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One size doesn’t fit all: Tailoring adult antiretroviral treatment
Submitted: 12 December 2014 | Published: 08 September 2014
About the author(s)
Nathan Geffen, Centre for Social Science Research, University of Cape Town, South Africa, South AfricaM Robinson, Department of Molecular Medicine and Haematology, University of the Witwatersrand, Johannesburg, South Africa, South Africa
F Venter, Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa, South Africa
M Low, Policy Department, Treatment Action Campaign, Cape Town, South Africa, South Africa
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Advances in antiretroviral treatment mean that patients in the public health system can be given more options in the management of their treatment. Although public health programmes tend to offer one-size-fits-all approaches, patients might benefit from a more flexible approach. In particular, we propose that people with HIV should be given more choice with regard to when to start treatment, and patients who experience efavirenz side-effects should be encouraged to switch to other medications, which will be facilitated by faster registration and lower prices of newer antiretrovirals.
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