The non-adherence problems that we are discussing today are just the tip of another ominous iceberg, with viral resistance and treatment breakthroughs below the surface. Some physicians have tried to fix the problem by reducing the number of medications and doses, and by managing side effects. Pharmaceutical companies are attempting to develop new drugs that are easier to take. These are very important measures, and we should applaud these efforts, but they alone will not solve the problem, because people with HIV are telling us something else. Physicians should ask patients what medications they are going to take tomorrow, and answer any questions this exercise generates .
Physicians can help by using the names their patients use.
Physicians and pharmacies can provide accessible educational materials that people with HIV can understand. Physicians may adjust doses or use substitute drugs if possible to minimize side effects. Seek social support or counseling to help manage these moods. Get counseling to address this issue in order to gain the full benefits of anti-HIV treatments. Physicians can create a non-judgmental environment in which people are comfortable honestly reporting any adherence problems they may have.