, their life controlled by a nasty bitch named “Tina.” Now at 27, Antoine has been clean well over a year, and along with his partner lives in Brooklyn. He is studying to be a veteri- narian and taking life one-day-at-a-time, free of crystal meth. He studies Islam and has no real desire for sex, he says. Growing up on Chicago’s Southside, a young black gay man has no other choice but to learn to escape. Society tells gay people that they don’t deserve happiness, so their desire for it is probably greater than anyone else’s. We learn to create an illusion of happiness, sometimes we get addicted to those illusions. Antoine’s illusions were laced with crystal meth. “Crystal not only makes you sexually uninhibited, but it also shuts off real feelings,” he says. And no one tells you that once you have escaped reality, there is no going back.” But Antoine got a second chance and is steadily moving back into the real world. Anyone who’s gone online and found Mr. Right-Now knows the rush that comes with anonymous sex. In 2000, Antoine made his way into a chat room late one fall night, having just moved to NYC, intending to maximize the perks of his open relation- ship. He scored almost immediately, and soon headed out to meet this Chelsea Boy at his apartment. That’s when he was invited to take his first hit of “Tina.” He remembers taking a hard, cold look at his life. Seeing it for what it was, he closed his eyes to escape it. He wouldn’t reconnect with the Antoine he had known for another 3 years. His hunger for a constant feeling of escape only grew stronger. Sex without crystal was now boring, so he would only have sex when he was high, and only with guys who would “PNP” (Party and Play). He preferred to smoke it, and learned how to get the most out of each hit. Early in 2002, Antoine and his old boy- friend—who was not a crystal user— moved to Miami. It didn’t take long for that relationship to end. Later that year, Antoine stopped taking his HIV medication and started going to work still high from the night before. Soon after, he became strapped for cash and started missing work related appointments. He became a male escort to earn extra money. Miami was little more than a crystal network for Antoine. As his rent arrears grew, Antoine’s sexual encounters became more extravagant. At sex parties around Miami and Ft. Lauderdale, booty bumps of crystal and cocaine were the norm. Some men would slam crystal into the opening of their penises, to ensure a bum rush of simultaneous pleasure & pain. One night, after a week of partying, Antoine thought he heard someone break- ing into his apartment—this was around the time he was close to being evicted. “This night, I knew “THEY” were coming for me and I wanted to be ready, I went and got a butcher’s knife. Suddenly, there was a presence in the room. He was surrounded by figures that pushed him to the floor. The pain he experienced stretched along his entire body, and seemed to come from within. I saw black shadows; demon like figures in the room coming towards me, telling me to ‘live or die’. They felt like they were surrounding me, coming out of me. I sat on the floor writhing in pain, scream- ing crying, I knew this was the end.” Later, I came to realize this was a hallucination brought on by ‘Tina’.” He decided to attend a Crystal Meth Anonymous meeting where he found the men there were more interested in looking for possible hook-ups rather than getting clean. This triggered old habits rather than discouraged his addiction. He eventually decided to study Islam where he found his salvation. There will never be a cure for every- thing that is difficult and/or wrong in our lives. Using crystal meth or any other drug as a means of escape will only get us further away from the cure. Through the teachings of the Koran, Antoine was able to find inner peace and spiritual salva- tion. Antoine has taught us that faith, spirituality and honesty help us cope with life’s difficulties. Through Antoine’s experience, we learn life is about con- necting, because the moment you discon- nect, you begin to die; spiritually, emo- tionally & physically. Antoine Shepard is connecting to something deeper, more profound than the surface we all try to escape from…what are you connecting to? For more information on kicking the Crystal go to www.crystalmeth.org. He can still remember the vivid details of his crystal- induced encounters. A PREMIERE ISSUE 2006 PULSEPULSE 19
  • 22. Indication LEXIVA is indicated in combination with other antiretroviral agents for the treatment of HIV infection in adults. • The PI-experienced patient study was not large enough to reach a definitive conclusion that LEXIVA/ritonavir and lopinavir/ritonavir are clinically equivalent. • Once-daily administration of LEXIVA/ritonavir is not recommended for PI-experienced patients. LEXIVA does not cure HIV or prevent passing HIV to others. Important Safety Information • You should not take LEXIVA if you have had an allergic reaction to LEXIVA or AGENERASE® (amprenavir). • High blood sugar, diabetes or worsening of diabetes, and bleeding in hemophiliacs have occurred in some patients taking protease inhibitors. • When you start taking HIV medicines, your immune system may get stronger and could begin to fight infections that have been hidden in your body, such as pneumonia, herpes virus, or tuberculosis. If you have new symptoms after starting your HIV medicines, be sure to tell your doctor. • Changes in body fat may occur in some patients taking antiretroviral therapy. The cause and long-term health effects of these conditions are not known at this time. • Skin rashes can occur in patients taking LEXIVA. Rarely, rashes were severe or life threatening. • Opportunistic infections can develop when you have HIV and your immune system is weak. It is very important that you see your healthcare provider regularly while you are taking LEXIVA to discuss any side effects or concerns. • Most common side effects in clinical studies were diarrhea, headache, nausea, rash, and vomiting. In most cases, these side effects did not cause people to stop taking their medicine. Drug Interactions • LEXIVA should not be taken with: AGENERASE® (amprenavir), Halcion® (triazolam), ergot medications (Cafergot® , Migranal® , D.H.E. 45® , and others), Propulsid® (cisapride), Versed® (midazolam), Orap® (pimozide), Zocor® (simvastatin), Mevacor® (lovastatin), Rifadin® (rifampin), Rescriptor® (delavirdine mesylate), or St. John’s wort (Hypericum perforatum). If you are taking Norvir® (ritonavir), you should not take Tambocor® (flecainide), or Rythmol® (propafenone hydrochloride). • Serious and/or life-threatening events could occur between LEXIVA and other medications, including Cordarone® (amiodarone), lidocaine (intravenous only), Elavil® (amitriptyline HCl) and Tofranil® (imipramine pamoate), tricyclic antidepressants, and Quinaglute® (quinidine). • Women who use birth control pills should choose a different kind of contraception. LEXIVA can affect the safety and effectiveness of birth control pills.
  • 23. They rely on me, I rely on a regimen with LEXIVA If it’s time to start HIV treatment, ask your doctor if LEXIVA plus ritonavir may be right for you. With LEXIVA plus ritonavir you can: •Take once a day* •Eat and drink when you want •Take antacids and other heartburn medications† •Have a lower chance of diarrhea‡ LEXIVA does not cure HIV or prevent passing HIV to others. Individual results may vary. Once-daily dosing is not recommended for patients who have taken protease inhibitors in the past. LEXIVA without ritonavir may be less effective due to decreased blood levels of amprenavir when taking H2 antagonists with LEXIVA. No dose adjustments required with PPIs when taken at the same time as LEXIVA. 5%-10% rate of moderate-to-severe drug-related diarrhea in therapy-naive patients compared to 18% for nelfinavir. 866-4-LEXIVA • www.LEXIVA.com • Patients taking Viagra® (sildenafil citrate) or LEVITRA® (vardenafil HCl) with LEXIVA may be at an increased risk of side effects. • This list of drug interactions is not complete. Be sure to tell your healthcare provider about all medicines you are taking or plan to take, including over-the-counter drugs, vitamins, and herbals. Resistance • Missing or skipping doses of your medicine may make it easier for the virus to mutate and multiply. Your medicines may not work as well against a mutated virus and you may become cross-resistant to other HIV medicines. It’s important to take your medicine exactly as prescribed. Please see important information on adjacent page. † ‡ *
  • 24. What is the most important information I should know about LEXIVA? LEXIVA can cause dangerous and life-threatening interactions if taken with certain other medicines. Tell your healthcare provider about all the medicines you take, including prescription and nonpre- scription medicines, vitamins, and herbal supplements. ■ Some medicines cannot be taken at all with LEXIVA. ■ Some medicines will require dose changes if taken with LEXIVA. ■ Some medicines will require close monitoring if you take them with LEXIVA. Know all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal supplements. Keep a list of the medicines you take. Show this list to all your healthcare providers and pharmacists anytime you get a new medicine or refill. Your healthcare providers and phar- macists must know all the medicines you take. They will tell you if you can take other medicines with LEXIVA. Do not start any new medicines while you are taking LEXIVA without talking with your healthcare provider or pharmacist. You can ask your healthcare provider or pharmacist for a list of medicines that can interact with LEXIVA. What is LEXIVA? LEXIVA is a medicine you take by mouth to treat HIV infection. HIV is the virus that causes AIDS (acquired immune deficiency syndrome.) LEXIVA belongs to a class of anti-HIV medicines called protease inhibitors. LEXIVA is always used with other anti-HIV medicines. When used in combination therapy, LEXIVA may help lower the amount of HIV found in your blood, raise CD4+ (T) cell counts, and keep your immune system as healthy as possible, so it can help fight infection. However, LEXIVA does not work in all patients with HIV. LEXIVA does not: ■ cure HIV infection or AIDS. We do not know if LEXIVA will help you live longer or have fewer of the med- ical problems (opportunistic infections) that people get with HIV or AIDS. Opportunistic infections are infections that develop because the immune system is weak. Some of these conditions are pneumonia, herpes virus infections, and Mycobacterium avium complex (MAC) infections. It is very important that you see your healthcare provider regularly while you are taking LEXIVA. The long-term effects of LEXIVA are not known. ■ lower the risk of passing HIV to other people through sexual contact, sharing needles, or being exposed to your blood. For your health and the health of others, it is important to always practice safer sex by using a latex or polyurethane condom to lower the chance of sexual contact with semen, vaginal secretions, or blood. Never use or share dirty needles. LEXIVA has not been fully studied in children under the age of 18 or in adults over the age of 65. Who should not take LEXIVA? Do not take LEXIVA Tablets if you: ■ are taking certain other medicines. Read the section “What is the most important information I should know about LEXIVA?” Do not take the following medicines* with LEXIVA. You could develop serious or life-threatening problems. – HALCION® (triazolam; used for insomnia) – Ergot medicines: dihydroergotamine, ergonovine, ergotamine, and methylergonovine such as CAFERGOT® , MIGRANAL® , D.H.E. 45® , ergotrate maleate, METHERGINE® , and others (used for migraine headaches) – PROPULSID® (cisapride); used for certain stomach problems – VERSED® (midazolam); used for sedation – ORAP® (pimozide); used for Tourette’s disorder Do not take the following medicines if you are taking LEXIVA and NORVIR® (ritonavir) together. You could develop serious or life-threatening problems. – TAMBOCOR® (flecainide); used for certain abnormal heart rhythms – RYTHMOL® (propafenone); used for certain abnormal heart rhythms ■ are allergic to LEXIVA or any of its ingredients. The active ingredient is fosamprenavir calcium. See the end of this leaflet for a list of all the ingredients in LEXIVA. ■ are allergic to AGENERASE® (amprenavir). You should not take AGENERASE (amprenavir) and LEXIVA at the same time. Before taking LEXIVA, tell your healthcare provider about all your medical conditions including if you: ■ are pregnant or planning to become pregnant. It is not known if LEXIVA can harm your unborn baby. You and your healthcare provider will need to decide if LEXIVA is right for you. If you use LEXIVA while you are pregnant, talk to your healthcare provider about how you can be on the Antiretroviral Pregnancy Registry. ■ are breastfeeding. You should not breastfeed if you are HIV-positive because of the chance of passing the HIV virus to your baby through your milk. Also, it is not known if LEXIVA can pass into your breast milk and if it can harm your baby. If you are a woman who has or will have a baby, talk with your healthcare provider about the best way to feed your baby. ■ have liver problems. You may be given a lower dose of LEXIVA or LEXIVA may not be right for you. ■ have kidney problems ■ have diabetes. You may need dose changes in your insulin or other diabetes medicines. ■ have hemophilia ■ are allergic to sulfa medicines Before taking LEXIVA, tell your healthcare provider about all the medicines you take, including pre- scription and nonprescription medicines, vitamins, and herbal supplements. LEXIVA can cause dan- gerous and life-threatening interactions if taken with certain other medicines. You may need dose changes in some of your medicines or closer monitoring with some medicines if you also take LEXIVA (see “What is the most important information I should know about LEXIVA?”). Know all the medicines that you take and keep a list of them with you to show healthcare providers and pharmacists. Women who use birth control pills should choose a different kind of contraception. LEXIVA can affect the safety and effectiveness of birth control pills. Talk to your healthcare provider about choosing an effective contraceptive. How should I take LEXIVA? ■ Take LEXIVA Tablets exactly as your healthcare provider prescribed. ■ Do not take more or less than your prescribed dose of LEXIVA Tablets at any one time. Do not change your dose or stop taking LEXIVA without talking with your healthcare provider. ■ You can take LEXIVA Tablets with or without food. ■ When your supply of LEXIVA or other anti-HIV medicine starts to run low, get more from your healthcare provider or pharmacy. The amount of HIV virus in your blood may increase if one or more of the medi- cines are stopped, even for a short time. ■ Stay under the care of a healthcare provider while using LEXIVA. ■ It is important that you do not miss any doses. If you miss a dose of LEXIVA by more than 4 hours, wait and take the next dose at the regular time. However, if you miss a dose by fewer than 4 hours, take your missed dose right away. Then take your next dose at the regular time. ■ If you take too much LEXIVA, call your healthcare provider or poison control center right away. What should I avoid while taking LEXIVA? ■ Do not use certain medicines while you are taking LEXIVA. See “What is the most important infor- mation I should know about LEXIVA” and “Who should not take LEXIVA?” ■ Do not breastfeed. See “Before taking LEXIVA, tell your healthcare provider.” Talk with your health- care provider about the best way to feed your baby. ■ Avoid doing things that can spread HIV infection since LEXIVA doesn't stop you from passing the HIV infection to others. ■ Do not share needles or other injection equipment. ■ Do not share personal items that can have blood or body fluids on them, like toothbrushes or razor blades. ■ Do not have any kind of sex without protection. Always practice safer sex by using a latex or polyurethane condom to lower the chance of sexual contact with semen, vaginal secretions, or blood. What are the possible side effects of LEXIVA? LEXIVA may cause the following side effects: ■ skin rash. Skin rashes, some with itching have happened in patients taking LEXIVA. Tell your healthcare provider if you get a rash after starting LEXIVA. ■ diabetes and high blood sugar (hyperglycemia). Some patients had diabetes before taking LEXIVA while others did not. Some patients may need changes in their diabetes medicine. Others may need a new diabetes medicine. ■ increased bleeding problems in some patients with hemophilia. ■ worse liver disease. Patients with liver problems, including hepatitis B or C, are more likely to get worse liver disease when they take anti-HIV medicines like LEXIVA. ■ changes in blood tests. Some people have changes in blood tests while taking LEXIVA. These include increases seen in liver function tests and blood fat levels, and decreases in white blood cells. Your healthcare provider may do regular blood tests to see if LEXIVA is affecting your body. ■ changes in body fat. These changes have happened in patients taking antiretroviral medicines like LEXIVA. The 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. Common side effects of LEXIVA are nausea, vomiting, and diarrhea. Tell your healthcare provider about any side effects that bother you or that won’t go away. This list of side effects of LEXIVA is not complete. For more information, ask your healthcare provider or pharmacist. How should I store LEXIVA Tablets? ■ Store LEXIVA Tablets at room temperature between 59° and 86°F (15° to 30°C). Keep the container tight- ly closed. ■ Keep LEXIVA and all medicines out of the reach of children. ■ Do not keep medicine that is out of date or that you no longer need. Be sure that if you throw any medi- cine away, it is out of the reach of children. General information about LEXIVA Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use LEXIVA for a condition for which it was not prescribed. Do not give LEXIVA to other people, even if they have the same symptoms you have. It may harm them. This leaflet summarizes the most important information about LEXIVA. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about LEXIVA that is written for health professionals. For more information you can call toll-free 888-825- 5249 or visit www.LEXIVA.com. What are the ingredients in LEXIVA? Active Ingredient: fosamprenavir calcium. Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, microcrys- talline cellulose, and povidone K30. The tablet film-coating contains the inactive ingredients hypromellose, iron oxide red, titanium dioxide, and triacetin. LEXIVA Tablets, 700 mg, are pink in color and are capsule-shaped, with the letters “GX LL7” printed on one side of the tablet. LEXIVA is a registered trademark of GlaxoSmithKline. *The brands listed are trademarks of their respective owners and are not trademarks of GlaxoSmithKline. The makers of these brands are not affiliated with and do not endorse GlaxoSmithKline or its products. PATIENT INFORMATION LEXIVA (lex-EE-vah) (fosamprenavir calcium) Tablets Read the Patient Information that comes with LEXIVA before you start taking it and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment. It is important to remain under a healthcare provider’s care while taking LEXIVA. Do not change or stop treatment without first talking with your healthcare provider. Talk to your healthcare provider or pharmacist if you have any questions about LEXIVA. ©2006 The GlaxoSmithKline Group of Companies All rights reserved. Printed in USA. LXV197R0 May 2006 ©2005, GlaxoSmithKline. All rights reserved. November 2005 RL-2247 GlaxoSmithKline Vertex Pharmaceuticals Incorporated Research Triangle Park, NC 27709 Cambridge, MA 02139 GX LL7
  • 25. PREMIERE ISSUE 2006 PULSEPULSE XX Summer provides lazy days and sultry nights. As we transition the season, there is something comforting and tranquil about autumn. The leaves change from green to rust and there’s a gentle fresh snap in the air that immediately takes the mind to afternoons spent raking leaves in childhood homes. Waiting for you inside was a sweet reward of hot cider and cinnamon doughnuts for a job well done. Take an aromatherapy break from the hustle and bustle of adulthood with elegantly poignant notes of bergamot, amber, and sandalwood that serve as a gentle reminder to keep it simple. F R E S H LANVIN VETYVER Every bit as exotic as the moniker suggests, Lanvin Vetyver causes a scent- ual stir with lusty hints of white jasmine and savory nutmeg. 3.4 oz –$65 GIVENCHY VERY IRRESISTABLE Start your day on a crisp high-energy note with this invigorating blend of mint leaf and grapefruit. 3.3 oz-$48 CK ONE SUMMER CK One keeps the androgynously clean vibe going with the universal appeal of orange zest and vanilla. 3.4 oz-$40 ISSEY MIYAKE Cedar, moss, and tar- ragon mingle together to create a decadently rich aroma that is as revolu- tionary and mysterious as the designer himself. 4.2 oz-$52 Photographer by DANIEL GREEN Styled by LLEWELLYN JENKINSAll Available @ Sephora.com by Zulekha Haywood PREMIERE ISSUE 2006 PULSEPULSE 23
  • 26. Louis Vuitton “Bankable Status” Check book and credit card holder $200 est, Card holder $175 est., Barry Kieselstein- Cord “High-End Style With Bite.” Buckle and Multicolored alligator Straps. Buckle $1500, straps $300 each. All available at Bergdorf Goodman New York. Mont Blanc & Cartier “If you’re going to write a bad check, do it with a good pen.” Mont Blanc Orange & Red Pens $175 est. At Tourneau, NYC. Cartier Gold Pen $375 est. At Cartier. Hermes Grande “The Man purse comes of age” Evelyne Bag in black baby calf skin $4,000 est. YSL “The Ultimate Solar Vision Experience” White Aviator Sun Glasses $250 EST at YSL Boutiques Godiva Chocolates “Rich & Dark ” Truffles $15.00, Assorted milk chocolates $28.00 PULSE : PTS “addLUXtoyourlife…”Byron Barnes, Editor-in-Chief 24 PULSEPULSE PREMIERE ISSUE 2006 Photographed by Daniel Green Styled by Llewellyn Jenkins
  • 27. www.janetjackson.com www.myspace.com/janetjackson www.virginrecords.com INCLUDES “CALL ON ME” WITH NELLY AND “SO EXCITED” FEATURING KHIA SIXTEEN NEW TRACKS Nelly appears courtesy of Derrty Entertainment/ Universal Records, a division of UMG Recordings, Inc Janet is a registered trademark of Janet Jackson. ©2006 Virgin Records America, Inc. IN STORES AND ONLINE 09.26.06 THE NEW ALBUM
  • 28. 26 PULSEPULSE PREMIERE ISSUE 2006 I find it amazing that in conversations with straight people their immediate thought of Gay men is either a reference to Queer As Folk or the tragic love story in Broke Back Mountain. There are never any images of loving Black male couples, and don’t dare attempt to migrate chil- dren into the equation. Art sometimes could definitely take a page from life. Eddie Brady, a stylist, and Eric Reynolds, a Front House Manager at Radio City Music Hall never envisioned a long-term part- nership. A casual encounter at a club, led to a casual romance of summer BBQ’s that unexpectedly transformed into a solid life of mutual dedication for 17 years. A life of partying and hangovers palled in com- parison to a new hobby: traveling. “We traveled every chance we got” said Eric as Eddie interjected, “we left partying for cruises, trips to the West Coast, and the Caribbean.” Their carefree lives would soon change when Eric’s family life would require an intervention. Bryant, Eric’s brother and his girlfriend Robin, were expecting a baby. Unfortunately, they were also severely addicted to drugs and alcohol. Eric and his mother would make an agreement. Robin would be allowed to live in Brooklyn with Eric’s mother during the pregnancy, but after the baby was born, both mother and child had to move out. Fast forward to due date; Robin arrives to the ER as dilated as she was intoxicated. Within a matter of minutes and under the watchful eye of Social Services, Eric’s mother signed docu- ments granting her full parental rights for little Bryant Joseph Reynolds, born with Infant Distress in 1994. Making matters worse, Eric’s mother would pass away in 1996 leaving no assigned legal guardian. An uncle who had been staunch on his position of not getting involved, had to make an important decision regarding the two year old child “I wouldn’t have done this without Eddie,” said Eric, “I came to terms with the certainty of my mother’s death. She was diabetic and had a heart condition, but we never had a chance to discuss Bryant”. “Eddie supported and carried this responsibility with more will than I could muster.” Within 18 months, they would obtain full custody of Bryant (affectionately known as BJ). Eric’s eyes move with evident gestures of a proud Dad as he remembers the first time he fell in love with Bryant: “I was nervous about having a small child and not knowing what to do.” Fearing the worst, he was too afraid to allow the baby to sleep on the bed. Instead, he cre- ated a bed nest of blankets, pillows and down. For Eric, those thoughts now seem ancient. “He’ll soon be a teenager,” says Dad with a quiet sigh. Although fear subsided, they described parenting as a struggle. “It doesn’t come with a manual,” Eddie points out: “Your life changes; children get sick, they need your attention. I still find it hard to let my son out of the house in a city filled with danger and uncertainty.” Here began the story of anxiety. Eddie and Eric, as unprepared as they were reluctant, embarked on a struggle of rais- ing a possibly disabled child. Eight years into their relationship and already com- fortably settled into a sunny apartment in Clinton, their usual routine would become a thing of the past. Eric would wake up at five, get Bryant ready for school and head to work while Eddie’s more flexible sched- ule would allow him to prepare dinner as he helped with his homework. Bryant would also cease medication to deal with his hyperactivity whose side effect was lowering his blood count. Luck- ily, Bryant quickly adjusted. “We realized that what he truly needed was a fixed routine,” says Eric. Eric devised a routine for Bryant where he would do an exer- cise every morning. (continued on page 77) Make Room for Daddy Gay Parenting Done Right A FAMILY AFFAIR - (Left to Right) Eddie, Bryant and Eric By Vanessa Y. Turman & Andy Tarradath
  • 29. DECEMBER 1-3, 2006 213-480-7088 OUTFEST.ORG Fusion is a multicultural film festival with great movies parties music workshops and a spoken-word event. Dec. 1: Japan America Theater, Downtown LA Dec. 2: Barnsdall Art Park, Los Feliz Dec. 3: Egyptian Theatre, Hollywood Presenting Sponsor Major Sponsors Founding Sponsor
  • 30. R ECENTLY I vis- ited my General Practitioner for my yearly check up. Now Thirty- Something, as I reluctantly barrel towards the big Four-O, I asked if there were any health concerns or risks I should be aware of. After the routine blood sample and taking of my pressure, he informed me he wanted to perform a pap smear. I assumed he made a mistake. To my surprise, he matter-of-factly went on to describe the procedure: “That’s where I…,” he began, and I cut him off. “I know what a pap smear is. That’s an exam for women to test for cervical cancer.” “Yes, that’s one purpose for a pap smear. But we now know there are similarities between cervical cancer and anal cancer. We can use the same test on men who have receptive sex with other men to test for cancer of the rectum.” I didn’t know any other man who had had a pap smear, I thought. I could only think of my moth- er, aunt, sisters and other female friends talking about their procedures. Dr. Stephen Goldstone is now my ano- rectal specialist. I suggest all gay men, especially those who engage in receptive anal sex, see one periodically. Dr. Gold- stone wrote the book The Ins and Outs of Gay Sex: A Medical Handbook for Men, in which he addresses the common anorec- tal problems that we usually don’t talk about. Lucky for me, I followed Dr. Gold- stone’s advice. This resulted in the detec- tion and removal of the pre-cancerous tissue. The bottom line is there are a lot of diseases that can lurk in this area and not show any symptoms; or the symptoms may be so minor that they go unnoticed. Any of these diseases can cause major problems for you, and can also be easily spread to unsuspecting partners. It’s not just about HIV and AIDS. One of these diseases is caused by the human papiloma virus (HPV). Recent television commercials have highlighted this as a growing epidemic of concern for women, but the fact is that HPV is as prevalent among gay men, and poses no less dan- ger. In The Ins and Outs, Dr. Goldstone notes that “The Center for Disease Con- trol estimates that close to 1 million new HPV infections occur each year, with more than 24 million Americans already infected.” Goldstone tailors his discussion for the gay population: “It is estimated that more than half of all HIV- negative men who have sex with men carry [HPV], and the number increases to almost 100 percent for HIV-positive men.” HPV can also cause condyloma, which is genital or venereal warts. “Gay men with healthy sex lives are finding it increasingly difficult to avoid HPV infec- tion,” He adds. According to Goldstone, most STDs like HPV, “are spread by skin-to- skin contact and do not require ejaculation. A condom may not be sufficient protection. Gay men who have anal sex should be screened at least annually for gonorrhea, chlamydia, syphilis and HIV. Often you can have these infections and not even know it. If your doctor doesn’t suggest having these tests, then you should.” On the home front, a dangerous prec- edent is being set by HIV-positive gay men. Some guys have concluded that it makes no difference if two positive men practice unprotected sex. Well, it makes a great deal of difference for one, there is a strong possibility of catching a more resistant strain of the virus. Also, HIV- positive people may live longer if they can remain free of additional diseases— including hepatitis or herpes—that fur- ther compromise the immune system. Be aware that not all condoms are created equal. Just because a condom is thicker doesn’t mean that it is stronger. The publication Consumer Reports rates condoms for strength, advises Dr. Gold- stone. (Clearly, if a top is poking with a pierced piece, so to speak, you defi- nitely want to avoid thin condoms.) As for size, use Magnums only if you really need them. If a condom is too big you stand the chance of leakage, or losing the condom (Guess where?). If it’s too tight, the likelihood is great that it will break with just one good thrust. And using two condoms won’t double your security. Goldstone advises against it because it actually increases the risk of breakage or slippage. AN OWNERS GUIDE TO CARING FOR YOUR MOST PRIZED ASSET! LICIOUSLICIOUS BOOTYBOOTYby LusterLuster ChaunceyChauncey R 28 PULSEPULSE PREMIERE ISSUE 2006
  • 31.
  • 32. SLIPPERY WHEN WET Lubricants should be water based and preferably contain a spermicidal, even if there isn’t enough spermicide in a con- dom to kill all the HIV in an ejaculation. Studies show Nonoxynol-9 can cause damage in the colon lining because it kills healthy cells, making it easier for HIV to pass between partners. Dr. Gold- stone adds that “surprisingly, condoms fail because they aren’t used properly.” As silly as it sounds, read the directions. EASY DOES IT New information suggests that the old adage, “Cleanliness is next to Godli- ness” is in need of an update. Bottoms actually should not douche before every sexual encounter. It may do more dam- age to your insides than good. After a second or third enema in as many as two days, you are no longer cleaning your rectum, but strip- ping it of natural defenses to diseases. Too frequent an enema might also lead to severe constipation. In the worst case scenario, says Dr. Goldstone, some men become so dependent on enemas that they can’t move their bowels with- out them. Besides these complications, sometimes not all of the liquid is elimi- nated right away, and you’ll find your- self in the same mess you were trying to avoid. Also, I learned the hard way that by wiping and wiping until the toi- let tissue was stain-free, I was actually irritating my skin and causing it to tear. If fecal matter gets into the scarring tis- sue, it could cause painful infections that might result in an abscess or fistula. Doctors recommend that you use medi- cated wipes such as Tucks, if you feel the need to wipe yourself spotless. Andplease—beconsiderateofyour partner. Colognes, perfumes, powders and lotions don’t always taste as good as they smell. After all, you don’t want to substitute your naturally sweet taste for one that is decidedly tart or medici- nal. At least not if you hope he’ll come back for seconds. TIGHT-END Then there is the matter of aes- thetics. A nice ass is a pleasure to see and more of a pleasure to feel. Some men are blessed with an appeal- ingly round bottom. Others have to work to sculpt a perfectly muscled butt. Even- tually, time and gravity will take its toll. So you might want to think ahead. The glu- tei—the large muscles of the buttocks and the largest set of muscles on the body— are also the most difficult to develop. Still, there are a number of exercises that will help you hold onto what you have, or maybe even develop what you want. In the gym, the basic gluteal exercises include squats, leg presses, leg curls and leg exten- sions. At home you can perform dumbbell squats, dumbbell lunges, flat-back dead lifts and walking lunges. Since good form is important, for safety and results, ask a trainer to demonstrate each exercise or purchase a workout video. Dumbbells, a body ball and a mat are inexpensive and can easily be stored. Removing hair from the anal area has become a fairly common practice among gay men. Depilatories are commonly used to remove pesky unwanted hair but you may run the risk of slight skin irritation, so be careful. Shaving with a razor can cause small cuts that can become infect- ed; so wash thoroughly. Doing so before sexual activity may put you at a higher risk for exposure to diseases, bacteria and viruses transmitted via skin contact. When asked what the safest method of hair removal is, Dr. Goldstone says that trimming may be the best option. THE CENTER FOR DISEASE CONTROL ESTIMATES THAT CLOSE TOTHE CENTER FOR DISEASE CONTROL ESTIMATES THAT CLOSE TO 1 MILLION NEW HPV INFECTIONS OCCUR EACH YEAR1 MILLION NEW HPV INFECTIONS OCCUR EACH YEAR, WITH, WITH MORE THANMORE THAN 24 MILLION AMERICANS ALREADY INFECTED24 MILLION AMERICANS ALREADY INFECTED. THE BOOTY BAG Bag: Delsey Helium Lite 100, Towel: The Royal Company, Shorts: Marlin, Cap: Black Fives, The Ins and Outs of Gay Sex by Dr. Steven Goldstone, Prepara- tion H Ointment, Fleet Enema, Neutrogena Razor Defense Shave Gel, Cot- tonelle Moist Wipes, Wet Ones Moist Wipes, Neutrogena Skin Clearing Shave Gel, ID Glide Personal Lubricant Water Based Formula, Deep Clean Invigo- rating Foaming Scrub, Lubriderm Daily Moisture Lotion, Nair for Men Hair Remover Body Cream, Gillette Good News Razors, Curél Continuous Comfort 24 Hour Daily Moisturizer, Lifestyle Ultra Lubricated, AstroGlide Personal Lubricant Water Based. Photo by DE ALAN WILSON
  • 33.
  • 34. Right now Kevin is fighting HIV. INDICATION: REYATAZ (atazanavir sulfate) is a prescription medicine used in combination with other medicines to treat people who are infected with the human immunodeficiency virus (HIV). REYATAZ has been studied in 48-week trials in both patients who have taken or have never taken anti-HIV medicines. REYATAZ does not cure HIV or help prevent passing HIV to others. IMPORTANT SAFETY INFORMATION: Do not take REYATAZ if you are taking the following medicines: ergot medicines,Versed® , Halcion® , Orap® , Propulsid® , Camptosar® , Crixivan® , Mevacor®, Zocor®, rifampin,St.John’s wort,AcipHex®, Nexium®, Prevacid®, Prilosec® or Protonix®.Do not use Viagra®, Levitra®, Cialis®, Vfend®, Advair®, Flonase®, or Flovent® while you are taking REYATAZ without first speaking with your healthcare provider. This list of medicinesisnotcomplete. Discussallprescription and non-prescription medicines,vitamin and herbalsupplements,orotherhealthpreparations you are taking or plan to take with your healthcare provider. Tell your healthcare provider right away if you have any side effects or conditions,including the following: • A change in the way your heart beats may occur and could be a symptom of a heart problem. • Diabetes and high blood sugar may occur in patients taking protease inhibitor medicines like REYATAZ (atazanavir sulfate). • Yellowing of the skin and/or eyes may occur due to increases in bilirubin levels in the blood (bilirubin is made by the liver). • Rash (redness and itching) sometimes occurs in patients taking REYATAZ,most often in the first few weeks after the medicineisstarted,andusuallygoes awaywithintwoweekswith no change in treatment. • If you have liver disease, including hepatitis B or C,your liver disease may get worse when you take anti-HIV medicines like REYATAZ. • Somepatientswithhemophilia have increased bleedingproblemswithproteaseinhibitormedicines like REYATAZ. Changesinbodyfathavebeenseeninsome patientstaking anti-HIV medicines.The cause and long-term effects are not known at this time. Other side effects of REYATAZ taken with other anti-HIV medicines include:nausea,headache, stomach pain,vomiting,diarrhea,depression,fever, dizziness,trouble sleeping,numbness,and tingling or burning of hands or feet. You should take REYATAZ once daily with food (a meal or snack). You should take REYATAZ and your other anti-HIV medicines exactly as instructed by your healthcare provider. Once Daily REYATAZ® (atazanavir sulfate) is a protease inhibitor (PI) that is taken in HIV combination therapy: ◆ Can help raise your T-cells ◆ Can help lower your viral load to undetectable* ◆ Low chance of diarrhea (shown in clinical trials)† ◆ Two pills taken once a day (with a snack or meal)‡ * Undetectableisdefinedasaviralloadoflessthan 400or50copies/mL(dependingonthetestused). † REYATAZincombinationtherapyhada1-3%rateof moderate-to-severediarrhea. ‡ Peoplewhohavetakenanti-HIV medicinesbefore usuallytakeREYATAZwithritonavironcedailyas partoftheirHIVcombinationtherapy. REYATAZ does not cure HIV, a serious disease,or help prevent passing HIV to others. WWW.REYATAZ.COM REYATAZ is a registered trademark of Bristol-Myers Squibb Company. © 2006 Bristol-Myers Squibb Company,Princeton,NJ 08543 U.S.A. March 2006 F1-K0268R fight HIV your way. Individual results may vary. Please see Important Patient Information about REYATAZ on the next page. ASK YOUR DOCTOR if REYATAZ, in HIV combination therapy, can help you
  • 35. PATIENT INFORMATION REYATAZ® (RAY-ah-taz) (generic name = atazanavir sulfate) Capsules ALERT: Find out about medicines that should NOT be taken with REYATAZ (atazanavir sulfate). 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 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. At present there is no cure for HIV infection. People taking REYATAZ may still get opportunistic infections or other conditions that happen with HIV infection. Opportunistic infections are infections that develop because the immune system is weak. Some of these conditions are pneumonia, herpes virus infections, and Mycobacterium avium complex (MAC) infections. It is very important that you see your healthcare provider regularly while taking REYATAZ. REYATAZ does not lower your chance of passing HIV to other people through sexual contact, sharing needles, or being exposed to your blood. For your health and the health of others, it is important to always practice safer sex by using a latex or polyurethane condom or other barrier to lower the chance of sexual contact with semen, vaginal secretions, or blood. Never use or share dirty needles. 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 ingre- dient 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 planning to become pregnant. It is not known if REYATAZ can harm your unborn baby. 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. • If you are breast-feeding. You should not breast-feed if you are HIV- positive because of the chance of passing HIV to your baby. Also, it is not known if REYATAZ can pass into your breast milk and if it can harm your baby. If you are a woman who has or will have a baby, talk with your healthcare provider about the best way to feed your baby. • 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 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 nonpre- scription 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. • For adults who have never taken anti-HIV medicines before, the usual dose is 400 mg (two 200-mg capsules) once daily taken with food. • For adults who have taken anti-HIV medicines in the past, the usual dose is 300 mg (two 150-mg capsules) plus 100 mg of NORVIR® (ritonavir) once daily taken with food. Your dose will depend on your liver function and on the other anti-HIV medicines that you are taking. REYATAZ is always used with other anti- HIV medicines. If you are taking REYATAZ with SUSTIVA® (efavirenz) or with VIREAD® (tenofovir disoproxil fumarate), you should also be taking NORVIR® (ritonavir). • 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 VIDEX® (didanosine) Chewable/ Dispersible Buffered Tablets, or Enteric-Coated Tablets, take REYATAZ (atazanavir sulfate) 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), or ZANTAC® (ranitidine), talk to your healthcare provider. • Do not change your dose or stop taking REYATAZ without first talking with your healthcare provider. It is important to stay under a healthcare provider’s care while taking REYATAZ. • When your supply of REYATAZ starts to run low, get more from your healthcare provider or pharmacy. It is important not to run out of REYATAZ. The amount of HIV in your blood may increase if the medi- cine is stopped for even a short time. • If you miss a dose of REYATAZ, take it as soon as possible and then take your next scheduled dose at its regular time. If, however, it is within 6 hours of your next dose, do not take the missed dose. Wait and take the next dose at the regular time. Do not double the next dose. It is important that you do not miss any doses of REYATAZ or your other anti-HIV medicines. • If you take more than the prescribed dose of REYATAZ, call your healthcare provider or poison control center right away. Can children take REYATAZ? REYATAZ has not been fully studied in children under 16 years of age. REYATAZ should not be used in babies under the age of 3 months. What are the possible side effects of REYATAZ? The following list of side effects is not complete. Report any new or continuing symptoms to your healthcare provider. If you have questions about side effects, ask your healthcare provider. Your healthcare provider may be able to help you manage these side effects. The following side effects have been reported with REYATAZ: • rash (redness and itching) sometimes occurs in patients taking REYATAZ, most often in the first few weeks after the medicine is started. Rashes usually go away within 2 weeks with no change in treatment. Tell your healthcare provider if rash occurs. • yellowing of the skin or eyes. These effects may be due to increases in bilirubin levels in the blood (bilirubin is made by the liver). Call your healthcare provider if your skin or the white part of your eyes turn yellow. Although these effects may not be damaging to your liver, skin, or eyes, it is important to tell your healthcare provider promptly if they occur. • a change in the way your heart beats (heart rhythm change). Call your healthcare provider right away if you get dizzy or lightheaded. These could be symptoms of a heart problem. • diabetes and high blood sugar (hyperglycemia) sometimes happen in patients taking protease inhibitor medicines like REYATAZ. Some patients had diabetes before taking protease inhibitors while others did not. Some patients may need changes in their diabetes medicine. • if you have liver disease including hepatitis B or C, your liver disease may get worse when you take anti-HIV medicines like REYATAZ. • some patients with hemophilia have increased bleeding problems with protease inhibitors like REYATAZ. • 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. Other common side effects of REYATAZ taken with other anti-HIV medi- cines include nausea; headache; stomach pain; vomiting; diarrhea; depression; fever; dizziness; trouble sleeping; numbness, tingling, or burning of hands or feet; and muscle pain. 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: dihydroergotamine, ergonovine, ergotamine, and methylergonovine such as CAFERGOT®, MIGRANAL®, D.H.E. 45®, ergotrate maleate, METHERGINE®, and others (used for migraine headaches). • HALCION® (triazolam, used for insomnia). • VERSED® (midazolam, used for sedation). • ORAP® (pimozide, used for Tourette’s disorder). • PROPULSID® (cisapride, used for certain stomach problems). Do not take the following medicines with REYATAZ because of possible serious side effects: • CAMPTOSAR® (irinotecan, used for cancer). • CRIXIVAN® (indinavir, used for HIV infection). Both REYATAZ and CRIXIVAN sometimes cause increased levels of bilirubin in the blood. • Cholesterol-lowering medicines MEVACOR® (lovastatin) or ZOCOR® (simvastatin). Do not take the following medicines with REYATAZ because they may lower the amount of REYATAZ in your blood. This may lead to an increased HIV viral load. Resistance to REYATAZ or cross-resistance to other HIV medicines may develop: • Rifampin (also known as RIMACTANE®, RIFADIN®, RIFATER®, or RIFAMATE®, used for tuberculosis). • St. John’s wort (Hypericum perforatum), an herbal product sold as a dietary supplement, or products containing St. John’s wort. • “Proton-pump inhibitors” used for indigestion, heartburn, or ulcers such as AcipHex® (rabeprazole), NEXIUM® (esomeprazole), PREVACID® (lansoprazole), PRILOSEC® (omeprazole), or PROTONIX® (pantoprazole). Do not take the following medicine if you are taking REYATAZ (atazanavir sulfate) and NORVIR® together. • VFEND® (voriconazole). The following medicines may require your healthcare provider to monitor your therapy more closely: • CIALIS® (tadalafil), LEVITRA® (vardenafil), or VIAGRA® (sildenafil). 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. • LIPITOR® (atorvastatin). There is an increased chance of serious side effects if you take REYATAZ with this cholesterol-lowering medicine. • Medicines for abnormal heart rhythm: CORDARONE® (amiodarone), lidocaine, quinidine (also known as CARDIOQUIN®, QUINIDEX®, and others). • VASCOR® (bepridil, used for chest pain). • COUMADIN® (warfarin). • Tricyclic antidepressants such as ELAVIL® (amitriptyline), NORPRAMIN® (desipramine), SINEQUAN® (doxepin), SURMONTIL® (trimipramine), TOFRANIL® (imipramine), or VIVACTIL® (protriptyline). • Medicines to prevent organ transplant rejection: SANDIMMUNE® or NEORAL® (cyclosporin), RAPAMUNE® (sirolimus), or PROGRAF® (tacrolimus). • The antidepressant trazodone (DESYREL® and others). • Fluticasone propionate (ADVAIR®, FLONASE®, FLOVENT®), given by nose or inhaled to treat allergic symptoms or asthma. Your doctor may choose not to keep you on fluticasone, especially if you are also taking NORVIR®. The following medicines may require a change in the dose or dose schedule of either REYATAZ or the other medicine: • FORTOVASE®, INVIRASE® (saquinavir). • NORVIR® (ritonavir). • SUSTIVA® (efavirenz). • Antacids or buffered medicines. • VIDEX® (didanosine). • VIREAD® (tenofovir disoproxil fumarate). • MYCOBUTIN® (rifabutin). • Calcium channel blockers such as CARDIZEM® or TIAZAC® (diltiazem), COVERA-HS® or ISOPTIN SR® (verapamil), and others. • BIAXIN® (clarithromycin). • Medicines for indigestion, heartburn, or ulcers such as AXID® (nizatidine), PEPCID AC® (famotidine), TAGAMET® (cimetidine), or ZANTAC® (ranitidine). Women who use birth control pills or “the patch” should choose a different kind of contraception. REYATAZ may affect the safety and effectiveness of birth control pills or the patch. Talk to your healthcare provider about choosing an effective contraceptive. 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? • Store REYATAZ Capsules at room temperature, 59° to 86° F (15° to 30° C). Do not store this medicine in a damp place such as a bathroom medicine cabinet or near the kitchen sink. • Keep your medicine in a tightly closed container. • Throw away REYATAZ when it is outdated or no longer needed by flushing it down the toilet or pouring it down the sink. 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 you can call 1-800-321-1335. What are the ingredients in REYATAZ? Active Ingredient: atazanavir sulfate Inactive Ingredients: Crospovidone, lactose monohydrate (milk sugar), magnesium stearate, gelatin, FD&C Blue #2, and titanium dioxide. * VIDEX® is a registered trademark of Bristol-Myers Squibb Company. COUMADIN® and SUSTIVA® are registered trademarks of Bristol-Myers Squibb Pharma Company. DESYREL® is a registered trademark of Mead Johnson and Company. Other brands listed are the trademarks of their respective owners and are not trademarks of Bristol-Myers Squibb Company. Princeton, NJ 08543 USA This Patient Information Leaflet has been approved by the U.S. Food and Drug Administration. 1193697A1 Revised January 2006 F1-B0001B-01-06 Based on package insert dated January 2006
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