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A point that struck me as important and should be given great consideration when managing patient’s HIV treatment is that they be given all available treatment options and that their choice should come first before a practitioner’s favourable choice of treatment. This given enhances treatment compliance which could spell success or failure of therapy. The patients are the masters of their bodies and therefore the best source of information as to effectivity of treatment for medications affect everyone differently. Medication’s efficacy is not measured by the number of pills taken.
When a patient contemplates and opens about wanting to change their medication, these should be given appropriate consideration; alternative medications be discussed freely and effects both positive and negative be laid out. Viral load testing is not necessary in all cases unless the medication change is due to drug resistance.
Patient-centred care should be the gold standard for practice.