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Missed Medication
Jun 9, 2012

So I am on Isentress and Truvada, I missed a dose of Isentress every now and then accumulating to 4 missed doses overall. Now here's the problem, yesterday I missed both the Isentress and Truvada. I started HAART about 2 months ago and I am worried about a possible resistance build up. I tested undetectable about 2 weeks ago. Could there been a resistance build up?

Response from Dr. Young

Hello and thanks for posting.

First off, sounds that no matter what happened in the past, your undetectable viral load is the measure for whether there's a problem or not. (There's not). Resistance would really only be a risk if there was a detectable viral load.

We often cite that the adherence goal is 95%. So, if you have had 120 doses of medications (2 months=60 days x 2 doses/day) and missed a grand total of 6 doses, your adherence is calculated as 114/120 or 95%- exactly what we'd desire.

So, carry on. BY



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