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What level of adherence is needed?
The best response to HAART is seen when adherence is 100%. Levels of adherence below 95% have been associated with poor suppression of HIV viral load and reduced increase in CD4 count.
- If you are taking once-daily treatments, 95% adherence means missing no more than one dose a month.
- If you are taking your treatment twice a day, 95% adherence means missing no more than three doses a month.
- If you are taking your treatments three times a day, 95% adherence means missing no more than four doses a month.
However, many people with HIV do not manage to achieve such high levels of adherence. Nevertheless, try and miss as few doses of your medication as possible, since any fall in drug levels will offer an opportunity for HIV strains that are less susceptible to the action of the drugs to develop.
