CDC Content Warning

This website and accompanying blogs may contain content only suitable for adults.

Since HIV infection is spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics. HIV prevention materials funded by CDC must be approved by local program review panels. However, some viewers may consider the materials controversial.

OK

Tag: pre exposure prophylaxis

4
Aug

What’s The First Thing I Need To Know Before Starting PrEP?

You should know your status!

Before starting PrEP

You must be HIV-1 negative and stay HIV-1 negative before starting a PrEP. That is why you must:

  • Get tested to be sure you are HIV-1 negative. It is important that you also get tested at least every 3 months as recommended by your healthcare provider while on PrEP.
  • Not be on PrEP to reduce the risk of getting HIV unless you are confirmed to be HIV-1 negative.
  • Have no symptoms like feeling weak or tired, fever, sweating a lot (especially at night), rash, vomiting, diarrhea, joint or muscle aches, headache, sore throat, or enlarged lymph nodes in your neck or groin.
  • Be prepared to commit to adopting safer sex practices, such as correct use of condoms, limiting your sexual partners, knowing the HIV status of your sexual partners, and regular testing for HIV-1 (at least every 3 months) and other sexually transmitted infections, such as syphilis and gonorrhea.
  • make sure you understand the risks and benefits of taking a PrEP indication, such as Truvada, and you have spoken with your healthcare provider about questions and concerns.

Related posts: (Re) Introducing PrEP

Source: Important Safety Information About TRUVADA for a Pre-exposure Prophylaxis (PrEP) Indication For Uninfected Individuals (Gilead Health Sciences, Inc.)
28
Jul

(Re) Introducing PrEP

By now, you should have heard of PrEP (Pre Exposure Prophylaxis). It’s the drug that significantly reduces someone’s risk of HIV. But like most people, you probably have a lot of questions about it.

 

Back when we had the “Ask Our Experts” section, Dr. Joe responded to a general inquiry about the drug. See “Ask Our Expert: A Pill To Prevent Getting HIV?” At the time, there were still a lot of debate surrounding it, some ethical, some practical. There are more information about the drug available today.

 

A few weeks ago,  the Food and Drug Administration (FDA) has approved a drug treatment that will help in the preventing HIV infection in uninfected people. We recently spoke to a representative from Gilead Science Inc., maker of Truvada, to fill us in on what we need to know about PrEP, including how effective it is and how it should be used.

 

Who should be on PrEP?

Truvada, which is the name of the drug, is approved for healthy, uninfected people who are at high risk of contracting HIV through sex. These include sex workers and people with partners who are HIV-positive or engage in high-risk behaviors. What are high risk-behaviors?

 

 

HIV-Risk-Spectrum-Infographics

See if PrEP is right for you! Take the PrEP Quiz here!

 

How effective is the drug in preventing HIV?

In one study, healthy gay and bisexual men who took Truvada daily and were counseled about safe sex practices lowered their risk of becoming infected by up to 42%. In another study involving heterosexual couples in which one partner was HIV-positive, the uninfected partner had a 75% lower risk of contracting HIV if they took Truvada.

 

Does Truvada cure AIDS?


No. The drug can treat people who are infected with HIV by lowering the amount of virus in their bodies and slowing down the progression of the disease. In healthy, uninfected people, the drug can thwart HIV’s ability to take hold in healthy cells and start an infection, by blocking the activity of an enzyme that the virus needs to replicate.

 

Here’s how I see it: Much like your car has seat belts, air bags, anti-lock breaks, etc.- that all together reduces your fatality risk from car accidents. PrEP is an additional tool, along with routine testing, using condoms, conversations with your partner(s) etc., in preventing HIV infection. 

 

 

More Questions?

PrEP Questions

We are working on putting together a guide to PrEP, similar to our Gay Man’s Guide To HIV & STD Testing.  Be sure to check back within the next few weeks.

 

In the meantime, if you have any questions about PrEP, including referrals to providers and drug assistance programs, feel free to contact us, or ask about it during your routine HIV & STD screening.

 

Schedule your appointment online. Use our test scheduler on our website. 

 

31
Aug

A Pill To Prevent Getting HIV?

I’ve heard about a pill you can take to keep from getting HIV. How do I get a prescription like that?

Good, you heard about TRUVADA, the pill recently recommended for daily use to prevent HIV infection. This pill is a combination of the two HIV drugs emtricitabine and tenofovir and the FDA (Food and Drug Administration) is now considering its final approval for prevention of HIV in those at high risk for getting HIV. Two recent studies showed the risk of getting HIV was cut 42% in healthy gay and bisexual men who also had counseling and used condoms and another study showed that the rate of HIV in heterosexual couples where one was HIV positive was cut by 75%. These studies showed that DAILY use of the drug was very important as those taking the drug less regularly had higher rates of infection.

So is it as simple as taking a pill a day? Not really.

There has been a lot of debate, like will it actually increase the rates of HIV because people may take more risks? Who’s going to pay for it? Will money spent on this take money away from treating those with HIV? How do we get people to take it daily? How do we convince people to keep using condoms? What about women who don’t seem to have as good a response to this medicine? What about side effects from the medication and drug interactions?

In spite of all the controversy, TRUVADA is a new and possibly very important tool to fight HIV, which can be added onto what you are already doing (condoms, safer sex activities), but remember it does NOT prevent HIV 100% of the time, it can be very expensive ($900.00 a month), may not be covered by insurance and needs to be taken daily.

If you are at risk for getting HIV, it is important for you to talk this over with your doctor or other health care provider, as only the two of you can decide if this is the right thing for you. Do it soon!