Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy

Mary J Burgess,1 John D Zeuli,2 Mary J Kasten31Division of Infectious Diseases, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 2Department of Pharmacy, Mayo Clinic, Rochester, MN, USA; 3Divisions of General Internal Medicine and Infectious Diseases, Mayo Clinic, Rochester, MN, US...

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Autores principales: Burgess MJ, Zeuli JD, Kasten MJ
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:67580490e7ec4245bb805ac8810c93e22021-12-02T00:06:09ZManagement of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy1179-1373https://doaj.org/article/67580490e7ec4245bb805ac8810c93e22015-10-01T00:00:00Zhttps://www.dovepress.com/management-of-hivaids-in-older-patientsndashdrugdrug-interactions-and--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Mary J Burgess,1 John D Zeuli,2 Mary J Kasten31Division of Infectious Diseases, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 2Department of Pharmacy, Mayo Clinic, Rochester, MN, USA; 3Divisions of General Internal Medicine and Infectious Diseases, Mayo Clinic, Rochester, MN, USAAbstract: Patients with human immunodeficiency virus (HIV) are living longer with their disease, as HIV has become a chronic illness managed with combination antiretroviral therapy (cART). This has led to an increasing number of patients greater than 50 years old living successfully with HIV. As the number of older adults with HIV has increased, there are special considerations for the management of HIV. Older adults with HIV must be monitored for drug side effects and toxicities. Their other non-HIV comorbidities should also be considered when choosing a cART regimen. Older adults with HIV have unique issues related to medication compliance. They are more likely than the younger HIV patients to have vision loss, cognitive impairment, and polypharmacy. They may have lower expectations of their overall health status. Depression and financial concerns, especially if they are on a fixed income, may also contribute to noncompliance in the aging HIV population.Keywords: HIV, aging population, management issues, drug interactions, medication adherenceBurgess MJZeuli JDKasten MJDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2015, Iss default, Pp 251-264 (2015)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
spellingShingle Immunologic diseases. Allergy
RC581-607
Burgess MJ
Zeuli JD
Kasten MJ
Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
description Mary J Burgess,1 John D Zeuli,2 Mary J Kasten31Division of Infectious Diseases, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 2Department of Pharmacy, Mayo Clinic, Rochester, MN, USA; 3Divisions of General Internal Medicine and Infectious Diseases, Mayo Clinic, Rochester, MN, USAAbstract: Patients with human immunodeficiency virus (HIV) are living longer with their disease, as HIV has become a chronic illness managed with combination antiretroviral therapy (cART). This has led to an increasing number of patients greater than 50 years old living successfully with HIV. As the number of older adults with HIV has increased, there are special considerations for the management of HIV. Older adults with HIV must be monitored for drug side effects and toxicities. Their other non-HIV comorbidities should also be considered when choosing a cART regimen. Older adults with HIV have unique issues related to medication compliance. They are more likely than the younger HIV patients to have vision loss, cognitive impairment, and polypharmacy. They may have lower expectations of their overall health status. Depression and financial concerns, especially if they are on a fixed income, may also contribute to noncompliance in the aging HIV population.Keywords: HIV, aging population, management issues, drug interactions, medication adherence
format article
author Burgess MJ
Zeuli JD
Kasten MJ
author_facet Burgess MJ
Zeuli JD
Kasten MJ
author_sort Burgess MJ
title Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
title_short Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
title_full Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
title_fullStr Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
title_full_unstemmed Management of HIV/AIDS in older patients–drug/drug interactions and adherence to antiretroviral therapy
title_sort management of hiv/aids in older patients–drug/drug interactions and adherence to antiretroviral therapy
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/67580490e7ec4245bb805ac8810c93e2
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