Exposure incident

[anonimity]

Hello. Two days ago, I had unprotected vag intercourse with a csw(stupid, stupid mistake I WILL NEVER REPEAT SO GOD HELP ME.) I went to the ER and received PEP(Truvada/Isentress) after testing negative on an oraquick around 38-39hrs. What are my odds statistically speaking of coming out of this negative? Statistically speaking, did I receive PEP in time to have good odds and how effective is it? Any suggestions on what to do in the meantime to calm my nerves and anxiety? Also, what are the realistic odds that I may develop any serious lingering side effects from this medication? I have an apt with an ID specialist tomorrow. Does it make any sense to take a test before I finish my PEP, like at the 2 week mark, even if it is just to ease my mind? Sorry, for all these questions. I know there are answers out there, just trying to get multiple opinions even if it just helps to ease my mind so I can get through the next 26days with my mind intact. Thank you in advance for any replies.

[Jeff G]

PEP is very effective if taken with 72 hours after an exposure so you should fully expect a negative result. We cant give odds on transmission for an individual but I will say I have not personally seen PEP fail. You will not have any lasting side effects from a month of meds.

You need to work with your doctor and testing team and let them guide you on the timing and window periods for the test they use. I will give you the testing and window periods and information on PEP. You can read about PEP here …

http://www.aidsmeds.com/articles/Transmission_17146.shtml

You did have a risk for HIV and will need to test, you can do so at 6 weeks past any possible exposure and again at 13 weeks to confirm the results. You can read about testing here...

http://www.aidsmeds.com/articles/HIVtests_5029.shtml
 
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!

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[anonimity]

I am a few days into my pep regimen. Is it okay to smoke marijuana? I'm worried if this will interfere with the medication.

[Wade]

Hi , We do risk assessments ...I can not tell you what will interfere
with your meds, Sorry. 

Best, Wade

[Jeff G]

Smoking will not affect you result, so enjoy .

[anonimity]

I should have realized this sooner but it turns out the hospital pharmacy gave me one pill short of isentress and one extra of truvada. I took all the pills as instructed didnt miss a single dose and today was my last day. Is it worth it to go back to the pharmacy just to get that last pill of isentress? Would it make a difference?

[Jeff G]

The truvada alone would be an effective PEP regimen so you are doing fine … being short one pill will not make a difference. If you were given 30 days of Just truvada it would have probably been more than enough. You are good to go.