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Late in consuming "artipla"
Dec 8, 2017

Hi Dr Benjamin,

Yesterday I was falled asleep. I'm suppose to have my meds "artipla" around 12am. But i'm oversleep, when I woke up, its already 5.30am. So I'm quickly have my meds.

Am I prone to drug resistance? Is it ok to have my meds late (5 hours later)?

Kindly help (A little bit afraid)

Response from Dr. Young

Hello and thanks for posting.

Every other day, someone asks this question. (and because of the frequency, I don't answer every time)

Deep breath here. No need to be afraid.

Today's HIV medications are extremely effective- so much so, that missing an occasional dose (so long as you stay above the 90% adherence target) doesn't increase risk of treatment failure or drug resistance.

If missing a dose every 10 days doesn't increase treatment failure risk, you should be able to understand why a late dose also won't cause any problems.

That's not to say that it's entirely a good thing to try to stay adherent to your ART. Frequent missed doses are a risk for treatment failure, so having a reminder system (like an alarm or pill box), or taking your medications around a daily ritual (like brushing teeth, or a particular meal, or going to bed) can be helpful.

I hope that's helpful, BY


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