A.No, because the problem of resistance is a real conce……
One of your clinic patients is a 35-year-old man with AIDS on
Medicare who is an active intravenous drug user. He uses heroin and
cocaine, but he never shares needles and is reliably present at all his
clinic visits. He admits that he is often unable to take his medicines
regularly when he is using drugs. He is asking about antiretroviral
therapy with protease inhibitors. You have just read that HIV viral
resistance to protease inhibitors occurs rapidly when patients are
unable to take their medicines reliably.
Should you prescribe protease inhibitors to this patient?
A.No, because the problem of resistance is a real concern in a
patient who cannot take his medicines reliably.
B. No, because the patient is continuing to use heroin and cocaine. C. Yes because the patient wants the protease inhibitors. D. Yes, because the doctor is under a duty not to abandon the patient and to continue an ongoing therapeutic relationship and encourage him with information and guidance about his HIV disease and issues of addiction.