Early Doses, Late Doses, Extra Doses, Missed Doses: What's the Risk? An HIV Doc Responds
June 27, 2016
Adherence imperfection is one of the more common concerns TheBody.com hears about from people taking once-daily HIV treatment regimens. They want to know: What's the penalty of a missed HIV medication dose? How much room is there for error if a person is off by an hour, or three hours, or an entire day? When it comes to meds, how human can a person get away with being?
On his personal Tumblr, Joel Gallant, M.D., M.P.H., a renowned HIV physician at Southwest CARE Center in Santa Fe, New Mexico, answers questions from people living with HIV on a number of issues, including concerns related to treatment adherence and missed doses.
In the past month alone, Gallant has answered several such questions from people taking once-a-day HIV drugs. His answers tend to be as brief as they are encouraging. For instance, when one person asked:
When another person asked:
And when a person asked:
Gallant responded simply:
These answers, along with the many that are regularly posted by Ben Young, M.D., Ph.D., on our "Ask the Experts" Forum on Choosing Your HIV Meds, paint an encouraging picture for people on HIV treatment today: The drugs we now have available are so effective, and their HIV-fighting effects are so long-lasting, that they're far more forgiving of a missed dose than commonly used HIV medications were 20, 10 or even five years ago. While excellent adherence is certainly worth striving for, experts say that you can still maintain full control of HIV with only very good adherence.
The questions and answers have been lightly edited for clarity and grammar.
Joel Gallant, M.D., M.P.H., is the associate medical director of specialty services at Southwest CARE Center in New Mexico. You can ask him a question directly on his Tumblr page, Ask Dr. Joel.
Myles Helfand is the editorial director of TheBody.com and TheBodyPRO.com. Follow Myles on Twitter: @MylesatTheBody.
This article was provided by TheBody.
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