I missed 4 doses of my atripla(hiv)what are the effects? i've been taking it for 4 years

The : The goal of HIV therapy is to lower the viral counts. The more consistently you take your medication the more you are likely to achieve that goal. If you have resumed taking it and plan to on a regular basis the long term effects are likely to be small to negligible.

Need blood work: If you miss antiretrovirals (atripla) doses, it may cause resistant, that drug may not work. Atripla more prone to get resistant quickly, even if you miss only few doses one should consult his physician quickly for a blood test which can detect the resistant if any.