Special Considerations and Clinical Management of HIV in Patients With Substance Use Disorder

  • Author: Frederick L. Altice, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 2/5/20 (What's New)


  • Management of mental illness and substance use in patients living with HIV requires a comprehensive and integrated approach
  • IAPAC guidelines on improving entry into and retention in care in people with HIV infection recommend screening, management, and treatment for depression and other mental illnesses in combination with adherence counseling (Management Guidelines)[Thompson 2012]
  • Clinically significant drug interactions between drugs used to treat opioid dependence and psychotropic medications have been described[Saber-Tehrani 2011]

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