Before initiating therapy in any patient, the following evaluation should be performed:
Conducting laboratory tests including: complete blood count, chemistry profile (serum transaminases, creatinine and lipid profile), (CD4 + T-lymphocyte count where available) to establish baseline parameters for later monitoring
Performing a chest X-ray, hepatitis C serology, ophthalmologic examination, etc.
Educating the patient, as well as family members if the patient wishes, on HIV/AIDS, the need for adhering to the agreed treatment plan, and the importance of attending follow up visits and family needed support to the patient.
Where possible, measurement of Viral load
General orientation of the patient and family members should be done, including:
Who and where to call for refills
Who and where to call for clinical problems
Who and where to call for social, spiritual and legal problems which might interfere with adherence to treatment.