Rajesh Gandhi, M.D.
Dr. Gandhi is an associate professor of medicine at Harvard Medical School and the director of HIV clinical services and education at Massachusetts General Hospital.
I think long-acting drugs. I have still some patients who just find it very difficult to take a daily pill -- even once a day.
Researchers looked at the long-acting drug study [and] patients were asked about their satisfaction with their regimen. I thought it was very interesting that even people who are doing well on a pill felt like they were more satisfied with their treatment if they were getting six shots a year or a shot every month.
I have asked some patients. Personally, I've thought I would rather take a pill once a day than take a shot. But some of my patients have told me that if they could -- I've asked them in the context of PrEP [pre-exposure prophylaxis] also -- "Would you rather come in every two months for a shot or would you rather take a pill every day?" It's not scientific, but some people have told me they'd rather take a shot, even though I think of a shot as painful.
Photo courtesy of Rajesh Gandhi, M.D.