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The first demonstration that human immunodeficiency virus (HIV) could be prevented with a biomedical intervention was the dramatic reduction of transmission from mother to child in 1994 with use of a single drug, zidovudine, in a complex regimen that was not practical to implement in all settings [ 1].
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Yet prenatal care in the United States has evolved into a complex regimen of 12 to 14 appointments over the course of a 40-week period, often only to confirm that the expectant mother and her fetus are healthy.
Therefore, once-daily DOAC therapy may be preferred to twice-daily therapy in patients in whom adherence with a more complex regimen might be a concern.
Because those patients need to take multiple medications in a day, the complex regimen often affects the patients' adherence to the treatments.
23 Further, these resistance mutations also often preclude simplification of a PI-containing or more complex regimen in a virologic-controlled patient because these mutations may be "archived" by the virus and become manifest during incomplete antiretroviral therapy.
Current evidence-based guidelines often recommend several medications in the treatment of individual chronic diseases, resulting in potentially very complex regimens in those with multiple morbidities.
However, clinical adoption of a mixed Ab/cytokine complex regimen is limited by stoichiometry and stability concerns.
Despite data suggesting more favorable adherence to prescribed cART regimens in older HIV patients, vision loss, cognitive impairment, limitations in health literacy, complex regimens with increased number of medications, medication cost, depression, and decreased expectations of health status can all negatively impact adherence.
Adherence to a complex medical regimen in patients with chronic heart failure is an important problem.
The management of T1D in childhood is demanding due to a complex treatment regimen.
The team also integrated lifestyle modifications, including reminders, logs, pill organizers, alarm clocks or any other method that would assist the patient in following the complex regimens.
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