Pre-Exposure
Prophylaxis (PrEP)

Pre-Exposure Prophylaxis (PrEP) as a highly effective method to prevent HIV infection. PrEP is a daily medication recommended for individuals at high risk of HIV exposure. By adhering to the prescribed regimen, PrEP can reduce the risk of HIV transmission by up to 99%, providing you with a robust defense against the virus.

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Who Should Consider PrEP?

PrEP is ideal for individuals at high risk of HIV, including:

People with HIV-positive partners, especially when the partner's viral load isn't suppressed.
Individuals with multiple sexual partners or who engage in unprotected sex.
Men who have sex with men (MSM), especially with a history of STIs or inconsistent condom use.
Transgender individuals involved in high-risk sexual activities.
People who inject drugs and share needles or equipment.
Sex workers and their clients, due to increased exposure risks.

PrEP is meant to reduce the risk before exposure and is best suited for those with ongoing high risk. However, if you haven’t started PrEP and have been recently exposed to HIV, consider >Post-Exposure Prophylaxis (PEP). PEP must be taken within 72 hours after potential exposure. Discuss further with our doctor to determine the best course of action.

Get Started with
Pre-Exposure Prophylaxis (PrEP)

Getting started with PrEP is a straightforward process that involves the following steps:

Consultation: Schedule a visit with a healthcare provider to assess your risk for HIV and determine if PrEP is right for you.
Testing: You will need to undergo an HIV test, kidney function test, and other screenings to ensure PrEP is safe for you.
Prescription: If approved, you’ll receive a daily pill to take consistently, usually one containing tenofovir and emtricitabine.
How PrEP Works: PrEP prevents HIV from establishing an infection in your body by maintaining sufficient drug levels to block the virus. It's most effective when taken daily.
Follow-Up: Regular follow-up visits are crucial for monitoring your health, including routine HIV testing, and ensuring PrEP continues to be effective.
Adherence: Taking PrEP daily as prescribed is essential for it to work. Missing doses can reduce its effectiveness, so consider using reminders or incorporating it into your daily routine.
Managing Side Effects: While most people tolerate PrEP well, some may experience mild side effects like nausea or headaches. These typically improve over time. Your provider will monitor you and can adjust your treatment if needed.
Ongoing Evaluation: Regular check-ins will help ensure that PrEP remains the best option for you. Your provider will also address any changes in your health or lifestyle that might affect your PrEP use.

Here’s Some Important FAQ

What is PrEP?

PrEP (Pre-Exposure Prophylaxis) is a preventive medication taken daily to significantly reduce the risk of HIV infection in people who are at high risk. It’s a key component in HIV prevention strategies, particularly for those with ongoing exposure risks.

Who should consider PrEP?

PrEP is recommended for individuals at high risk of HIV, including:

People with HIV-positive partners, especially if the partner’s viral load is not fully suppressed.
Men who have sex with men (MSM) and are sexually active, particularly those with multiple partners or who engage in unprotected sex.
Transgender individuals who engage in high-risk sexual activities.
People who inject drugs and share needles or injection equipment.
Sex workers and their clients, who face increased exposure risks.
Anyone diagnosed with an STI in the past six months.

Can I Take PrEP After Potential HIV Exposure?

PrEP is meant for those at ongoing high risk of HIV, not for immediate use after a potential exposure. If you’ve recently been exposed to HIV, whether during sex or through sharing needles, PrEP isn’t the appropriate option. Instead, you should consider >Post-Exposure Prophylaxis (PEP), which is most effective when started as soon as possible—ideally within 72 hours of potential exposure. It’s important to consult with your doctor immediately to determine if PEP is right for you.

How effective is PrEP?

When taken daily as prescribed, PrEP can reduce the risk of HIV infection by up to 99% through sexual transmission and over 70% for those who inject drugs. Its effectiveness is directly linked to adherence; consistent daily use is crucial.

What are the side effects of PrEP?

Most people tolerate PrEP well, but some may experience mild side effects, including:

Nausea
Headaches
Fatigue
Stomach discomfort

These side effects often subside after the first month. In rare cases, PrEP may affect kidney function, so regular monitoring is essential.

How do I start PrEP?

To start PrEP, follow these steps:

Consultation: Meet with a healthcare provider to discuss your risk factors and determine if PrEP is right for you.
Testing: Before starting PrEP, you’ll need to undergo an HIV test to confirm your negative status, as well as kidney function tests and STI screenings.
Prescription: If you’re a candidate for PrEP, your provider will prescribe a daily pill, and you’ll receive instructions on how to take it consistently.
Education: You’ll receive guidance on maintaining adherence, managing side effects, and incorporating PrEP into your routine.

What if I miss a dose?

If you miss a dose of PrEP, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and take your next pill at the regular time. Don’t double up on doses. Missing occasional doses may slightly reduce effectiveness, but PrEP remains effective if taken consistently overall.

Is PrEP safe for long-term use?

Yes, PrEP is safe for long-term use when monitored by a healthcare provider. Regular check-ups every three months are recommended to monitor kidney function, HIV status, and overall health. Any concerns about long-term side effects, such as kidney issues or bone density changes, will be addressed during these visits.

Does PrEP protect against other STIs?

No, PrEP does not protect against other sexually transmitted infections (STIs) such as gonorrhea, chlamydia, or syphilis. To reduce the risk of STIs, it is recommended to use condoms consistently and get regular >STI screenings.

Do I need regular check-ups while on PrEP?

Yes, regular check-ups every three months are necessary while taking PrEP. These visits include:

HIV Testing: To ensure you remain HIV-negative.
Kidney Function Tests: To monitor for any potential side effects related to kidney health.
STI screenings: To check for other sexually transmitted infections.
Adherence Support: To discuss any challenges with taking PrEP daily and to provide strategies for maintaining adherence.

These check-ups are crucial to ensure that PrEP continues to be effective and that it remains the best option for your HIV prevention strategy. Regular monitoring also helps to manage any side effects or health concerns promptly.