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Author Topic: PREP on demand: 2 pills or just one after 24h?  (Read 13987 times)

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Offline lingoyop

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PREP on demand: 2 pills or just one after 24h?
« on: September 13, 2022, 07:10:01 pm »
I'm taking PREP on demand as I only have sexual activity once a month (mostly BJ, both receptive and insertive).

I was suppose to meet a guy today but I won't see him until tomorrow.

So I took the 2 pills 7pm today (3 hours before my date), but I'm prob meeting this guy 10pm tomorrow. My question is: should I took 2 pills again when I reach 24h mark tomorrow (and didn't have any sexual activity)? Or just one?

Sorry if my question is on the wrong section (or I should reply in the other thread I made?). I don't fully understand the forum yet.

Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #1 on: September 13, 2022, 07:57:17 pm »
Take a single pill 24 hours after you took the double dose, so that would be 7 pm tomorrow and then continue taking PrEP daily until you have had two sex-free days.

https://i-base.info/guides/prep/real-life-examples-for-on-demand-dosing

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Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #2 on: September 13, 2022, 07:59:04 pm »
Quote
Sorry if my question is on the wrong section (or I should reply in the other thread I made?)

You are in the correct section.

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Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #3 on: September 13, 2022, 08:07:44 pm »
Thank you for the explanation, Jim :)

Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #4 on: September 13, 2022, 08:13:22 pm »
You're welcome.

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Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #5 on: July 01, 2023, 05:08:20 pm »
Ok so I kinda did the same thing again but I did something stupid.

I took 2 pills yesterday around 10 pm, but my date only happened 11 am today. 2 hours before the date I took another pill (cause I decided to bottom - so I don't know, I always get anxious even if it's with a condom), so this make 3 pills in less than 24 hours. :o

But should I take another pill today at 10 pm (and ignore I already took one today) or just around 11 am tomorrow?

Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #6 on: July 01, 2023, 05:23:43 pm »
I'm planning to have sex again today, around 10 pm. I'm almost taking another pill cause it was the time I took the double dose yesterday.

On demand sometimes is so confusing (or I'm just too anxious)...

Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #7 on: July 01, 2023, 05:34:45 pm »
So although not needed you took an additional dose at 9 am today (2 hours before your 11am date) and you are planning another sexual encounter (👍) later today.

Next time stick to the schedule! Anyhow , take the next dose at 9 am tomorrow and take an additional dose 9 am the day after that.
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Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #8 on: July 01, 2023, 05:40:24 pm »

On demand sometimes is so confusing (or I'm just too anxious)...

Between my own meds and my son's I have to arrange 12 dosages of different meds a day. That's not complicated and 2-1-1 prep is simple in comparison.

Next time stick to the schedule, you are overthinking things and taking meds early for no reason.

1) Take your double dose 2 to 24 hours before sex.
2) Take a single dose every day after the initial double dose at the same time of day until you have had two doses after sex.
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Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #9 on: July 01, 2023, 05:42:56 pm »
So although not needed you took an additional dose at 9 am today (2 hours before your 11am date) and you are planning another sexual encounter (👍) later today.

Next time stick to the schedule! Anyhow , take the next dose at 9 am tomorrow and take an additional dose 9 am the day after that.

Yes, I usually don't bottom so I'm always thinking being extra caution is needed. I was supposed to take the 2nd dose today at 10 pm, 24 hours after the double dose yesterday. Even with this overdosing, PreP levels still high and effective?

Anyway, I'll only take another pill 9 am tomorrow.

Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #10 on: July 01, 2023, 05:45:11 pm »
Between my own meds and my son's I have to arrange 12 dosages of different meds a day. That's not complicated and 2-1-1 prep is simple in comparison.

Next time stick to the schedule, you are overthinking things and taking meds early for no reason.

1) Take your double dose 2 to 24 hours before sex.
2) Take a single dose every day after the initial double dose at the same time of day until you have had two doses after sex.

Yes, I'm sticking to this. Sometimes being anxious makes us do things without thinking.

Thank you so so much as always.

Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #11 on: July 01, 2023, 05:49:01 pm »
Quote
Yes, I usually don't bottom so I'm always thinking being extra caution is needed. I was supposed to take the 2nd dose today at 10 pm, 24 hours after the double dose yesterday. Even with this overdosing, PreP levels still high and effective?

The PrEP by following the correct protocol is already the additional caution as you are also using condoms. Taking even more drugs than needed isn't being smart. Anyhow taking too much PrEP doesn't reduce it's effectiveness.

Quote
Anyway, I'll only take another pill 9 am tomorrow.

+ An additional dose at 9 am the day after tomorrow.
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Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #12 on: July 01, 2023, 05:50:53 pm »
Yes, I'm sticking to this. Sometimes being anxious makes us do things without thinking.

Thank you so so much as always.

You're welcome.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
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HIV prevention
Read about PEP and PrEP here
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Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #13 on: October 15, 2024, 03:33:44 pm »
Hi Jim, it's been a while.

I have just one more question.

I always make sex with a condom and 2-1-1 Prep on demand.

But if I'm a top doing without a condom (but with 2-1-1 Prep), how protective would it be? I would be in high risk? I'm asking cause I'm seeing a guy (and I'm sure he is also seeing others too). I know his status but we can't always be 100% safe about something.

Should I take PREP for 7 days before doing anything?
« Last Edit: October 15, 2024, 03:37:58 pm by lingoyop »

Offline lingoyop

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #14 on: October 15, 2024, 03:39:09 pm »
You're welcome.

I was planning to quote you so you can a notification, my bad. But doing it just in case.

Offline Jim Allen

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Re: PREP on demand: 2 pills or just one after 24h?
« Reply #15 on: October 15, 2024, 10:34:15 pm »
Hi Jim, it's been a while.

I have just one more question.

I always make sex with a condom and 2-1-1 Prep on demand.

But if I'm a top doing without a condom (but with 2-1-1 Prep), how protective would it be? I would be in high risk? I'm asking cause I'm seeing a guy (and I'm sure he is also seeing others too). I know his status but we can't always be 100% safe about something.

Should I take PREP for 7 days before doing anything?

Hiya,

As for knowing his status, keep in mind that even if he tests negative on the day, it means nothing for several reasons, including the window period. So you don't know his status.

Anyhow, PrEP on demand is highly effectively at preventing HIV for tops.
https://i-base.info/guides/prep/on-demand
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

My Instagram
Threads

 


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