"Doc, I Just Can't Swallow Pills": HIV Infected Patients and Pill Phagophobia
- *Corresponding Author:
- Joan Duggan
Department of Medicine
University of Toledo – HSC
3000 Arlington Toledo
OH 43614, USA
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.
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.