Adherence question

Mutations: M184V, M41L, K103N, L63P, V77I, I93L, K101Q
Comorbidities: None
Comedications: None
Treatment history: None
Current regimen: ATV/c (Atazanavir-cobicistat/Evotaz) , DRV/c/TAF/FTC (Symtuza)
Adherence: Pill burden: Prioritize fewer and smaller pills, Pill frequency: Prioritize once daily dosing, Intermittent adherence: Prioritize drugs with higher barrier to resistance, Intermittent adherence: Prioritize at least 3 active drugs, Administration preference: Penalize IV/IM/SC dosing
CD4: ≤ 50
Viral load: High (100,000 - 500,000)
HLA-B5701: Positive (or unknown)
Tropism: Unknown
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Submitted by susantuddenham on

Pt previously suppressed on current regimen, now with VL >100,000, adherence questions

Score Code Regimen Weighted Score Active Drugs Total Pills Frequency (x/day)
1 DTG+DRV/c/TAF/FTC 0.05 3 2 1
1 DRV/c+BIC/TAF/FTC 0.15 3 2 1
1 DRV/r+BIC/TAF/FTC 0.25 3 3 1
1 DTG+DRV/r+TAF/FTC 0.45 3 4 1
1 DRV/c+DTG/TDF/3TC 0.65 3 2 1
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