Before prescribing ARVs confirm current regimen with the patient and information on the clinical portal; particularly the up to date Infectious Diseases clinic letter and outpatient note. This should be used in conjunction with the prescription, which is saved in the Medication section of Clinical Documents. If further clarification is required, contact the Brownlee Pharmacy Team. GPs do not prescribe ARVs so do not rely on ECS for this information as it may be out of date.
Ensure the full regimen is prescribed on HEPMA (or inpatient kardex if HEPMA is not used in your clinical area) at the correct time(s) of the day, as doses should be taken at the same time each day. Ensure doses are not late or missed and food requirements are met if appropriate.
The patient may have their own supply of ARVs with them. If not then order a supply from the pharmacy department, who will obtain it from the Pharmacy Distribution Centre. If supply is not likely to arrive on the ward before the next scheduled dose, then it can be obtained from ward 5c at the QEUH.
Drug interactions are common. Always use the interaction checker website at www.hiv-druginteractions.org to check for interactions with ARVs in advance of prescribing. If further information is required, please contact the Brownlee Pharmacy Team for advice.
See the GGC guideline 'Occupational and Non-Occupational Exposures to Bloodborne Viruses' on the Clinical Guidelines Platform.
Assess recipients of blood borne virus exposure urgently, as soon as possible after injury. Ideally PEP should be given within 2 hours of injury but is still beneficial up to 72 hours following the incident.
Guideline reviewed: September 2022
Page updated: October 2023