{"id":4399,"date":"2011-07-22T18:59:44","date_gmt":"2011-07-22T18:59:44","guid":{"rendered":"http:\/\/i-base.info\/qa\/?p=4399"},"modified":"2011-07-22T18:59:44","modified_gmt":"2011-07-22T18:59:44","slug":"what-can-i-do-to-improve-my-adherence","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/4399","title":{"rendered":"I am 22 and want to improve my adherence?"},"content":{"rendered":"<p>Hi<\/p>\n<p>To answer your question I\u2019d need to know which drugs you are using, you most recent CD4 and viral load results and a bit about your history and also whether you already have resistance. Everything in HIV care should be individualised to your circumstances, especially adherence.<\/p>\n<p>Firstly, is your viral load already undetectable? If yes, and it has been for several months, then a missed dose may not make much difference for some combinations. For some combinations you could miss dose every week without a problem but not for others.<\/p>\n<p>If your viral load is not yet undetectable, then you risk developing resistance every time you miss a dose.<\/p>\n<p>You need to be able to talk over your worries about adherence with your doctor. Keep a diary over the next couple of weeks and record the doses you take and the ones that you miss. Write down the time each day that you take your meds.<\/p>\n<p>This is <a href=\"https:\/\/i-base.info\/guides\/files\/2009\/06\/diary.png\">a link to a diary page<\/a> that you can print off.<\/p>\n<p>Your doctor will then have a real picture of where you are starting from.<\/p>\n<p>Then discuss the triggers that are related to a missed dose. Is there a pattern? For example if it is weekend doses that you miss, then your doctor might suggest a combination where the drugs are slow to leave your body so you have more protection if you miss a dose.<\/p>\n<p><strong><a href=\"https:\/\/i-base.info\/guides\/starting\/adherence-tips\">This link <\/a><\/strong>includes other adherence tips that might help.<\/p>\n<p>With the right support, most people find a way to get closer to the 100% adherence that is ideal.<\/p>\n<p>By avoiding resistance you will stand the best chance for getting the longest use from each combination.<\/p>\n<p>At 22 now, you will then be much more likely to benefit when the cure is discovered :)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am 22 and i am really concerned about not taking my meds on time i keep missing a few.<\/p>\n<p>What do i do?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,7,35],"tags":[],"class_list":["post-4399","post","type-post","status-publish","format-standard","hentry","category-adherence","category-all-topics","category-resistance"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/4399","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=4399"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/4399\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=4399"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=4399"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=4399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}