HIV: Taking Antiretroviral Drugs
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Taking antiretroviral drugs for
		  HIV will not cure your infection. But it may allow you
		  to stay healthy for a long time. And treatment can help prevent spreading the infection to other people.
Your willingness and ability to
		  follow your antiretroviral therapy schedule exactly as prescribed is essential
		  for successful treatment of your HIV infection. Not following your prescribed
		  HIV therapy may cause treatment failures, such as:
- Drug resistance. The virus that causes HIV can become resistant to
			 antiretroviral drugs used to treat the infection.
- Higher
			 viral loads. This measures how much HIV is present in your blood. 
- Disease progression.
In the past a person had to take many pills several times a
		  day, which was hard for some people. But over the past few years, this
		  routine has become much simpler, and people take their medicine only once or
		  twice a day. With the right knowledge and tools, you can successfully take your
		  medicine as prescribed.
If you are at high risk for getting infected with HIV, you also may take antiretroviral medicine to help protect yourself from HIV infection.footnote 1 But to keep your risk low, you still need to practice safer sex even while you are taking the medicine.
How can you take your antiretroviral therapy drugs as prescribed?
In the past, a person had to take many pills several
		  times a day, which was hard for some people. But over the past few years
		  this routine has become much simpler. Now people take their medicine only once
		  or twice a day. With the right knowledge and tools, you can successfully take
		  your medicine as prescribed.
Work with your doctor when starting
		  ART.
- Know the names of all of your drugs. 
			 - Get a clear explanation of the actions and
				  purpose of each of your drugs. If you understand what you are taking and how it
				  is helping you, it may be easier to stay on your schedule.
- Write
				  down both the
				  brand name and
				  generic name for your drugs. Have your doctor check
				  the list.
 
- Know when to take your medicine. Write down when to take your medicine, and have your doctor
			 check it. Get pictures of all of your drugs so you are sure you are taking the
			 right drug and the right dose at the right time. Be sure you understand how
			 much of each drug to take and when to take each one. 
- Know how to handle missed doses. Talk with your doctor about
			 what you should do if you accidentally miss a dose of a drug. Discuss what to
			 do for each drug-it may be different for each one.
- Learn what other drugs to avoid. Some drugs can
			 cause a bad reaction or a decrease in effectiveness if they are taken with
			 antiretroviral drugs.
Keep the following in mind:
- Store drugs properly.
			 Keeping drugs in a location that is too hot or too cold may decrease their
			 effectiveness. Find out from your doctor or pharmacist how to properly store
			 your drugs. Always store drugs out of the reach of children.
- Watch for side effects. Ask your doctor or pharmacist what to
			 expect. Notify your doctor immediately if you have any serious side effects.
			 
- Avoid other drugs. Post your drugs-to-avoid
			 list in a place where you can refer to it whenever you need to. Always check
			 with your doctor before taking any additional drugs, prescription or
			 nonprescription. This includes any herbal or "natural" supplements.
			 
- Review your drug list. Review your list and
			 bring it with you each time you visit with your doctor. Tell your doctor about
			 any side effects you are having.
- Communicate with your doctor. Notify your doctor immediately if you have any serious side
			 effects. Let your doctor know if you have any changes in your health that might
			 affect your condition, such as weight loss or another medical condition.
			 
You may be able to reduce the costs of your antiretroviral
		  drugs and other drugs. 
- Compare prices among several
			 drugstores.
- Consider using a mail-order or online drugstore.
- Every state has a program (called the Ryan White Care Act) that helps pay the cost of HIV medicines for people who can't afford them.
- Companies that make HIV medicine have programs to provide their medicine at a reduced cost for people who can't afford them.
References
Citations
- U.S. Centers for Disease Control and Prevention (2014). Preexposure prophylaxis for HIV prevention in the United States-2014: A clinical practice guideline. U.S. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/pdf/prepguidelines2014.pdf. Accessed July 27, 2014.
Credits
ByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Specialist Medical ReviewerPeter Shalit, MD, PhD - Internal Medicine
Current as ofMarch 3, 2017
Current as of:
                March 3, 2017
U.S. Centers for Disease Control and Prevention (2014). Preexposure prophylaxis for HIV prevention in the United States-2014: A clinical practice guideline. U.S. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/pdf/prepguidelines2014.pdf. Accessed July 27, 2014.