Why sticking with HIV medications matters

By: Ann K. Avery, MD, Infectious Disease Physician at MetroHealth Medical Center

Okay, so imagine this: you’ve finally found a new favorite TV series and you’re hooked. But imagine if every few episodes, you just stopped watching in the middle. You’d miss important details, the story would get confusing, and you might even lose interest in the show altogether. Taking HIV medications is a little like keeping up with your show. If you stop, even for a short time, things can get complicated fast.

Staying on track with your meds isn’t always easy, but it’s one of the most powerful things you can do to protect your health, keep your immune system strong, and live the life you want. 💪

HIV is sneaky. It attacks CD4 cells (also called T-cells), which are the body’s defenders against germs. Without enough CD4 cells, your immune system gets weaker, and HIV has the chance to cause more damage. That’s where HIV medications come in.

These meds work by lowering the amount of HIV in your blood, also known as your viral load. With a low viral load, your body has the chance to stay healthy, and you can avoid getting sick from infections. In fact, when taken every day, HIV meds can reduce your viral load so much that it becomes “undetectable.” And undetectable = untransmittable (U=U), meaning you can’t pass HIV on to your partners. Pretty amazing, right? 🌟

What happens if you miss doses

Here’s the tricky part. HIV doesn’t just sit still. If you skip your meds, even for a few days, the virus can make more copies of itself. Sometimes those copies change in ways that make the meds less effective. This is called drug resistance, and once it happens, your treatment options become limited.

That’s why doctors always encourage people to stick with their prescriptions: making HIV medications a daily habit you can count on.

Side effects: what you need to know

Meds can sometimes come with side effects. Some people may get headaches, nausea, or tiredness when starting HIV medications.

The good news? For many, these side effects fade after the first few weeks.

If side effects feel too tough to handle, don’t stop taking your meds on your own. Reach out to your doctor, nurse, or pharmacist. There are often ways to make things easier, like switching meds or adjusting the time of day you take them.

Tips for sticking with your meds

Everyone’s routine looks different, so the trick is finding what works best for you. Here are some helpful ideas:

  • Use a pill box to organize your doses for the week 💊
  • Set phone alarms or calendar reminders ⏰
  • Tie taking your meds to something you already do, like brushing your teeth or eating breakfast 🪥
  • Ask your doctor or social worker about programs that can help with the cost of medications 🧑‍⚕️
  • Keep a written list of all your meds, including vitamins or supplements, so your doctor knows the full picture 📋

And if you like apps, Positive Peers has tools built in to help you remember and track your meds while connecting you to a supportive community.

Building a routine that fits your life

Think of your meds like brushing your teeth or charging your phone. It’s just part of everyday life. At first, it may take extra effort to remember, but before long, it becomes second nature. And the reward is huge: a long and healthy life!

It’s also okay if you struggle sometimes. Maybe you oversleep, travel, or just forget. Don’t beat yourself up. Instead, talk to your care team about what happened and ask for strategies to get back on track. Support is out there, and you don’t have to figure it out alone. 💜

Staying positive

Living with HIV can sometimes feel overwhelming, but HIV medications give you control. They keep your body strong, protect your health, and even allow you to share your life without fear of passing the virus to others. That’s powerful.

And remember, you’re not just managing a diagnosis—you’re building a full, vibrant life. Friends, relationships, careers, hobbies, and dreams are all part of your story. Your meds are simply one tool that helps you keep writing that story on your own terms.


If you want support, reminders, and a safe space to connect with others who understand what you’re going through, check out the Positive Peers app. It’s private, stigma-free, and filled with people who get it. Plus, it has tools to help with medication and appointment reminders so you can stay on track with your health. Download it today; let’s keep thriving together 🌈