Wednesday, March 7, 2012

HIV Medication Adherence Tip #6: Develop a Routine

Daily adherence with HIV medications  is the key to bringing your viral load down to low or undetectable levels, which will  dramatically improve your chances of staying healthy and living a full life.  I have noticed that the clients who struggle the most with taking daily medications are the ones who live without routines. 
Here is my latest tip for improving your HIV medication adherence:

Tip #6:  Develop a daily routine or ritual for taking your HIV medications.

Do you go to bed a different time every night?  Get up whenever you wake up?  Eat meals at various times when you feel like it?  Vary you schedule every day?  If this describes you, you will likely have difficulty remembering to take HIV medications every day.

It is best to take HIV medications at about the same time every day, within a four-hour window.  You don't want to give your virus a chance to grow, which is what happens when there is not enough medication in your blood stream to shut it down.  This can happen when you vary your dosing times by too many hours, say 6 AM one day and midnight the next day.

If you find that you are forgetting your medications, develop a routine for success.  Here are some tips:
English: YULU, Nicaragua (Aug. 23, 2008) Lt. A...
Image via Wikipedia.  I hope your medication
 set-up does not look like this!

1.  Take your medications at meal time, and establish a set time for eating daily.  Breakfast and dinner time are usually good times to take medications.   Not only will you have better lab results for your HIV, you will also feel better throughout the day, because you are providing your body the fuel it needs to perform its best.

Here's a sample morning routine:
6:30 AM  Get up, shower and dress.
7:00 AM Morning coffee, eat breakfast, take medications
7:30 Work or school

2.  Take your medications at bedtime, if this is easier for you.  Keep your medication organizer near your toothbrush where you will see it.

3.  Have a favorite TV show that you watch every day?  You could take your medications while watching the program, but you have to do it every day.

4.  Is there somebody you chat with every day?  You could take your medications while you talk to them.  You could even ask them to remind if you to take your medications.

5.  Create a checklist for each day and make a check when you take your medications. Keep the checklist visible, such as on the refrigerator or bathroom mirror. Keep track of how you do from week to week, and strive for missing less than 1-2 doses per month.

They say if you can do something every day for a month, it will become a habit.  Taking your medications every day is a very good habit to develop.  That's it for today.  Have a great weekend!

Wishing you health in 2012!
© William L. Larson, Pharm.D. 2012

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