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Author Topic: Conclusividad de analisis PEP  (Read 1040 times)

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Offline asrer997

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Conclusividad de analisis PEP
« on: September 26, 2021, 03:38:17 pm »
Hello all and jim, i had a very bad encounter with a TS escort, I was very drunk i ended up bottoming for the first time somehow this ts convinced me, im an idiot i know it, but thing is that while i was bottoming(first time i did this) after 15-20 min I noticed she took out the condom, then i freaked out she claims there was no ejaculation but I dont believe a single thing coming from that person, i couldnt notice it since there was lube and stuff and i was hella drunk then i went to clean that zone afterwards. I asked this ts in case she had any disease, she said im alright and stuff, yet again i dont believe a single thing. I kept asking this ts about her state thru phone, but didnt respond, she confirmed the hiv+ status after i threatened with calling the police multiple times, she also said she was under treatment but ran out of pills 8-9 days ago or so ( again i dont believe a single thing from this person )

I had no idea about PEP, went to my medic (not ER) and he had no idea about it and told me to wait for 3 months to get tested i was terrified and desperate, till i found about PEP in google, then went directly to the biggest hospital in the region, they gave me PEP (truvada + issentress 600mg) i took it 24-25 hours after exposure (24.5 approx) and here comes the problem, the knowledge of this treatment outside specialists is limited in my country and the ER doctor who was not an infectologist, provided me truvada and issentress 600mg, and also gave me two pages of instructions regarding these meds, well it was right on truvada's case
but the issentress information document was outdated and about issentress 400mg which is taken daily but two pills each 12 hours, while issentress 600mg is taken daily but two pills once a day (24 hours), i have been taken it like the ER doc told me during 3 days till i had my appointment with the specialist (infectologist). I was worried thinking i didnt do it correctly when she told me to switch to two pills once a day better, i asked the specialist about it and told me i shouldnt worry since i took it every 24 hours either way but to take it once daily instead of twice daily for now.
I know its bad to doubt on your own doc since they are supposed to be there to help you, I also asked it to the pharmacologist that provided me the full 28 days course of PEP, and she told me the same thing, however i was still not sure and might be due to my anxiety, stress and paranoia but I called the labs where these drugs are being made. They told me the recommended dosage is two pills once a day for issentress 600mg but that the last words should be on my doctor and i should follow my doctor advise, since i was desperate while talking to the lab pharmacist told me one is supposed to trust their doctor or if you dont, to go and  find another infectologist.

So I went to meet the chief or "boss" doc(specialist) of the infectious diseases section, it took me a while till she could attend me, I explained the case to her and she told me that i have been doing well, taking the drugs at the same time everyday and that issentress 600mg is an improved version of the 400mg variant with better bio activity and stuff, and that its mean to be taken once daily the two pills but that even if i did take it like issentress 400mg during 3 days(one pill each 12 hours ), the drugs are still there in my body doing their job but to take it once a day from now on. She also told me that issentress 600mg was introduced as once daily dosage mainly to improve adherence since its easier to take it once daily than twice daily to those that already live with HIV+ and to make their lives easier but that my adherece to treatment has been good overall (currently on 9th day of PEP). After this I also went to meet the chief or boss of the hospital's pharmacy area and he told me a similar thing and that I have nothing to worry about. Even tho all these ppl who have studied for years on their own field and have dealt with many ppl with similar problems I cant stop thinking I didnt do the treatment well enough and im fearing it might fail due to that. Im so messed up right now and full of paranoia that i even thought, they might be doing this in order to cover the ER's doctor mistake and to cover themselves in case the treatment fails, few of my friends and some of my family told me that has no logic and that i should chill out and to be positive and to trust on them docs, but its really hard for me as i feel highly betrayed and I think everyone is lying to me. I know PEP is highly effective although not 100% but I wanted to share it here, and see if i have hope left to avoid HIV. And yes i know im an idiot for doing what i did while being drunk and i regret for it, but all i need is hope because this is really killing me.
« Last Edit: September 26, 2021, 03:43:25 pm by asrer997 »

Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #1 on: September 26, 2021, 03:52:46 pm »
Quote
she confirmed the hiv+ status after i threatened with calling the police multiple times

You are a paranoid asshole. You know that right?
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Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #2 on: September 26, 2021, 03:54:50 pm »
Quote
I was very drunk i ended up bottoming for the first time somehow this ts convinced me, im an idiot i know it, but thing is that while i was bottoming(first time i did this) after 15-20 min I noticed she took out the condom, then i freaked out she claims there was no ejaculation but I dont believe a single thing coming from that person

I've read this three times. I still don't understand what the events were.

Did you have condomless intercourse??
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Offline asrer997

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Re: Conclusividad de analisis PEP
« Reply #3 on: September 26, 2021, 03:57:15 pm »
I've read this three times. I still don't understand what the events were.

Did you have condomless intercourse??

Yes I did jim and i know im an asshole but i just want help please. Sorry for my english though, it isnt my mother tongue.
« Last Edit: September 26, 2021, 03:59:59 pm by asrer997 »

Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #4 on: September 26, 2021, 04:34:27 pm »
Well since we have that out of the way.

One of the standard options for PEP is, Truvada, i.e the blue tablet you take once daily, plus Isentress 400mg 1 (usually) a pink tablet twice daily, a total of 3 tablets/day.

Taking the 600mg for the first few days isn't an issue. I agree with your ID doctor, it's not a concern.

Test at 6 weeks after finishing the PEP course with a blood-drawn (lab) HIV antibodies test to know your HIV status. A negative (non-reactive) result at that time would rarely ever change. If you wish, you can repeat this test at 3 months post finishing the PEP for a definite result, although it's generally not needed.

Quote
Im so messed up right now and full of paranoia that i even thought, they might be doing this in order to cover the ER's doctor mistake and to cover themselves in case the treatment fails, few of my friends and some of my family told me that has no logic and that i should chill out and to be positive and to trust on them docs, but its really hard for me as i feel highly betrayed and I think everyone is lying to me. I know PEP is highly effective although not 100% but I wanted to share it here, and see if i have hope left to avoid HIV. And yes i know im an idiot for doing what i did while being drunk and i regret for it, but all i need is hope because this is really killing me.

PEP is highly effective and if this was your only exposure I fully expect a negative result when you test, do take the PEP and test as mentioned above to confirm your HIV status.

You are not an idiot, you made a mistake perhaps. Look billions of sexual encounters will happen within the next few hours, and even as I type this millions of those encounters are without protection, very few will acquire HIV though. Condomless intercourse happens, be it people within a relationship or otherwise, without condomless sex, the human race would die out.

My point is don't be hard on yourself, equally if you end up living with HIV it's not the doctor's fault though, or the person you had sex with either.  You made your own choices, I know that sounds harsh.

Learn from this, stop pestering or threatening others about their status. Instead, presume whoever you are with is living with HIV without access to treatment and protect yourself. (reduce your risks)

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your healthcare provider about PrEP in the future as an additional layer of HIV protection

Keep in mind that some sexual practices described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and, the only way of knowing is by testing.

Kind regards

Jim

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« Last Edit: September 26, 2021, 04:41:08 pm by Jim Allen »
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Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #5 on: September 26, 2021, 04:45:30 pm »
P.S

Look so we are clear, I hope you are okay and test negative for HIV. However, I don't regret calling you an asshole. That said, should you ever acquire HIV, I will be the first one to support you and i'll be here for you should you need support.
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Offline asrer997

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Re: Conclusividad de analisis PEP
« Reply #6 on: September 26, 2021, 04:51:56 pm »
Well since we have that out of the way.

One of the standard options for PEP is, Truvada, i.e the blue tablet you take once daily, plus Isentress 400mg 1 (usually) a pink tablet twice daily, a total of 3 tablets/day.

Taking the 600mg for the first few days isn't an issue. I agree with your ID doctor, it's not a concern.



Yes jim and thanks really, thing is that i took the Isentress 600mg twice daily during 3 days while its meant to be taken once daily, because i was given isentress 400mg document instructions by the ER doctor, but once i visited the specialist ( infectologist ) told me to take the Isentress 600mg ( 2 pills as well) but once daily, i took the 600mg isentress twice daily ( each 12 hours just like 400mg) I was worried as it could affect treatment adherence but, two pharmacists and two docs ( infectologists) told me its not a concern since isentress 600mg once daily ( two pills as well like 400mg)was introduced because its easier to take once daily than twice daily plus this may improve adherence for those that already live with HIV, in order to make their lives more comfortable. But i didnt switch to 400mg, i have been taking the 600mg isentress from the very first day its just that i took it as if it was the 400mg ( twice daily each 12 hours), sorry if i sound crazy or too paranoid but i want to make sure the treatment has been working since i first took the first pills.

Sorry for bothering you again.

Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #7 on: September 26, 2021, 05:16:48 pm »
I'm not seeing an issue.

You're focusing on dosage differences that you don't understand and don't need to understand, and it's been explained by a number of qualified doctors, I don't have anything to add.

Anyhow in your situation, it didn't make any difference, that is the bottom line. So stop stressing about it,  but start taking the meds as directed and test as recommended.
« Last Edit: September 27, 2021, 04:27:46 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline asrer997

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Re: Conclusividad de analisis PEP
« Reply #8 on: November 22, 2021, 04:17:09 am »
Hola, tengo que poner este topic en la seccion de español porque en la de "Do I Have HIV" no me permite hacerlo aunque me gustaria haberlo podido escribirlo en la seccion de ingles.

Hace un poco mas de dos meses tuve una exposicion de alto riesgo con alguien que resulto ser HIV+ y ya hice un topic al respecto: https://forums.poz.com/index.php?topic=75616.0
« Last Edit: November 23, 2021, 06:54:00 am by Jim Allen »

Offline Jim Allen

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Re: Conclusividad de analisis PEP
« Reply #9 on: November 23, 2021, 06:57:57 am »
Hiya,

I have merged your posts. The reason you can't continue to post is that you have used up your three free posts.

https://forums.poz.com/index.php?topic=220.0

https://forums.poz.com/index.php?topic=45006.0

Anyhow, please don't post outside of this thread again, and as for your question about testing, I have already given you the testing guidelines to follow.

Jim
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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