Our goal was to determine that these patients experienced stability, good health and acceptable laboratory values before surgery for a significant period of time. These patients demonstrated excellent liver and kidney function for at least a year and in that year opportunistic disease did not occur or if so was perhaps no more than mild herpes simplex or zoster outbreaks. The others report good stable health patterns although more time will be necessary for adequate follow-up. The last pre-operative dosage is given about four hours before the usual morning administration time and well before the surgical start time. The next dosage is given with no more delay than six hours after the usual midday or late in the daytime dose.
Regimens currently are three-drug therapy requiring specific times for taking each day.
Some drugs are once a day regimens facilitating the continuance of the therapy. Another report is made to that doctor within 48 hours. There is a highly skilled team of HIV specialists in the city of Pittsburgh, with whom the author of this paper practiced for 2 years, who can be consulted, should there be additional need. Our hope is not to ever have that need. We ask our patients to bring their own medication, the entire daily regimen and most importantly the antiviral medications.