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Author Topic: nPEP question  (Read 221 times)

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Offline jtlister91@gmail.com

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nPEP question
« on: June 05, 2014, 12:24:51 PM »
Hi, I'm currently about halfway through a course of PEP.

I was having receptive anal sex with a guy tonight, and I'm pretty sure he took the condom off on purpose while we were doing it (I noticed when we were changing positions that there was no condom on, and he just said 'oh it must have fallen off', and then I found it on the other side of the room). I got kinda pissed off and told him to leave. Then I noticed he'd blocked me on grindr (which is how we arranged to meet). When I was cleaning up I noticed a few specks of blood on the toilet paper which is quite worrying as well.

Anyway, so not it seems like I've had another possible exposure. Should I go back to the doctor and ask for more PEP, so that it lasts 28 days from this exposure? I don't know about his status or anything. I asked him before he came over if he gets STI checks regularly and he said yes and everything was clear, but obviously I don't know for sure.

I'm currently on Truvada, but I've heard that there is a stronger drug that gets prescribed if the risk is particularly high (e.g. bleeding). Is it worth asking about this?

Kinda freaking out about this, so some good advice would be helpful.
Thanks



Online Jeff G

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Re: nPEP question
« Reply #1 on: June 05, 2014, 01:22:57 PM »
Truvada is an effective medication to prevent HIV if enough time has passed to let the medication build up in your system, generally speaking about 2 weeks . Truvada taken as a prophylaxis regimen has been shown to cut the risk of acquiring HIV by as much as 99% .

Truvada is a combination drug consisting of emtricitabine and tenofovir and is the correct drug for HIV prophylaxis . You will need to talk to your doctor and see what they recommend as you would need a script to continue on past 28 days if needed . I would see no need to add more drugs to the mix as what you are already taking is adequate . You will need to see a doctor now any way so you can be screened for any STD's at the appropriate time that you may have been exposed too .

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Offline Ann

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Re: nPEP question
« Reply #2 on: June 06, 2014, 02:51:26 AM »
Lister,

I suggest you talk to your doctor about continuing Truvada after your 28 days taking it as PEP - and start taking it as PrEP. This means continuing to take it every day as a preventative, sorta like "The Pill", but to prevent hiv rather than pregnancy.

You really do not need to do anything more about this second possible exposure. You wouldn't need to extend PEP because of it either - but as I said, you might want to continue taking it as PrEP (that's pre-exposure prophylaxis as opposed to post-exposure prophylaxis). The Truvada you're currently taking will have already acted as PrEP for your second situation.

You can always discontinue taking Truvada-as-PrEP any time you want, for example, if you find yourself in a securely monogamous relationship where you've both tested negative.

There is currently a lot of debate going on regarding Truvada-as-PrEP, so if you google it you'll find plenty of information. It's another weapon in our hiv prevention arsenal that is meant to supplement - not replace - condom use.

As you've found out, some guys are jerks who hate condoms to the point of surreptitiously removing them, sometimes they break and sometimes they get forgotten in the heat of the moment. Truvada-as-PrEP guards against these types of things resulting in infection - and it means you don't have to rush around trying to arrange PEP in a timely fashion.

Ann
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