BHIVA guidelines are to of date and need revision ( as of August 2025 )
Many HIV medications have significant side effects incldusing, weigh gain, cognitive disorders, kidney and liver toxicity, and increases in cholesterol and LDL levels.
Patients are not routinely scanned for the presence of side effects leading to health care concerns
>30% of patients have drug-drug interaction issues
I have produced a check list that could be given to patients to quickly identify side effects and the drugs that cause them in the sections below. It would be great to see this or some form of it used in patient managment to identify serious side effects.
Review of the prescribing best practice for Bictarvy in patients over 51 years old.
Investigate 1200mg raltegravir-doravirine dual therapy when CNS and weight gain issues may be related to dolutegravir
Comparisons between HIV therapies needs to take into account side effect profile, renal and hepatic toxicity, and ability to permeate the CNS in addition to non inferior ability and resistance to viral mutation.