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Author Topic: UPDATE: Needle found in Sandwich on Delta Results in PEP taken by Passenger  (Read 4923 times)

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Offline Ann

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  • It just is, OK?
    • Num is sum qui mentiar tibi?
I know Truvada is used for PrEP, but is it now standard treatment for PEP?  Everyone I've worked with that has had a needle-stick incident has always been given AZT and two other drugs.

Truvada plus Kaletra once a day has been the standard of care (PEP) in the UK for a few years now. It got changed around the same time as AZT got pulled from the preferred first line treatments for us pozzies. AZT is still listed as a possible alternative, but Truvada plus Kaletra is the recommended, preferred combo.

Here are the British guidelines. (pdf)

I thought the US guidelines had also been changed, but I did some digging and discovered that they're still recommending Combivir (twice a day, containing AZT). I wondered why one of the articles referred to Truvada being prescribed "off label" for PEP. It would seem clinical recommendations need to catch up with clinical practice in the US.

In case you're wondering, sometimes only two NRTIs are prescribed instead of a triple drug, dual-class combo when the risk is perceived to be low.



edited to fix broken linky
« Last Edit: July 19, 2012, 05:03:18 AM by Ann »
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline emeraldize

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http://today.msnbc.msn.com/id/48209579/ns/travel-news/

now there aren't even any names of needle finders mentioned in the story nor Truvada nor HIV -- that's more like it


Offline Rhaegar

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In case you're wondering, sometimes only two NRTIs are prescribed instead of a triple drug, dual-class combo when the risk is perceived to be low.

This makes sense.  Thanks for the info, Ann.  I may not always post/comment here, but I always enjoy reading your posts.

-Kevin
05/19/2011: Diagnosed.  CD4 159   VL 284,000.
04/29/2013:  CD4 789,   VL <20

Offline Ann

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    • Num is sum qui mentiar tibi?
This makes sense.  Thanks for the info, Ann.  I may not always post/comment here, but I always enjoy reading your posts.

-Kevin

You're welcome (and sorry to hear about your sore butt). :)
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

 


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