{"id":1073,"date":"2024-11-11T14:18:51","date_gmt":"2024-11-11T19:18:51","guid":{"rendered":"https:\/\/injurycenter.umich.edu\/michigan-safer-opioid-prescribing-toolkit\/?page_id=1073"},"modified":"2026-07-22T15:41:42","modified_gmt":"2026-07-22T19:41:42","slug":"patients-living-with-hiv","status":"publish","type":"page","link":"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/special-populations\/patients-living-with-hiv\/","title":{"rendered":"Patients Living with HIV"},"content":{"rendered":"<div class=\"gb-container gb-container-9d9a14dc contained\">\n\n<h1 class=\"gb-headline gb-headline-e60f161f gb-headline-text\">Chronic Pain in Patients living with HIV \/ AIDS<\/h1>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-22eecd73\">\n<div class=\"gb-grid-column gb-grid-column-43b529fd\"><div class=\"gb-container gb-container-43b529fd\">\n\n<p class=\"gb-headline gb-headline-13cdc597 gb-headline-text\">More than 50% of all people living with HIV (PLWH) experience chronic pain with prevalence increasing with age. Peripheral neuropathy from the neurotoxic effects of the HIV virus and from the nucleoside analog reverse-transcriptase inhibitors (NRTIs) are the primary causes of acute and chronic pain. Chronic pain in PLWH is often neuropathic and musculoskeletal and involves multiple body locations.<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-ff285e70\"><div class=\"gb-container gb-container-ff285e70 border-radius container-padded bg-maize\">\n\n<p class=\"wp-block-paragraph\"><strong>Chronic pain in PLWH negatively impacts quality-of-life and is associated with:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>poor adherence to anti-retroviral therapy (ART)<\/li>\n\n\n\n<li>missed HIV clinic visits<\/li>\n<\/ul>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-27376cd6 contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-fd98f556\">\n<div class=\"gb-grid-column gb-grid-column-2b10fed0\"><div class=\"gb-container gb-container-2b10fed0 container-blue-outline\">\n<div class=\"gb-container gb-container-55c74cd1\">\n\n<p class=\"wp-block-paragraph\">Chronic pain in PLWH is often undertreated, particularly in specific populations.\u00a0<\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-3e3ec6ef\"><div class=\"gb-container gb-container-3e3ec6ef container-blue-outline\">\n<div class=\"gb-container gb-container-0a026cae\">\n\n<p class=\"wp-block-paragraph\">The treatment of chronic pain in PLWH should have a biopsychosocial approach with multimodal treatment that emphasizes non-pharmacologic therapies and medications that target <a href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/definition-types-of-pain\/#Neuropathic\">neuropathic pain<\/a>.<\/p>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-a407738c contained\">\n\n<h2 class=\"gb-headline gb-headline-510e7824 gb-headline-text\">Start with a <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5848240\/\">standardized screening for chronic pain<\/a>:<\/h2>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-fb39be51\">\n<div class=\"gb-grid-column gb-grid-column-dabb40ca\"><div class=\"gb-container gb-container-dabb40ca container-blue-outline\">\n\n<ul class=\"wp-block-list\">\n<li>How much bodily pain have you had during the last week? <em>(none, very mild, mild, moderate, severe, very severe)<\/em>&nbsp;<\/li>\n\n\n\n<li>Do you have bodily pain that has lasted for more than 3 months? <em>(yes, no)<\/em><\/li>\n<\/ul>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-be59f634\"><div class=\"gb-container gb-container-be59f634 bg-gray rounded-block\">\n\n<p class=\"gb-headline gb-headline-6bacb6ef gb-headline-text\"><strong>Remark:<\/strong> A response of moderate pain or more during the last week combined with bodily pain for more than 3 months can be considered a positive screen result.<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-657ed8df contained\">\n\n<h2 class=\"gb-headline gb-headline-75aed430 gb-headline-text\"><a href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/non-medication-options\/\">Nonpharmacological treatments<\/a> for chronic pain to consider<\/h2>\n\n\n<div class=\"gb-container gb-container-78638efd container-blue-outline\">\n\n<ul class=\"wp-block-list\">\n<li>Cognitive behavioral therapy promotes patient acceptance of responsibility for change and the development of adaptive behaviors (eg, exercise) while addressing maladaptive behaviors (eg, avoiding exercise due to fears of pain).<\/li>\n\n\n\n<li>Yoga is recommended for the treatment of chronic neck\/back pain, headache, rheumatoid arthritis, and general musculoskeletal pain<\/li>\n\n\n\n<li>Physical and occupational therapy&nbsp;<\/li>\n\n\n\n<li>Hypnosis is recommended for neuropathic pain<\/li>\n\n\n\n<li>Acupuncture<\/li>\n<\/ul>\n\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-aaeb74ba contained\">\n\n<h2 class=\"gb-headline gb-headline-d019635b gb-headline-text\"><a href=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/non-opioid-options\/\">Nonopioid Medication<\/a> Recommendations<\/h2>\n\n\n<div class=\"gb-container gb-container-ce14e9a1 container-blue-outline\">\n\n<ul class=\"wp-block-list\">\n<li>Acetaminophen and nonsteroidal antiinflammatory drugs (NSAIDs) are recommended as first-line agents for the treatment of musculoskeletal pain.<\/li>\n\n\n\n<li>Gabapentin is recommended as a first-line treatment of chronic HIV-associated neuropathic pain (A typical adult regimen will titrate to 2400 mg per day in three divided doses (i.e. 800 mg TID). Evidence also supports that gabapentin improves sleep.\n<ul class=\"wp-block-list\">\n<li>If patients have an inadequate response to gabapentin, clinicians might consider a switch to pregabalin, a trial of a serotonin-norepinephrine reuptake inhibitor or a trial of a tricyclic antidepressant&nbsp;<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Capsaicin is recommended as a topical treatment for the management of chronic HIV-associated peripheral neuropathic pain<\/li>\n\n\n\n<li>Medical cannabis may be an effective treatment in appropriate patients&nbsp;<\/li>\n\n\n\n<li>Alpha lipoic acid (ALA) may be of some benefit in patients with difficult-to-treat neuropathic pain.&nbsp;<\/li>\n\n\n\n<li>Experts recommend against using lamotrigine to relieve HIV-associated neuropathic pain.<\/li>\n<\/ul>\n\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-6d727dab contained\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-9a9c4dd3\">\n<div class=\"gb-grid-column gb-grid-column-798c88d6\"><div class=\"gb-container gb-container-798c88d6 rounded-block bg-gray\">\n\n<h2 class=\"gb-headline gb-headline-f84bd932 gb-headline-text\">Filters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting filters will auto-adjust the list.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-resource_type facetwp-type-checkboxes\" data-name=\"resource_type\" data-type=\"checkboxes\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-119e2de8\"><div class=\"gb-container gb-container-119e2de8\">\n<div class=\"facetwp-facet facetwp-facet-number_of_results facetwp-type-pager\" data-name=\"number_of_results\" data-type=\"pager\"><\/div>\n\n\n\n<p class=\"gb-headline gb-headline-fe5e361f gb-headline-text\">Type at least three characters, and the list will auto-filter.<\/p>\n\n\n<div class=\"facetwp-facet facetwp-facet-text_search facetwp-type-search\" data-name=\"text_search\" data-type=\"search\"><\/div>\n\n\n<div class=\"facetwp-facet facetwp-facet-audience facetwp-type-radio\" data-name=\"audience\" data-type=\"radio\"><\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-a1afc7ae\">\n<div class=\"gb-grid-column gb-grid-column-2fc23986\"><div class=\"gb-container gb-container-2fc23986\">\n<div class=\"facetwp-selections\"><\/div>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4d3bcf68\"><div class=\"gb-container gb-container-4d3bcf68 reset-container\">\n<div class=\"facetwp-facet facetwp-facet-reset facetwp-type-reset\" data-name=\"reset\" data-type=\"reset\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-e0086e35\">\n<div class=\"gb-grid-column gb-grid-column-10e49984\"><div class=\"gb-container gb-container-10e49984\">\n\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-61663e47\"><div class=\"gb-container gb-container-61663e47 pager-col\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-grid-wrapper gb-grid-wrapper-4ac29783 facetwp-template gb-query-loop-wrapper\">\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2931 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-provider resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"1909\" height=\"1092\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative.png 1909w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative-300x172.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative-1024x586.png 1024w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative-768x439.png 768w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-palliative-1536x879.png 1536w\" sizes=\"auto, (max-width: 1909px) 100vw, 1909px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.capc.org\/blog\/supporting-people-aging-with-hiv-what-palliative-care-clinicians-need-to-know\/\">Supporting People Aging with HIV: The Role of Palliative Care and Geriatrics Clinicians<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Written in 2025, this article explores how geriatrics and palliative care clinicians can work together to support people through the complexities of aging with HIV\u2014with comprehensive care and advance care planning.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2932 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-provider resource-type-audiovisual-provider\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"1143\" height=\"639\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-webinar.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-webinar.png 1143w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-webinar-300x168.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-webinar-1024x572.png 1024w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/hiv-webinar-768x429.png 768w\" sizes=\"auto, (max-width: 1143px) 100vw, 1143px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.youtube.com\/watch?v=wMQ7wK7x63E\">Chronic Pain in People With HIV: An Evidence-Based, Practical Approach<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">In this webinar hosted by Dr. Jessica Merlin, learn more about evidence-based and practical approaches to managing chronic pain among those with HIV.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2933 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-provider resource-type-provider-and-resource-directory resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"635\" height=\"302\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/idsa-logo.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/idsa-logo.png 635w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/idsa-logo-300x143.png 300w\" sizes=\"auto, (max-width: 635px) 100vw, 635px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.idsociety.org\/practice-guideline\/all-practice-guidelines\/\">IDSA Clinical Practice Guidelines Directory<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">These guidelines were developed by a panel of experts who conduct systematic reviews of available information to develop evidence-based recommendations. Using the GRADE Process, this assists practitioners and patients in making decisions about appropriate health care for specific clinical circumstances.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2934 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-provider resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"873\" height=\"436\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nysdoh-ai.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nysdoh-ai.png 873w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nysdoh-ai-300x150.png 300w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/nysdoh-ai-768x384.png 768w\" sizes=\"auto, (max-width: 873px) 100vw, 873px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.hivguidelines.org\/guideline\/hiv-primary-care\/\">NYSDOH Aids Institute: Primary Care for Adults With HIV<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">Updated in 2025; a comprehensive resource from the New York State Department of Health AIDS Institute (NYSDOH AI) on primary care for adults with HIV.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2935 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-patient resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"243\" height=\"73\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/aidsmap-logo.png\" class=\"gb-image-01619eee\" alt=\"\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.aidsmap.com\/about-hiv\/pain-and-hiv\">Aidsmap: Pain and HIV<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">An article from 2025 that reviews essential information about pain and HIV.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-1ebeda1b gb-query-loop-item post-2936 resource type-resource status-publish has-post-thumbnail hentry category-hiv audience-patient resource-type-web-page\"><div class=\"gb-container gb-container-1ebeda1b\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-592de2a0\">\n<div class=\"gb-grid-column gb-grid-column-9d26c57f\"><div class=\"gb-container gb-container-9d26c57f\">\n<figure class=\"gb-block-image gb-block-image-01619eee\"><img loading=\"lazy\" decoding=\"async\" width=\"511\" height=\"79\" src=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/twp-logo.png\" class=\"gb-image-01619eee\" alt=\"\" srcset=\"https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/twp-logo.png 511w, https:\/\/injurycenter.umich.edu\/safer-prescribing-toolkit\/wp-content\/uploads\/sites\/2\/2026\/05\/twp-logo-300x46.png 300w\" sizes=\"auto, (max-width: 511px) 100vw, 511px\" \/><\/figure>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-4ea57abd\"><div class=\"gb-container gb-container-4ea57abd\">\n\n\n<h2 class=\"gb-headline gb-headline-4b568ffa gb-headline-text type-loop-title\"><a href=\"https:\/\/www.thewellproject.org\/hiv-information\/hiv-related-pain\">thewellproject: HIV-Related Pain<\/a><\/h2>\n\n<p class=\"gb-headline gb-headline-d44cdde1 gb-headline-text type-loop-excerpt\">An article from 2024 with comprehensive education for patients on HIV-related pain, assessment, and management.<\/p>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-08af5232\"><div class=\"gb-container gb-container-08af5232\">\n<p class=\"gb-headline gb-headline-2d03cf3e gb-headline-text term-wrapper\"><span class=\"post-term-item term-hiv\">HIV<\/span><\/p>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"gb-container gb-container-63b9b32e contained\">\n<div class=\"facetwp-facet facetwp-facet-pager_ facetwp-type-pager\" data-name=\"pager_\" data-type=\"pager\"><\/div>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Chronic Pain in Patients living with HIV \/ AIDS Start with a standardized screening for chronic pain: Nonpharmacological treatments for chronic pain to consider Nonopioid Medication Recommendations<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1078,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"1","_relevanssi_noindex_reason":"","footnotes":""},"focus-area":[],"class_list":["post-1073","page","type-page","status-publish"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patients Living with HIV - Safer Prescribing Toolkit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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