{"id":10,"date":"2025-01-01T12:00:52","date_gmt":"2025-01-01T12:00:52","guid":{"rendered":"http:\/\/localhost\/new\/guides\/?page_id=10"},"modified":"2025-07-31T10:44:27","modified_gmt":"2025-07-31T10:44:27","slug":"changing","status":"publish","type":"page","link":"https:\/\/i-base.info\/guides\/changing","title":{"rendered":"Changing ART: what to do if viral load rebounds"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-18085 size-large\" src=\"https:\/\/i-base.info\/guides\/wp-content\/uploads\/2024\/11\/Changing-baanner-620-1024x444.png\" alt=\"\" width=\"620\" height=\"269\" srcset=\"https:\/\/i-base.info\/guides\/wp-content\/uploads\/2024\/11\/Changing-baanner-620-1024x444.png 1024w, https:\/\/i-base.info\/guides\/wp-content\/uploads\/2024\/11\/Changing-baanner-620-300x130.png 300w, https:\/\/i-base.info\/guides\/wp-content\/uploads\/2024\/11\/Changing-baanner-620-768x333.png 768w, https:\/\/i-base.info\/guides\/wp-content\/uploads\/2024\/11\/Changing-baanner-620.png 1410w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><br \/>\n<strong>This is a resource about changing HIV treatment (ART) and drug resistance. (January 2025).<\/strong><\/p>\n<p>This guide covers about 50 pages online (many of them are short). The PDF booklet is an 8-page summary with links to the online sections.<\/p>\n<ul>\n<li><a href=\"https:\/\/i-base.info\/guides\/wp-content\/uploads\/2025\/01\/ChangingJan2025.pdf\" target=\"_blank\">Download PDF<\/a>\u00a0(300 KB) &#8211; 8-page booklet.<\/li>\n<li><a href=\"https:\/\/i-base.info\/order\">Order print copy<\/a> &#8211; 8-page booklet.<\/li>\n<\/ul>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/introduction\">Introduction<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/summary\">Summary<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/section-1\">1.\u00a0Reasons to change and viral load<\/a><\/h2>\n<ul>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/reasons-to-change\">Reasons to change ART<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/how-quickly\">If your viral load never became undetectable\u2026<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/what-to-do\">What if your viral load rebounds?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/blips\">Viral load blips<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/confirmed-rebound\">Confirmed viral rebound<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/i-feel-fine\">How can drugs \u201cfail\u201d when I feel fine?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/do-some-drugs-develop-resistance-more-easily\">Do some drugs develop resistance more easily?<\/a><\/li>\n<\/ul>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/reasons\">2. Reasons a combination can fail<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/3-adherence-and-tests\">3.\u00a0Adherence and monitoring tests<\/a><\/h2>\n<ul>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/adherence-and-resistance\">Why adherence is linked to drug resistance<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/forgetting-meds\">What if I forget my meds?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/adherence-tips\">Adherence tips<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/adherence-diary\">Adherence diary<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/other-tests\">Important monitoring tests<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/viral-load-tests\">Viral load tests<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/resistance-tests\">Resistance tests<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/what-results-mean\">What resistance test results mean<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/tdm\">TDM (Therapeutic Drug Monitoring)<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/iq-and-viq\">IQ and VIQ<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/viral-tropism\">Viral tropism<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/getting-the-tests-in-the-uk\">Getting the tests in the UK<\/a><\/li>\n<\/ul>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/4-when-to-change-which-drugs\">4. When to change&#8230; which drugs?<\/a><\/h2>\n<ul>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/when-should-i-change-and-which-drugs-can-i-use\">When should I change and which drugs can I use?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/how-do-i-choose\">How do I choose new drugs?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/general-principles\">General principles<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/cross-resistance\">Cross-resistance by drug class<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/when-to-use-new-drugs-and-when-to-wait\">When to use new drugs and when to wait?<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/pipeline-drugs\">Pipeline drugs<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/expanded-access\">Expanded access drugs<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/non-arv-drugs\">Non-ARV drugs<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/other-treatment-strategies\">Other treatment strategies<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/intensify-treatment\">Intensify treatment<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/using-t-20\">T-20<\/a> (now discontinued)<\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/using-five-or-more-drugs\">Using five or more drugs<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/treatment-interruptions\">Treatment interruptions<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/drug-recycling-using-viral-fitness\">Drug recycling using viral fitness<\/a><\/li>\n<li><a href=\"https:\/\/i-base.info\/guides\/changing\/benefit-of-staying-on-treatment-using-drugs-that-are-still-active\">Benefit of staying on treatment using drugs that are still active<\/a><\/li>\n<\/ul>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/changing-treatment-to-avoid-side-effects\">Changing treatment to avoid side effects<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/cd4-and-viral-load-results\">CD4 and viral load results<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/arv-treatment-history\">ARV treatment history<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/further-information\">Further information<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/feedback\">Feedback<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/glossary\">Glossary<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/pdf\">PDF<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/credits\">Credits<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/tables-and-diagrams\">Tables and diagrams<\/a><\/h2>\n<h2><a href=\"https:\/\/i-base.info\/guides\/changing\/references\">References<\/a><\/h2>\n<p>This guide was written and compiled by Simon Collins for HIV i-Base. Thanks to the advisory group of HIV positive people and healthcare professionals for comments.<\/p>\n<h2>About our guides<\/h2>\n<p>Information about how we produced this guide and the importance of using\u00a0<a href=\"\/\/i-base.info\/guides\/about\">language that is direct<\/a>\u00a0and easy to understand.<\/p>\n<p>This includes information on how to write\u00a0<a href=\"\/\/i-base.info\/guides\/about\">non technical medical information<\/a>\u00a0that may be useful as a resource for other organisations.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is a resource about changing HIV treatment (ART) and drug resistance. (January 2025). This guide covers about 50 pages online (many of them are short). The PDF booklet is an 8-page summary with links to the online sections. Download &hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"open","ping_status":"closed","template":"page-guides.php","meta":{"footnotes":""},"class_list":["post-10","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/pages\/10","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/comments?post=10"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/pages\/10\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/guides\/wp-json\/wp\/v2\/media?parent=10"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}