{"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":"2026-05-12T14:31:51","modified_gmt":"2026-05-12T18:31:51","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>a high rate of disability<\/li>\n\n\n\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 for women, those with a history of substance use disorder, and those with low socioeconomic status.&nbsp;<\/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-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\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, person-centered 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<\/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":"","inline_featured_image":false,"footnotes":""},"focus-area":[],"class_list":["post-1073","page","type-page","status-publish"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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