Nutrition and HIV by Vivian Pribram

Author:Vivian Pribram
Language: eng
Format: epub, pdf
Publisher: Wiley
Published: 2011-06-09T16:00:00+00:00

Section 4

HEALTHY LIVING AND LONG-TERM MANAGEMENT

12

Medications, Adherence and Interactions with Food

Angela Bailey

Key Points

Antiretroviral therapy (ART) is highly effective at preventing HIV-related morbidity and mortality.

ART should be started if: symptomatic; CD4 < 200; CD4 < 350 but >200 and ready to start; may be indicated if CD4 > 350 and significant co-morbities/older age.

ART drugs have interactions with commonly used medications – check if you are not sure. There are also interactions with food and some ART.

ART only works if you take it – adherence support is key.

Choice of regimen should be guided by up to date local guidelines.

ART is also used in prevention of HIV-PMTCT (Prevention of Mother-to-Child Transmission), PEP (Post-Exposure Prohyslaxis) and may be used for other strategies in future.

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