features - issue 85/86

FOREIGN travel and HIV medication

positive nation

Before you travel, take a good look at the world’s time zones (listed in most diaries) and work out how may hours before or behind UK time your destination is. This can allow you to

pre-plan any changes in medication in a way that protects your therapy.
THREE TRAVEL PLANS:
Plan one. Take medicines according to usual UK times. So an 8am dose is taken at 8am UK time, not destination time. Perhaps keep a watch set at UK times.
Plan two. Adjust timings around the time of travel gradually so that you end up taking your doses at the same time of day at your destination as you do in the UK.
Plan three. Take doses according to destination time, changing abruptly on arrival. So a 9am dose, as taken in UK, is taken at 9am destination time too.

Plan One - Stick to UK times
What you do
Keep a watch set at UK time when travelling. Take all your medications as you would do in the UK, according to a watch set at UK time, and not local time.
Advantages

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Simple to put into practice

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No increase in the time interval between any doses

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Maintains usual blood drug levels

Disadvantages

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Doses can be at difficult times (particularly if the time difference is more than two or less than 10 hours).

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If the time difference is large, doses normally taken in the bedtime may end up being taken in the morning (and vice versa).

Plan two - Alter dose timings gradually

What you do
Depending on the time difference, you may need to make changes to the time of your doses for a few days around time of travel. After the changes, all of your medicines will

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