alexa "Doc, I Just Can't Swallow Pills": HIV Infected Patients and Pill Phagophobia
ISSN 2155-6113

Journal of AIDS & Clinical Research
Open Access

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Case Report

"Doc, I Just Can't Swallow Pills": HIV Infected Patients and Pill Phagophobia

Joan M. Duggan1*, Vipul Shukla2, Barbara Akpanudo1, Glen Gutterson2, Lindsey Eitniear3 and Eric Sahloff4

1Department of Medicine, Division of Infectious Diseases, University of Toledo, HSC, Toledo, OH 43614, USA

2College of Medicine, University of Toledo, HSC, Toledo, OH 43614, USA

3Department of Pharmacy, University of Toledo Medical Center, Toledo OH 43614, USA

4College of Pharmacy, University of Toledo, HSC, Toledo, OH 43614, USA

*Corresponding Author:
Joan Duggan
Department of Medicine
University of Toledo – HSC
3000 Arlington Toledo
OH 43614, USA
Tel: 419-383-4328
Fax: 419-383-2847
E-mail: [email protected]

Received date: July 25, 2014; b September 03, 2014; Published September 15, 2014

Citation: Duggan JM, Shukla V, Akpanudo B, Gutterson G, Eitniear L, et al. (2014) “Doc, I Just Can’t Swallow Pills”: HIV Infected Patients and Pill Phagophobia. J AIDS Clin Res 5:348. doi:10.4172/2155-6113.1000348

Copyright: © 2014 Duggan JM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Transient or chronic pill phagophobia-fear of swallowing pills-affects many adults and can be associated with nonadherence or use of an alternative pill swallowing strategy such as breaking, crushing or chewing medications. Patients with HIV require the chronic use of antiretroviral therapy (ART) to maintain health, but factors such as psychogenic dysphagia for pills may affect their ability to adhere to these medications. Use of alternative strategies such as crushing medications to decrease overall pill size have been shown in several studies to result in altered medication absorption, which may result in incomplete virologic suppression, increased adverse effects, and a suboptimal health outcome. This article reviews potentially useful swallowing strategies for the adult patient without physiologic dysphagia who cannot swallow pills.

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