with nevirapine if their CD4 count is over 250 cells/mm 3 . The cut-off for men is 400 cells/mm 3 . They think we exaggerate side effects, and that they are not really as bad as we say. This means there can be a big difference between what is actually going on and what your doctor thinks is going on. This is one reason that side effects are often under treated. Tell your doctor about any problem. This should not just be how you feel at the time, but how the side effects change when you are not seeing your doctor. If you don't say something, nothing will change. What happens if side effects continue? If the first treatment you are given to help with a side effect does not work, there are usually other drugs that you can use. In this guide we list a range of options, including alternative treatments, for each main symptom. If one doesn't work then try others. Changing one HIV drug for another is also an important option. Stopping treatment is not generally recommended, but for some patients in some circumstances, this may still be considered. This would be when the benefit of treatment is low but when side effects are difficult or severe.