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Adherence to Anti Retroviral Therapy (ART) During Muslim Ramadan Fasting

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Abstract

Annual fasting during the month of Ramadan is observed in Muslim countries, some of which have widespread HIV infection. We studied treatment adherence and customary practices among 142 fasting ‘FT’ and 101 non-fasting ‘NFT’ patients on anti-retroviral therapy (ART) in Nigeria. Adherence on ART among FT and NFT patients was similar during Ramadan, 96% and 98%, and ever since commencement of ART, 80% and 88%, respectively. FT patients altered their typical daily behaviors by advancing morning and delaying evening doses thereby prolonging dosing intervals, eating heavier meals pre-dawn and on breakfast at sunset (78%), and changing or reducing their sleeping and waking times (40%). This preliminary study suggests that adherence and drug taking frequency appear uncompromised in FT HIV infected patients on ARVs.

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References

  • Aadil, N., Houti, I. E., & Moussamih, S. (2004). Drug intake during Ramadan. British Medical Journal, 329, 778–782. doi:10.1136/bmj.329.7469.778.

    Article  PubMed  CAS  Google Scholar 

  • Benaji, B., Mounib, N., Roky, R., Aaadil, N., Houti, I. E., Moussamih, S., et al. (2006). Diabetes and Ramadan: Review of the literature. Diabetes Research and Clinical Practice, 73, 117–125. doi:10.1016/j.diabres.2005.10.028.

    Article  PubMed  CAS  Google Scholar 

  • Burger, D. M., Hoetelmans, R. M., Hugen, P. W., Mulder, J. W., Meenhorst, P. L., Koopmans, P. P., et al. (1998). Low plasma concentrations of indinavir are related to virological treatment failure in HIV–1 infected patients on indinavir-containing triple therapy. Antiviral Therapy, 3, 215–220. Medline.

    PubMed  CAS  Google Scholar 

  • Crane, J. R., Perlman, S., Meredith, K. L., Jeffe, D. B., Fraser, V. J., Lucas, A. M., et al. (2000). Women with HIV: Conflicts and synergy of prayer within the realm of medical care. AIDS Education and Prevention, 12, 532–543. Medline.

    PubMed  CAS  Google Scholar 

  • Gallant, J. E. (2002). Initial therapy of HIV infection. Journal of Clinical Virology, 25, 317–333. doi:10.1016/S1386–6532(02)00024-0.

    Article  PubMed  CAS  Google Scholar 

  • Hsu, A., Granneman, R., Witt, G., Locke, C., Denissen, J., Molla, A., et al. (1997). Multiple-dose pharmacokinetics of ritonovir in human immunodefciency virus infected subjects. Antimicrobial Agents and Chemotherapy, 41, 898–905. Medline.

    PubMed  CAS  Google Scholar 

  • Justesen, U. S., & Pedersen, C. (2002). Diurnal variation of plasma protease inhibitor concentrations. AIDS (London, England), 16, 2487–2489. doi:10.1097/00002030-200212060-00019.

    Google Scholar 

  • Kamwi, R., Kenyon, T., & Newton, G. (2006). PEPFAR and HIV prevention in Africa. Lancet, 367, 1978–1979. doi:10.1016/S0140-6736(06)68879-X.

    Article  PubMed  Google Scholar 

  • Piot, P., & Coll Seck, A. M. (2001). Interntaional response to HIV/AIDS epidemic: Planning for success. Bulletin of the World Health Organization, 79, 1106–1112. Medline.

    PubMed  CAS  Google Scholar 

  • Stevens, W., Kaye, S., & Corrah, T. (2004). Antiretroviral therapy in Africa. British Medical Journal, 328, 280–282. doi:10.1136/bmj.328.7434.280.

    Article  PubMed  Google Scholar 

  • UNAIDS (2005). http://www.unaids.org/en/geographical+area/

  • Van Heeswijk, R. P. G., Bourbeau, M., Seguin, I., Giguere, P., Garber, G. E., & Cameron, D. W. (2005). Absence of circadian variation in the pharmacokinetics of lopinavir/ritonovir given as a once daily dosing regimen in HIV-1 infected patients. British Journal of Clinical Pharmacology, 59, 398–404. doi:10.1111/j.1365-2125.2005.02337.x.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We appreciate help from the AKTH Adherence staff: Abdulkadir Kabara, Zubaida Jibril, Hadiza Lawal, Rabi Magaji, Sani Mohammed, Ali-Baba Isyaku, Naomi Yaro and Habiba Jamal. The work was performed in cooperation with the PEPFAR-CDC Program in Nigeria, IHV in Nigeria.

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Authors and Affiliations

  1. Institute of Human Virology, Nigeria, Pent House, Maina Court, Plot 252 Herbert Macaulay Way, Central Business District, PO Box 9396, Garki, Abuja, Nigeria

    A. G. Habib, J. Jumare, U. Yakubu, U. I. Gebi, M. Saad & H. Ibrahim

  2. Aminu Kano Teaching Hospital, Kano, Nigeria

    A. G. Habib, M. Babashani & U. Yakubu

  3. Bayero University Kano, Kano, Nigeria

    A. G. Habib & M. Babashani

  4. Institute of Human Virology, University of Maryland, Baltimore, USA

    J. C. Shepherd, M. K. L. Eng & W. A. Blattner

Authors
  1. A. G. Habib
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  2. J. C. Shepherd
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  3. M. K. L. Eng
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  4. M. Babashani
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  5. J. Jumare
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  6. U. Yakubu
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  7. U. I. Gebi
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  8. M. Saad
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  9. H. Ibrahim
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  10. W. A. Blattner
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Corresponding author

Correspondence to A. G. Habib.

Additional information

Presented as a poster at the 2nd International Conference on HIV Treatment Adherence, International Association of Physicians in AIDS Care (IAPAC), New Jersey, USA (March 2007).

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Habib, A.G., Shepherd, J.C., Eng, M.K.L. et al. Adherence to Anti Retroviral Therapy (ART) During Muslim Ramadan Fasting. AIDS Behav 13, 42–45 (2009). https://doi.org/10.1007/s10461-008-9412-2

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  • DOI: https://doi.org/10.1007/s10461-008-9412-2

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