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How to investigate levels of Adherence to antiretroviral ... - INRUD

How to investigate levels of Adherence to antiretroviral ... - INRUD

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<strong>How</strong> <strong>to</strong> Investigate <strong>Adherence</strong> <strong>to</strong> Antiretroviral Treatment:<br />

An Indica<strong>to</strong>r-Based Approach<br />

Table 8. Sample list <strong>of</strong> needed paediatric ARVs<br />

Paediatric ARV first-line drug<br />

Abbreviation<br />

1 Efavirenz 50 mg or 100 mg tab EFV<br />

2 Efavirenz 30 mg/ml syrup EFV<br />

3 Nevirapine 10 mg/ml syrup NVP<br />

4 Lamivudine 10 mg/ml syrup 3TC<br />

5 Zidovudine 100 mg tab ZDV<br />

6 Zidovudine 10 mg/ml syrup ZDV<br />

7 Stavudine 15 mg tab D4T<br />

8 Stavudine 20 mg tab D4T<br />

9 Stavudine 1 mg/ml syrup D4T<br />

10<br />

The list <strong>of</strong> expected non-ARV medicines will depend on the system. That list would also<br />

depend on the most common opportunistic infections and co-morbidities. If the non-ARV<br />

medicines present in a hospital pharmacy are different than for the ART clinic, those<br />

medicines would not be counted as being present.<br />

If the s<strong>to</strong>ck records are incomplete, it may be difficult or impossible <strong>to</strong> know the number <strong>of</strong><br />

days that each medicine has been in or out <strong>of</strong> s<strong>to</strong>ck in the last 90 days. The pharmacist,<br />

however, may know if there have been any s<strong>to</strong>ck outs, in which case you can just ask<br />

whether there have been any s<strong>to</strong>ck outs in the last three months for each medicine.<br />

Table 9. Sample list <strong>of</strong> key non-ARV medicines<br />

Key non-ARV drugs<br />

1 Co-trimoxazole 480 or 960 mg tab<br />

2 Co-trimoxazole 240 mg/5ml susp<br />

3 Fluconazole 150 mg or 200 mg tab<br />

4 Miconazole 20 mg/g oral gel<br />

5 Erythromycin 250 mg or 500 mg tab<br />

6 Nystatin 10,000 IU/ml oral drops<br />

7 Aciclovir 200 mg tab<br />

8 Aciclovir 5% cream<br />

9 Folic acid 5 mg tab<br />

10<br />

44

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