Question

How do I handle adherence times in a different time zone (Australia)?

9 October 2008. Related: Adherence, All topics, Travel.

I tested HIV+ in Aug ’08 and then discovered my CD4 was 104 & viral load was 118,000. I began Atripla last week and take it regularly at 11:00pm.

I’m due to go on holiday to Australia after Christmas (3 months time). Should I take it the same time regardless of where I am or can I adjust the time taken, so that I still take it at 11:00pm.

I think if I take it in the mornings, it could ruin my holiday but also understand the importance of adherence, especially in the early months.

Thanks

Answer

Answer: Simon Collins

The best approach is:

1. Take your evening dose as usually, while you are still here (in the UK, I presume).

2. Take another dose after 12 hours (note, not after 24!), perhaps already on the plane.

3. Take the next dose when it is 11pm in Australia.

4. Keep on taking your dose at 11pm Australian time for the duration of your holiday

Do not worry that for a certain period you will have a higher concentration of the medication in your body. It is only for a day and is safe. You may be a bit dizzy as a result of that, but maybe able to sleep better during the flight :)

If the explanation of how to do it is not clear enough, perhaps you could call us at: 0808 800 6013 Mon-Wed 12-4pm-i-Base treatment phoneline. We will be able to explain in details.

Take care and have a nice holiday!