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Understanding HIV treatments

Having a good level of treatments literacy is a key to living successfully with HIV. Issues such as different drug classesA group of anti-HIV drugs with the same target of action. Anti-HIV drug classes include nucleoside analogue reverse transcriptase inhibitors, protease inhibitors and non-nucleoside analogue reverse transcriptase inhibitors, as well as several others. Combining drugs from three or more classes is the basis of Highly Active Antiretroviral Therapy (HAART)., resistanceHIV which has mutated and is less susceptible to the effects of one or more anti-HIV drugs is said to be resistant., adherance and side effects are covered below.

Key resources

HIV Tests and Treatments 2009

This resource describes the currently available antiviralA medication or substance which is active against one or more viruses. May include anti-HIV drugs, but these are more accurately termed antiretrovirals. drugs for the treatment and management of HIV infection. It also describes some common tests used to monitor the health of people with HIV, and how these tests can be used to help you look after your health, or make decisions about starting, stopping or changing antiviral treatments.

Listening to those not on treatment

Positive Living article • Adrian Ogier • 7 March 2013

In this current climate of pro-treatment, people who are not taking antiretroviralA medication or other substance which is active against retroviruses such as HIV. therapy (ART) can feel like a minority whose voice is not being heard.

This is why NAPWHA has partnered with researchers Limin Mao and Henrike Körner from the National Centre in HIV Social Research to conduct interviews with people who are currently not on ART. read more »

ASHM calls for review of treating criteria

Positive Living article • Adrian Ogier • 7 March 2013
Treating HIV

Currently, ART is only subsidised through the Pharmaceutical Benefits Scheme[Pharmaceutical Benefits Scheme] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs. for PLHIVPerson (or people) Living with HIV. This term is now preferred over the older PLWHAPerson (or People) Living with HIV/AIDS.. commencing treatment with a CD4 T-cell count of less than 500 or who are symptomatic.

The Australasian Society for HIV Medicine (ASHMAustralasian Society for HIV Medicine. The peak Australasian organisation representing the medical and health sector in HIV/AIDS and related areas. ) has called for a review of these criteria. read more »

Getting ready to start

Positive Living article • Peter Watts • 22 December 2012

Considering treatment? Peter Watts offers some advice. read more »

HIV treatments uptake among PLHIV in Australia: health promotion and policy responses to reduce barriers to treatment uptake.

Conference presentation • Phillip Keen • 20 December 2012

A review of HIV surveillance, clinicalPertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. cohortIn epidemiologyThe branch of medical science that deals with the study of incidence and distribution and control of a disease in a population., a group of individuals with some characteristics in common. A cohort study is a special kind of clinical trialA clinical trial is a research study to answer specific questions about vaccines or new therapies or new ways of using known treatments. Clinical trials are used to determine whether new drugs or treatments are both safe and effective. Carefully conducted clinical trials are the fastest and safest way to find treatments that work in people. Trials are in four phases: Phase I tests a new drug or treatment in a small group; Phase II expands the study to a larger group of people; Phase III expands the study to an even larger group of people; and Phase IV takes place after the drug or treatment has been licensed and marketed. which looks at a treatment or treatment strategy in a cohort of people. and social research data suggests that many people living with HIV (PLHIVPerson (or people) Living with HIV. This term is now preferred over the older PLWHAPerson (or People) Living with HIV/AIDS..) in Australia delay, cease or do not take up HIV antriretroviral therapy (ART) due to structural and psychological barriers.

This paper is a Poster presented at the Australasian HIV/AIDS Conference, Melbourne, 2012 read more »

Controversy over ‘when to start’ continues

Positive Living article • Adrian Ogier • 6 December 2012
Treating HIV

A lively debate occurred in a Conference session on when to start HIV treatment.

A key international speaker was Professor Steven Deeks who is based in San Francisco and a member of the US Department of Health and Human Services AntiretroviralA medication or other substance which is active against retroviruses such as HIV. Guidelines Panel. read more »

When push comes to shove

Positive Living article • James May • 31 August 2012

Why do some of us refuse treatment? And how far will we go before we finally relent? JAMES MAY tells us his story. read more »

Why treatment is good for you

Positive Living article • Neil McKellar-Stewart • 31 August 2012

Most people on treatment are on a combination that has reduced their viral loadA measurement of the quantity of HIV RNA in the blood. Viral load blood test results are expressed as the number of copies (of HIV) per milliliter of blood plasma. to an undetectable level and keeps it there. And this is a good thing. It means their immune systems are not being destroyed by HIV and they are not going to progress to AIDS.

Neil McKellar-Stewart thought it was time we looked at all the health benefits to us of being on treatment. So, he tracked down the research and here it is. read more »

Making the best choices

Positive Living article • Graham Stocks • 8 June 2012

Experience has shown that health outcomes are better if treatment and care is planned in partnership with your doctor.

That’s why we’ve updated our popular Checklist guide for people with HIVread more »

Start talking about HIV treatment: new campaign launched

Media release • 7 May 2012

Ita Buttrose launched 'Start the Conversation Today' NAPWHA's national multi-media treatments campaign, on Friday 4 May. The campaign urges people living with HIV to get up to date with important new information about the benefits of HIV treatment for themselves and their partners. Many people with HIV are likely to be unaware of these advances. read more »

New HIV treatment guidelines: a major step in revolutionising HIV treatment and prevention in Australia

Media release • 29 March 2012

NAPWHA has welcomed the release of updated guidelines for treating HIV issued yesterday by the US Department of Health and Human Services. In a major shift, the new guidelines recommend that all people with HIV consider going on HIV treatment, whether recently infected or with more advanced HIV disease.

The new guidelines also note recent evidence about the additional benefit of taking HIV treatment in reducing HIV transmission and recommend that HIV treatment be offered to HIV positive people who are at risk of transmitting HIV to sexual partners. read more »

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HIV Clinical Trials update