Just a couple of days ago I was bragging to my friend Kirsty about my flawless medication adherence: “I don’t miss doses – it’s been years since I missed a dose,” I said.
Well, I woke up this morning and there on my bedside table are last night’s pills, unswallowed and ignored. It’s the ABC’s fault – I was so furious at the Swindle that I just forgot.
For the unschooled, missing doses of your HIV medications increases the risk of developing resistance to them – ideally you should take at least 95% of scheduled doses to ensure your treatments continue to work. Missing this one won’t take me below that threshold, so it’s very unlikely to have any significant negative effect, but it does spoil my perfect record.
There is a solution, of course: I can take the missed dose now, as my next dose isn’t scheduled until bedtime tonight. It’s the responsible thing to do, and it’ll restore my unblemished record (sort of), but if I do I’ll have to deal with the neurological side effects – essentially it feels like being stoned, but not in a good way.
If I start posting utter gibberish in the next hour or two I guess you’ll know why.