長效針劑共同決策輔助Long-Acting Injection Decision Aid
口服 → 長效針劑（CAB/RPV LA）｜ SDMDaily pills → long-acting injection (CAB/RPV LA) | SDM
  1. 先認識Basics
  2. 安心了解Safety
  3. 你的狀況Your life
  4. 你的想法Thoughts
  5. 你的偏好Values
  6. 完成Done

1 / 6 先認識Basics

之前填過嗎？輸入上次的編號可以把上次的答案帶回來繼續。第一次填寫可以跳過，直接往下看就好。Filled this out before? Enter your code to bring back your previous answers. First time here? Skip this and just scroll down. 輸入編號繼續Enter my code

輸入上次的編號（例：A3F7-KM9P），就會把上次的答案帶回來。第一次填寫不用輸入，按「取消」往下看就好。Enter the code you got last time (e.g. A3F7-KM9P) to bring back your answers. First time here? No need — tap “Cancel” and scroll down.

先一起認識它Let's get to know it together

能把病毒穩定控制到現在，其實很不容易，你已經很用心了。醫師提到，你或許可以考慮改用「長效針劑」——每 2 個月回診打一針，不用再天天吃藥。這裡沒有標準答案，也不用急著決定；先花幾分鐘認識它，我們慢慢一起看。Keeping the virus under control this well takes real effort — you've been doing a great job. Your doctor mentioned that you might consider switching to a long-acting injection: one clinic visit for a shot every 2 months, instead of a pill every day. There's no right answer here, and no need to rush. Take a few minutes to learn about it — we'll go through it together, step by step.

若影片無法播放，This video is in Chinese. If it doesn't play, 於 YouTube 開啟 ↗open it on YouTube ↗

你要一起想的是：The question to think about: 繼續每天吃藥，還是改成每 2 個月回診打一針？這兩種都能把病毒控制得很好，沒有哪一個比較「對」——差別只在哪一種更貼近你的生活。最後想怎麼選，你說了算。keep taking a pill every day, or switch to a shot every 2 months? Both control the virus very well. Neither one is the “right” choice — the difference is which one fits your life better. In the end, the choice is yours.

兩種方式，慢慢比較看看Compare the two options at your own pace

點任一個項目，看看它們的差別。沒有哪個比較好，只有哪個比較適合你。Tap any topic to see how they differ. Neither is better overall — it's about which one suits you.

怎麼用藥How it's taken

每日口服Daily pills每天吞一次藥錠One tablet by mouth, once a day
長效針劑Long-acting injection每 2 個月回診打針，臀部左右各一針A clinic visit every 2 months: one shot in each side of the buttocks

對你來說：What it means for you: 一種靠每天的小習慣，一種靠固定回來一趟。One relies on a small daily habit; the other on a regular trip to the clinic.

回診與領藥次數Clinic & pharmacy visits

每日口服Daily pills一年約 4 次回診 + 8 次領藥（依共病調整）About 4 clinic visits + 8 pharmacy pickups a year (may vary with other health conditions)
長效針劑Long-acting injection一年約 6 次回診，不用再另外領藥About 6 clinic visits a year, no separate pharmacy pickups

對你來說：What it means for you: 口服藥若家裡還有庫存，臨時無法回診時比較不會中斷治療。With pills, a supply at home means treatment is less likely to be interrupted if you suddenly can't make a visit.

控制病毒的效果How well it controls the virus

每日口服Daily pills穩定有效Reliably effective
長效針劑Long-acting injection穩定有效（不適用初始治療）Reliably effective (not for people just starting treatment)

對你來說：What it means for you: 兩種把病毒壓住的效果是相當的，這點可以放心。Both are equally good at keeping the virus down — you can feel reassured about that.

不小心錯過時If you miss one

每日口服Daily pills想起來就盡快補吃Take it as soon as you remember
長效針劑Long-acting injection前後有 7 天彈性；真的超過要先吃口服藥銜接7 days of leeway either side of the date; beyond that, pills are used to bridge the gap

對你來說：What it means for you: 口服較有彈性；針劑需要多留意回診時間。Pills are more forgiving; with injections you need to keep a closer eye on visit dates.

最常見的不舒服Most common side effects

每日口服Daily pills口乾、頭暈、噁心、脹氣等，多半會慢慢適應Dry mouth, dizziness, nausea, bloating, etc. — most people get used to it over time
長效針劑Long-acting injection打針處會痠、腫或疼痛，多半 3 天內退，前幾次比較明顯Soreness, swelling or pain where the shot was given, usually gone within 3 days; more noticeable the first few times

對你來說：What it means for you: 兩種都可能有不適，只是形式不一樣。Both can cause some discomfort — just in different ways.

隱私感受Privacy

每日口服Daily pills家裡會放藥，但看診時間可以自己安排Pills are kept at home, but you schedule clinic visits yourself
長效針劑Long-acting injection不用放藥，但要固定請假回診No pills at home, but you need regular time off for clinic visits

對你來說：What it means for you: 兩種都有各自的隱私挑戰——一個怕家人看到藥，一個怕同事問為什麼常請假。Each has its own privacy challenge — with one, family might see the pills; with the other, coworkers might ask why you often take time off.

時間自主性Control over timing

每日口服Daily pills吃藥時間可以自訂，漏藥可以補You choose when to take it; a missed dose can be made up
長效針劑Long-acting injection必須配合院所排程，遲到要重新約Must fit the clinic's schedule; if you're late, you'll need to rebook

對你來說：What it means for you: 想自己掌控時間的人，口服彈性大；想「不用想」的人，針劑反而輕鬆。If you like to control your own time, pills are more flexible; if you'd rather not have to think about it, injections may feel easier.

看診地點Where you get care

每日口服Daily pills指定醫院都可以，搬家、出差都好處理Any designated hospital — easy if you move or travel for work
長效針劑Long-acting injection需確認該指定醫院有無長效針劑，回診地點要固定Check that your designated hospital offers the injection; you'll need to keep going to the same place

對你來說：What it means for you: 生活地點常變動的人，口服比較不受限。If you often move around, pills are less restrictive.

旅行與行程Travel & plans

每日口服Daily pills帶著藥就能走，較自由Just pack your pills and go — more freedom
長效針劑Long-acting injection要配合每 2 個月的回診安排Plans need to fit around a clinic visit every 2 months

對你來說：What it means for you: 常出遠門的話，這點值得一起想想。If you often travel far, this is worth thinking through together.

怕不怕打針Fear of needles

每日口服Daily pills不需面對針No needles
長效針劑Long-acting injection每 2 個月臀部左右各一針One shot in each side of the buttocks every 2 months

對你來說：What it means for you: 對針真的很怕的人，這是真實的考量。If needles really scare you, that's a real thing to consider.

如果之後想停If you want to stop later

每日口服Daily pills藥很快代謝掉，需盡快補藥或與醫療人員討論換藥Leaves the body quickly — restart soon, or talk with your care team about switching
長效針劑Long-acting injection雖成分停留在體內約 12 個月，確認停用會接著吃口服藥Stays in the body for about 12 months; once you stop, you start pills right away

對你來說：What it means for you: 停針劑不能就這樣停，需要醫療團隊幫你安排銜接。You can't simply stop the injection — your care team will help plan the switch back to pills.

想一次看完整對照表See the full comparison table
每日口服Daily pills長效針劑Long-acting injection
怎麼用藥How it's taken
每天吞一次藥錠One tablet by mouth, once a day每 2 個月回診打針，臀部左右各一針A clinic visit every 2 months: one shot in each side of the buttocks
回診與領藥次數Clinic & pharmacy visits
一年約 4 次回診 + 8 次領藥（依共病調整）About 4 clinic visits + 8 pharmacy pickups a year (may vary with other health conditions)一年約 6 次回診，不用再另外領藥About 6 clinic visits a year, no separate pharmacy pickups
控制病毒的效果How well it controls the virus
穩定有效Reliably effective穩定有效（不適用初始治療）Reliably effective (not for people just starting treatment)
不小心錯過時If you miss one
想起來就盡快補吃Take it as soon as you remember前後有 7 天彈性；真的超過要先吃口服藥銜接7 days of leeway either side of the date; beyond that, pills are used to bridge the gap
最常見的不舒服Most common side effects
口乾、頭暈、噁心、脹氣等，多半會慢慢適應Dry mouth, dizziness, nausea, bloating, etc. — most people get used to it over time打針處會痠、腫或疼痛，多半 3 天內退，前幾次比較明顯Soreness, swelling or pain where the shot was given, usually gone within 3 days; more noticeable the first few times
隱私感受Privacy
家裡會放藥，但看診時間可以自己安排Pills are kept at home, but you schedule clinic visits yourself不用放藥，但要固定請假回診No pills at home, but you need regular time off for clinic visits
時間自主性Control over timing
吃藥時間可以自訂，漏藥可以補You choose when to take it; a missed dose can be made up必須配合院所排程，遲到要重新約Must fit the clinic's schedule; if you're late, you'll need to rebook
看診地點Where you get care
指定醫院都可以，搬家、出差都好處理Any designated hospital — easy if you move or travel for work需確認該指定醫院有無長效針劑，回診地點要固定Check that your designated hospital offers the injection; you'll need to keep going to the same place
旅行與行程Travel & plans
帶著藥就能走，較自由Just pack your pills and go — more freedom要配合每 2 個月的回診安排Plans need to fit around a clinic visit every 2 months
怕不怕打針Fear of needles
不需面對針No needles每 2 個月臀部左右各一針One shot in each side of the buttocks every 2 months
如果之後想停If you want to stop later
藥很快代謝掉，需盡快補藥或與醫療人員討論換藥Leaves the body quickly — restart soon, or talk with your care team about switching雖成分停留在體內約 12 個月，確認停用會接著吃口服藥Stays in the body for about 12 months; once you stop, you start pills right away
有哪些藥不能跟它一起用？Which medicines can't be used with it?

下面這些藥可能會跟長效針劑互相影響，需要先評估或避免：抗結核藥（rifampin、rifapentine、rifabutin）、部分抗癲癇藥（carbamazepine、oxcarbazepine、phenobarbital、phenytoin）、全身性類固醇 dexamethasone（單次使用除外），以及聖約翰草。如果你正在用其中任何一種，記得讓醫療團隊知道就好，他們會幫你看。These medicines may interact with the long-acting injection and need to be checked first or avoided: TB medicines (rifampin, rifapentine, rifabutin), some seizure medicines (carbamazepine, oxcarbazepine, phenobarbital, phenytoin), the steroid dexamethasone taken by mouth or injection (a single dose is OK), and St. John's wort. If you're using any of these, just let your care team know — they'll look into it with you.

2 / 6 安心了解Safety

打完針，身體可能會有什麼感覺？How might your body feel after a shot?

打針的地方可能會痠、紅、腫，或摸到一點硬塊。研究中每 2 個月打一次的人，大約 76 / 100 曾遇到。The spot where you got the shot may feel sore, red or swollen, or you may feel a small lump. In studies, about 76 in 100 people getting a shot every 2 months had this at some point.

聽起來好像不少，但別太擔心——幾乎都是輕微的（約 98 / 100），通常 3 天左右就慢慢退了。而且打久了會越來越少：剛開始大約 7 成的人會有感覺，後來降到 2 成左右。That may sound like a lot, but try not to worry — almost all of it is mild (about 98 in 100 cases) and usually fades in about 3 days. It also becomes less common over time: about 7 in 10 people notice it at first, dropping to about 2 in 10 later on.

如果想停，或病毒跑回來呢？What about stopping, or the virus coming back?

因為打針不舒服而決定停下來的人很少，大約 1 / 100。Very few people stop because the shots are uncomfortable — about 1 in 100.

病毒重新出現也很少見，大約 1 / 100；而且大多和換藥前體內就帶有抗藥性有關——所以醫療團隊會先幫你檢查，盡量把風險降到最低。The virus coming back is also rare — about 1 in 100 — and it's mostly linked to drug resistance that was already there before switching. That's why your care team checks first, to keep the risk as low as possible.

你適不適合？醫療團隊會陪你一起看Is it right for you? Your care team will go through it with you

下面這幾件事，醫療團隊會和你一起確認。不是每個人現在都剛好適合，這很正常——就算這次還不適合，繼續吃口服藥一樣能把病毒顧得很好，這一點都不是退而求其次。Your care team will check these points with you. Not everyone is a good fit right now, and that's completely normal — even if it's not right for you this time, daily pills keep the virus under control just as well. That is not a second-best option.

  • 穩定服藥半年以上，病毒量測不到（U=U）On treatment for at least 6 months with an undetectable viral load (U=U)針劑是給「已經控制得很好」的人接手用的，有這個基礎換過去才安全又安心。申請時會看近 6 個月內的抽血報告，確認病毒量 < 50 copies/mL。The injection is meant to take over for people whose virus is already well controlled — that foundation is what makes switching safe. The application checks a blood test from the past 6 months showing a viral load below 50 copies/mL.
  • 目前的藥對你還有效、沒有抗藥性Your current medicine still works for you, with no drug resistance少數換藥後不順利的人，多半是換之前體內就帶有抗藥性，所以會先幫你確認。The few people who run into problems after switching usually had drug resistance beforehand, so this is checked first.
  • 沒有 B 肝、沒有會互相影響的藥、潛伏結核已排除或治療過No hepatitis B, no interacting medicines, and latent TB ruled out or already treated這些可能影響療效或安全，先看過比較放心。These can affect how well or how safely it works, so it's best to check them first.
  • 可以每 2 個月回來打針Able to come back for a shot every 2 months這點最重要——準時回診，針劑才能一直好好保護你。This matters most — coming back on time is what keeps the injection protecting you.
  • 女性目前沒有懷孕，也沒有懷孕計畫For women: not pregnant and not planning a pregnancy
打針是什麼情況？之後要注意什麼？What is the shot like? What should I watch for afterwards?

打針的時候：打在臀部肌肉，左右各一針，打完會請你留下來觀察 10–15 分鐘。目前國內做法是從原本的口服藥直接換成針劑，不需要先吃一段口服導入期，確認條件符合後就可以安排第一次注射。Getting the shot: it goes into the buttock muscle, one on each side, and you'll be asked to stay 10–15 minutes afterwards so staff can check on you. In Taiwan, the current practice is to switch directly from your current pills to the injection — there's no oral lead-in period first. Once you're confirmed eligible, your first injection can be scheduled.

打完之後（這些都很正常）：打針的地方痠、紅、腫或有硬塊都很常見，通常幾天就好；附近肌肉有點痠也別擔心。Afterwards (all normal): soreness, redness, swelling or a lump where the shot was given is common and usually goes away in a few days. Some aching in the nearby muscles is nothing to worry about either.

有幾件事想特別提醒你（都是為了讓針劑一直保護你）：A few important reminders (all to keep the injection protecting you):

  • 每次打針最好在預定日「前後 7 天內」完成。Each shot should be given within 7 days before or after the scheduled date.
  • 如果快趕不上回診（出國、生病、臨時有事都可能發生），早點告訴個管師就好，需要的話會先用口服藥幫你銜接。If you might miss a visit (travel abroad, illness, something unexpected — it happens), just tell your case manager early. If needed, pills can be used to bridge the gap.
  • 如果之後決定不打了，記得馬上接著吃口服藥——針劑成分會在身體裡留存大約 12 個月，中間空著可能讓病毒有機會產生抗藥性。If you later decide to stop the injections, start pills right away — the medicine stays in your body for about 12 months, and a gap without treatment could give the virus a chance to develop drug resistance.

3 / 6 你的狀況Your life

1過去這個月，你大概多常漏吃藥？In the past month, about how often did you miss a dose?

再忙、再規律的人都會有忘記的時候。照實選就好，這裡不會評斷你。Everyone forgets sometimes, however busy or organized they are. Just answer honestly — no one is judging you here.

2通常是什麼原因呢？（可複選）What are the usual reasons? (choose all that apply)

勾選符合你的就好，沒有對錯。Pick whatever applies to you — there are no wrong answers.

3這些感受，你有多常出現？How often do you have these feelings?

這些心情都很真實，也有很多人經歷過。四題都請選一個分數。These feelings are real, and many people have them. Please choose a score for all four.

擔心被家人、同事或伴侶看到我在吃藥I worry that family, coworkers or a partner will see me taking my pills
幾乎不會Almost never很常這樣Very often
要把藥藏起來、找地方放，讓我有壓力Having to hide my pills or find a place to keep them stresses me out
幾乎不會Almost never很常這樣Very often
每天吃藥，常讓我想起自己的狀況Taking pills every day often reminds me of my condition
幾乎不會Almost never很常這樣Very often
擔心自己漏藥、或是不確定自己有沒有吃I worry about missing a dose, or I'm not sure whether I took it
幾乎不會Almost never很常這樣Very often

4每天吃藥，有影響到生活的哪些部分嗎？（可複選）Has taking pills every day affected any part of your life? (choose all that apply)

請勿填寫姓名、電話等個人資料。Please don't include your name, phone number or other personal details.

4 / 6 你的想法Thoughts

5你對長效針劑了解多少呢？How much do you know about the long-acting injection?

幾乎不了解Very little很清楚A lot

6關於長效針劑，有沒有什麼最想問、或最在意的？Is there anything you most want to ask, or worry about, regarding the injection?

請勿填寫姓名、電話等個人資料。Please don't include your name, phone number or other personal details.

5 / 6 你的偏好Values

7這些對你來說，感覺如何？How do you feel about each of these?

沒有標準答案，這只是幫你和醫師更看清楚你心裡的想法。每一題都請選一個分數。There are no right answers — this just helps you and your doctor see what matters to you. Please choose a score for each one.

不必每天記得吃藥Not having to remember a pill every day
不重要Not important非常重要Very important
在意隱私(家裡不放藥、不被看到)Privacy (no pills at home, not being seen taking them)
不在意Doesn't matter非常在意Matters a lot
想擺脫每天服藥的束縛Being free from the daily pill routine
不重要Not important非常重要Very important
願意每 2 個月回診注射Willing to come in for a shot every 2 months
不太願意Not very willing非常願意Very willing
行程／旅行的彈性Flexibility for plans and travel
不重要Not important非常重要Very important
對副作用（打針處痠痛、腫脹、發燒等）的容忍度How well I can handle side effects (soreness or swelling where the shot was given, fever, etc.)
完全不能忍Can't handle it at all完全能接受Totally fine with it
想減少「每天提醒自己生病」的感受Not being reminded of my condition every day
不重要Not important非常重要Very important

從你目前的回答看起來，你的心比較偏向：Based on your answers so far, you're leaning towards:

繼續口服Keep taking pills長效針劑Long-acting injection
偏向長效針劑Leaning towards the injection偏向繼續口服Leaning towards daily pills兩者之間，還沒有很明顯In between — no clear lean yet

這只是反映你現在的想法，不是建議、也不是結論——要不要換，最後由你和醫療團隊一起決定。This only reflects how you feel right now — it's not a recommendation or a conclusion. Whether to switch is up to you and your care team, together.

6 / 6 完成Done

9準備好了嗎？Ready to send?

送出後，你填的內容會給個管師參考，幫忙一起討論。這份小工具不會幫你決定，也不會記下你的姓名或任何身分資料——最後怎麼選，永遠是你和醫療團隊一起決定。Once you send it, your answers go to your case manager to help with your discussion. This tool won't make the decision for you, and it doesn't record your name or anything that identifies you. The final choice is always made by you and your care team together.