Communicating HIV Treatment Side Effects with Your Doctor

" Welcome to our web cast on -- Crosby. Nuclear outside the first transcript they inhibitors or in art he it's where the -- class of drugs used for the treatment of HIV. They can be highly effective when combined with other therapies they also come with potential side effect. He would need to talk about the side effects and what can be done to reduce them. Is doctor Richard Ellington -- proficient in private practice in Washington DC the they Q doctor for joining. Also joining us from New York is doctor Brian Boyle -- a professor of medicine at Weill Cornell medical college. Doctor Elian what are the NR TI and how do they work."

" are an acronym or nuclear tiger burst transcript of him and those are the first class of drugs he's pretending what they do -- Prevent. Did our -- can be transcribed into DNA. What are some of the general side effects of the -- Some of the general's side effects of the net and -- yeah. Our and in combination with Prodi -- they seem to cause some changes and I decomposition local -- he and liberal. Deficit in other words the loss that and the deposition that there's also a city side effects I mean you know and weakens the muscles. I'm neuropathy and pancreatitis consortium I'm of them and that -- make up he majority and I'm."

" Doctor well can you tell a -- have interfered with your patient adherence to treatment. These I pay commonly encountered vary a lot depends upon which particular Medicare and they're on for example AZT. Sort of record here may have a lot of that you get on May have. The muscle and headaches and other symptoms. I'm so I think that any overall which side effects pictures are going to happen with antiretrovirals relatively difficult because going to -- lot. Depending upon individual medications. Depending upon problematic or put together and depending upon the individual pay and different and at different side effects depending upon. On the medications that are wrong. Doctor Elian why aren't as bad effect of these medications. So important."

" Well that they're very important for a number three and number one pound at the end of thirteen monitored -- the thirteen months and anybody any population taking -- need -- Half the people down. It's estimated that of the other 50% and now perhaps as many as. Seventy or 80% of that. Group has failed because they just couldn't take that dropped that clearly at the drug is going to make a person that he'll go to earth gets sick -- not likely to take into taking and I'm regiment Christ's day and you -- one dose of that. In one day which is about a 9500. At that rate below nine and you can has met with fifteen or 20% loss in Africa and therefore here in. Opinion David -- Richmond is incredibly. Fundamentally. Cardinal are important to success at Easter actor reasons I think they're very important. We're trying to operate on a model that it has been a long term treatable and action if there's an incremental small. Step by that. Layering on of -- I think over time -- these drugs cause I've -- people won't be -- the ailment for years and years. It HIV were only -- three to five year kind of crisis. -- I think be less important. But changes in body composition changes in cholesterol. Ten does that change your risk factors -- dying of heart he's a good thing. -- very important to longevity in those kind of cut you profile. Combined with that difficult you actually taking remains -- says -- Papa Papa may not affect aspect fundamentally important that aboriginal. Are certain product that's more typical to cope with and other. There are certain side effects are difficult cope with an instant thing that would positions do you put the side effects on them -- to call and the patience you they don't want to rank ordered those. -- From the pay part of do you want to keep things is being able to take -- convenient time. He ability to integrate in your life on incorrect in here today it's fundamentally important in being able to maintain Richmond. I'm expecting that the -- can make it you'll have to make you don't launched -- if they -- you can't paint -- they do things to make you. Be aware that you're taking pills that are hurting you -- extraordinarily motivated can stay on -- different. What occasions due to avoid these side effect and to deal with them when they do occur. I think the most important thing that -- that can do to avoid -- her well to have a positive partnership. A relationship that the character. Whoever that is written whereby. Their problems become something they can talk about it'll the other that's just a hard thing being anti continent that's taking -- and what they give. Do you have someone to talk to. He would in the regiment -- change is made to see how you can combine food with certain of the ultimate GI have spent last. He was kind of vitamins might be beneficial to be taken a -- either Richmond to prevent the occurrence in high impact. The other aspect that we trying to sometimes has to think -- head of what the potential. -- in my opinion page has medication that might. Diminished or impair. Or even eliminate the re gonna type but he -- GI. Problem so in nineteen demanded and to help prevent diarrhea a lot of commencement and so they can call about they've been out -- remember where every toilet is on the commute to work. The other thing that frequently we'll do it that we kind picks are tolerating regiment are tolerating if not happy that we're trying to switch them. Transition encouragement it'll be easier couldn't. That's one audience for that communication between. The provider and patient so important because. Thanks Spirit about it and about always -- regiment going to be a hit with the patient and they're really this about kind of tally that regiment of the individuals."

" Needs and their lives doctor brown how do you help your patients avoid and deal with -- contact. Routinely with Mike and I'll actually runs through very Frenchman that are how well for them and talk about each component of the recommend. -- individual or tomorrow agent. And sometimes patients are right say I don't like Medicare and that causes diarrhea so I won't take that and so that not that Medicare and out of the Reitman. And we then move on. A course that if the patient has -- Wanted to -- I think two. Half helping pay manage. That excitement and undergraduate. Preparation. And education. And having a plant. So that the patient not blind sided by -- side effects when they occur. And then having patient understand it -- something unusual encounter or if it's something more than mild or moderate. Of the expected -- encountered. The third call their health care provider and got out of that with them and and -- and -- upon a plant permission from that. Doctor Ellen what is your final message to patients who are concerned with the plaid effect -- NRA TI. I don't comment about I would relate to the fact that -- effects are something that are inherent to any potential Richmond. And the way to minimize and prevent these attacks have good communication. Sometimes pitchers are afraid to tell the doctor about the problems they're having that that it wanted to please the expectations that the provider and nurse the doctor. Isn't it time for to crank on a team an intimacy in terms of what the problems Arthur Richmond and I'm working as part of a partnership. I think -- of these problems can be imported. And I don't untouchable. Every minute and has decided that. And so I think that really that he that it main point. And being prepared for the I don't -- and working with your health care of our provider. Two -- and -- I think you are the primary thing that the patients and health care providers need to focus on. And recognizing that that most medications when you start them. I can pass initial problems in getting through that initial days. Into. The later -- an okay where you may encounter and artifacts -- probably. Didn't the most important aspect of getting -- entered -- instead. Doctors thank you for joining us and thank you for joining us on our wet cat -- went across."