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)


  • DHHS guidelines recommend that ART be offered to all patients with HIV infection for both HIV treatment and prevention of transmission (Management Guidelines)[DHHS ART]
  • PrEP in HIV-negative individuals has been shown to reduce risk of sexual acquisition of HIV[Grant 2010; Baeten 2012; Thigpen 2012] and to reduce risk of HIV acquisition in PWIDs[Choopanya 2013]
  • CDC provides periodically updated recommendations for clinicians on the use of PrEP in at-risk populations, including men who have sex with men, heterosexual people, and people who inject drugs[CDC PrEP]

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