{"id":70064,"date":"2026-05-01T06:08:26","date_gmt":"2026-05-01T06:08:26","guid":{"rendered":"https:\/\/medsbase.com\/prep-starter-pack\/"},"modified":"2026-05-21T05:27:39","modified_gmt":"2026-05-21T05:27:39","slug":"prep-starter-pack","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/prep-starter-pack\/","title":{"rendered":"Pachet de start PrEP \u2014 Tenvir-EM + Doxiciclin\u0103 (Doxy-PEP)"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fffbea;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 22px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:20px;\">R\u0103spuns rapid \u2014 Ce este PrEP Starter Pack?<\/h3>\n<p style=\"margin:0;\">MedsBase PrEP Starter Pack combin\u0103 profilaxia de prim\u0103 linie pentru HIV \u00eenainte de expunere \u2014 <strong>tenofovir disoproxil + emtricitabin\u0103<\/strong> (Tenvir-EM de la Cipla) \u2014 cu <strong>doxiciclin\u0103 100 mg<\/strong> pentru doxy-PEP, strategia de preven\u021bie a ITS-urilor bacteriene aprobat\u0103 de CDC \u0219i ad\u0103ugat\u0103 \u00een 2024. \u00cempreun\u0103 ofer\u0103 protec\u021bie stratificat\u0103 \u00eempotriva HIV, clamidiei, sifilisului \u0219i gonoreei (cu efect redus \u00een cazul gonoreei din cauza rezisten\u021bei). Op\u021biuni de aprovizionare: 1, 3 sau 6 luni. Doar sub supraveghere medical\u0103 \u2014 confirmarea statutului HIV-negativ, func\u021bia renal\u0103 \u0219i serologia HBV sunt necesare \u00eenainte de \u00eencepere.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce con\u021bine PrEP Starter Pack<\/h2>\n<p>Fiecare nivel include cantit\u0103\u021bi corespunz\u0103toare pentru 30\/90\/180 de zile din ambele componente:<\/p>\n<ul>\n<li><strong><a href=\"https:\/\/medsbase.com\/ro\/tenvir-em\/\">Tenvir-EM<\/a><\/strong> (tenofovir disoproxil 300 mg + emtricitabin\u0103 200 mg, Cipla). Comprimat oral luat o dat\u0103 pe zi. Dou\u0103 NRTI-uri care blocheaz\u0103 transcriptaza invers\u0103 a HIV \u00eenainte de integrarea viral\u0103. Studiile iPrEx, Partners PrEP, IPERGAY \u0219i PROUD confirm\u0103 o reducere a riscului relativ de achizi\u021bie a HIV cu 86\u201399% la utilizare consecvent\u0103. Activ \u0219i \u00eempotriva hepatitei B (HBV).<\/li>\n<li><strong><a href=\"https:\/\/medsbase.com\/ro\/doxycycline-capsules\/\">Doxiciclin\u0103 100 mg<\/a><\/strong> (Cipla). Folosit\u0103 aici pentru doxy-PEP: o singur\u0103 doz\u0103 de 200 mg luat\u0103 \u00een 72 de ore dup\u0103 sex f\u0103r\u0103 prezervativ ofer\u0103 o reducere a riscului relativ de 60\u201380% pentru sifilis \u0219i clamidie \u0219i ~55% pentru gonoree (conform ghidurilor CDC 2024, bazate pe studiile DoxyPEP 2022 \u0219i ANRS DoxyVAC 2023).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">De ce s\u0103 combini PrEP pentru HIV cu doxy-PEP?<\/h2>\n<p>PrEP-ul pentru HIV previne HIV dar nu previne ITS-urile bacteriene. Studiile asupra utilizatorilor de PrEP arat\u0103 \u00een mod constant o inciden\u021b\u0103 ridicat\u0103 a clamidiei, gonoreei \u0219i sifilisului \u2014 par\u021bial pentru c\u0103 utilizarea consecvent\u0103 a prezervativului scade odat\u0103 ce anxietatea legat\u0103 de HIV este eliminat\u0103. Doxy-PEP umple acest gol.<\/p>\n<p>Ghidurile clinice CDC din 2024 recomand\u0103 explicit doxy-PEP pentru: b\u0103rba\u021bii care au rela\u021bii sexuale cu b\u0103rba\u021bi (MSM) \u0219i femeile transgender cu una sau mai multe infec\u021bii bacteriene cu transmitere sexual\u0103 (STI) \u00een ultimele 12 luni. Studiul randomizat DoxyPEP din 2022 (Luetkemeyer et al., <em>NEJM<\/em>) a ar\u0103tat o reducere cu 65% a oric\u0103rei STI bacteriene pe trimestru; studiul ANRS DoxyVAC (2023, Fran\u021ba) a replicat efectul asupra clamidiei\/sifilisului. Pachetul combinat ofer\u0103 ambele niveluri de protec\u021bie \u00eentr-o singur\u0103 expediere.<\/p>\n<h2 class=\"wp-block-heading\">Pentru cine este destinat acest pachet<\/h2>\n<p><strong>Candida\u021bi ideali:<\/strong><\/p>\n<ul>\n<li>B\u0103rba\u021bi cisgender MSM \u0219i femei transgender cu risc substan\u021bial de HIV care raporteaz\u0103, de asemenea, rela\u021bii anale\/orale f\u0103r\u0103 prezervativ cu antecedente de STI bacteriene<\/li>\n<li>B\u0103rba\u021bi cisgender \u00een rela\u021bii serodiscordante<\/li>\n<li>Oricine dore\u0219te s\u0103 fac\u0103 testul HIV PrEP \u0219i care ar beneficia, de asemenea, de prevenirea stratificat\u0103 a STI<\/li>\n<\/ul>\n<p><strong>NU este potrivit pentru:<\/strong><\/p>\n<ul>\n<li>Oricine cu HIV actual sau netratat \u2014 Tenvir-EM este profilaxie dual\u0103 cu NRTI, nu terapie antiretroviral\u0103 complet\u0103; utilizarea sa \u00een timpul infec\u021biei cu HIV selecteaz\u0103 rapid rezisten\u021ba M184V \u0219i compromite tratamentul viitor<\/li>\n<li>Oricine cu eGFR &lt; 60 mL\/min \u2014 tenofovir disoproxilul este eliminat renal \u0219i este nefrotoxic la nivelul popula\u021biei<\/li>\n<li>Femei cisgender \u2014 TDF\/FTC a demonstrat eficacitate la femeile cisgender doar cu o adheren\u021b\u0103 foarte ridicat\u0103 (\u22657 doze\/s\u0103pt\u0103m\u00e2n\u0103); TAF\/FTC (Descovy) nu este aprobat pentru femeile cisgender conform CDC 2023<\/li>\n<li>Copii &lt; 35 kg sau mai mici de 12 ani<\/li>\n<li>Femeile \u00eens\u0103rcinate \u00een primul trimestru (doxiciclina este contraindicat\u0103; TDF\/FTC este acceptabil \u00een sarcin\u0103 dac\u0103 riscul de HIV justific\u0103)<\/li>\n<li>Oricine cu hepatit\u0103 B care ar \u00eentrerupe tenofovir f\u0103r\u0103 un \u00eenlocuitor activ pentru HBV (risc de reactivare a HBV)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cum s\u0103 utiliza\u021bi corect pachetul<\/h2>\n<p><strong>Tenvir-EM (HIV PrEP)<\/strong><\/p>\n<ul>\n<li><strong>PrEP zilnic:<\/strong> O tablet\u0103 la aceea\u0219i or\u0103 \u00een fiecare zi. Dureaz\u0103 7 zile pentru a atinge niveluri protective \u00een \u021besutul rectal, 21 de zile \u00een \u021besutul cervicovaginal\/penian.<\/li>\n<li><strong>PrEP la cerere 2-1-1 (doar pentru b\u0103rba\u021bi care au rela\u021bii sexuale cu b\u0103rba\u021bi):<\/strong> 2 tablete cu 2\u201324 de ore \u00eenainte de rela\u021bia sexual\u0103 anticipat\u0103, 1 tablet\u0103 la 24 de ore dup\u0103 prima doz\u0103, 1 tablet\u0103 la 48 de ore dup\u0103 prima doz\u0103. Eficient doar la b\u0103rba\u021bii care au rela\u021bii sexuale cu b\u0103rba\u021bi \u00een cazul rela\u021biilor sexuale anticipate \u0219i planificate.<\/li>\n<li>Lua\u021bi cu alimente pentru a reduce gre\u021burile \u00een primele 1\u20132 s\u0103pt\u0103m\u00e2ni.<\/li>\n<li>Nu \u00eentrerupe\u021bi brusc f\u0103r\u0103 \u00eendrumare specializat\u0103 dac\u0103 ave\u021bi coinfec\u021bie cu HBV.<\/li>\n<\/ul>\n<p><strong>Doxiciclin\u0103 100 mg (doxy-PEP)<\/strong><\/p>\n<ul>\n<li>Doza unic\u0103 de 200 mg (2 capsule) \u00een termen de 24 de ore dup\u0103 rela\u021bia sexual\u0103 f\u0103r\u0103 prezervativ; p\u00e2n\u0103 la 72 de ore dac\u0103 este \u00eent\u00e2rziat\u0103.<\/li>\n<li>Maximum 200 mg pe interval de 24 de ore.<\/li>\n<li>Lua\u021bi cu un pahar plin de ap\u0103; r\u0103m\u00e2ne\u021bi \u00een pozi\u021bie vertical\u0103 timp de 30 de minute (risc de ezofagit\u0103).<\/li>\n<li>Evita\u021bi administrarea \u00een decurs de 2 ore dup\u0103 lactate, antiacide, suplimente de fier sau produse \u00eembog\u0103\u021bite cu calciu (chela\u021bie).<\/li>\n<li>Folosi\u021bi protec\u021bie solar\u0103 \u2014 doxiciclina este fotosensibilizant\u0103.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Program obligatoriu de teste<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:16px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Test<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Frecven\u021b\u0103<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Anticorp\/antigen HIV (genera\u021bia a 4-a)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">La \u00eenceput; la fiecare 3 luni \u00een timpul terapiei PrEP<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;background:#f9f9f9;\">Antigen de suprafa\u021b\u0103 hepatit\u0103 B + anticorp de suprafa\u021b\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;background:#f9f9f9;\">La \u00eenceput; vaccina\u021bi dac\u0103 sunt susceptibili<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Func\u021bia renal\u0103 (creatinin\u0103, eGFR)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">La \u00eenceput; la fiecare 6 luni \u00een timpul terapiei PrEP<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;background:#f9f9f9;\">Serologie sifilis + NAAT clamidie\/gonoree (3 site-uri dac\u0103 este cazul)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;background:#f9f9f9;\">La \u00eenceput; la fiecare 3 luni<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Test de sarcin\u0103 (femei cisgender \/ transmasculine pe TDF)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">La fiecare 3 luni<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Siguran\u021b\u0103 \u00een utilizarea combinat\u0103<\/h2>\n<p>Tenvir-EM \u0219i doxiciclina nu au interac\u021biune farmacocinetic\u0103 semnificativ\u0103 din punct de vedere clinic. Ambele sunt bine tolerate \u00eempreun\u0103. Principalele considera\u021bii pentru utilizarea combinat\u0103 sunt:<\/p>\n<ul>\n<li><strong>Fotosensibilitate<\/strong> efectul doxiciclinei poate fi amplificat la utilizatorii care iau \u0219i SSRI sau diuretice tiazidice.<\/li>\n<li><strong>Antiaci \u0219i fier<\/strong> reduc absorb\u021bia doxiciclinei \u2014 administra\u021bi la interval de \u22652 ore.<\/li>\n<li><strong>Grea\u021b\u0103<\/strong> \u00een prima s\u0103pt\u0103m\u00e2n\u0103 este mai frecvent\u0103 atunci c\u00e2nd ambele medicamente sunt luate \u00eempreun\u0103 pe stomac gol. Lua\u021bi Tenvir-EM la micul dejun \u0219i doxi-PEP cu o mas\u0103 mic\u0103.<\/li>\n<li><strong>Microbiom vaginal\/anal<\/strong> poate suferi modific\u0103ri la administrarea cronic\u0103 de doxiciclin\u0103 \u2014 monitoriza\u021bi apari\u021bia simptomelor de candidoz\u0103 sau vaginoz\u0103 bacterian\u0103.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte secundare<\/h2>\n<p><strong>Tenvir-EM<\/strong> (inciden\u021b\u0103 tipic\u0103 &lt; 10%): grea\u021b\u0103, cefalee, oboseal\u0103 \u00een primele 2 s\u0103pt\u0103m\u00e2ni (\u201csindromul de \u00eenceput\u201d, care de obicei dispare). Rare: mici sc\u0103deri ale densit\u0103\u021bii minerale osoase (DMO se normalizeaz\u0103 dup\u0103 \u00eentrerupere); \u00eencetinirea func\u021biei renale (~1 mL\/min\/an \u00een medie \u2014 relevant pentru utilizarea pe termen lung).<\/p>\n<p><strong>Doxiciclin\u0103<\/strong> (inciden\u021b\u0103 tipic\u0103): fotosensibilitate, tulbur\u0103ri gastrointestinale, ezofagit\u0103 dac\u0103 este luat\u0103 f\u0103r\u0103 ap\u0103\/\u00een pozi\u021bie vertical\u0103, hipersensibilitate rar\u0103. Utilizarea pe termen lung ridic\u0103 preocup\u0103ri privind rezisten\u021ba la tetracicline la nivel de popula\u021bie \u2014 un motiv principal pentru care doxi-PEP este recomandat doar popula\u021biilor cu risc mai mare, nu universal.<\/p>\n<p><strong>Opre\u0219te-te \u0219i caut\u0103 \u00eengrijire medical\u0103<\/strong> pentru: orice semn de seroconversie HIV acut\u0103 (febr\u0103, erup\u021bie cutanat\u0103, limfadenopatie, durere \u00een g\u00e2t la 2\u20134 s\u0103pt\u0103m\u00e2ni dup\u0103 expunerea suspectat\u0103 \u2014 f\u0103 un test HIV imediat \u0219i continu\u0103 PrEP p\u00e2n\u0103 la rezultat); erup\u021bie cutanat\u0103 sever\u0103 (sindromul Stevens-Johnson); dureri abdominale severe; icter; vom\u0103 persistent\u0103 sau diaree.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Acest produs protejeaz\u0103 \u00eempotriva tuturor ITS?<\/h3>\n<p>HIV: da (86\u201399% cu respectarea tratamentului). Sifilis: da (~73% reducere conform studiului DoxyPEP). Clamidia: da (~74% reducere). Gonoree: par\u021bial (~55% reducere cu rezisten\u021b\u0103 crescut\u0103). Mycoplasma genitalium: probabil nu (rate de rezisten\u021b\u0103 &gt; 50% la doxiciclin\u0103). HSV\/HPV\/hepatit\u0103 A\/hepatit\u0103 C: nu protejeaz\u0103 \u2014 vaccineaz\u0103-te \u0219i folose\u0219te prezervative pentru protec\u021bie continu\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua ambele pastile \u00een aceea\u0219i zi?<\/h3>\n<p>Da. Ia Tenvir-EM la ora ta zilnic\u0103 obi\u0219nuit\u0103. Ia doza de doxy-PEP de 200 mg \u00een orice moment \u00een 72 de ore dup\u0103 sex f\u0103r\u0103 prezervativ. Nu interac\u021bioneaz\u0103 semnificativ.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede \u00eencepe s\u0103 ac\u021bioneze PrEP?<\/h3>\n<p>Mucoasa rectal\u0103: 7 zile de administrare zilnic\u0103. Mucoasa cervicovaginal\u0103\/penian\u0103: 21 de zile. Regimul la cerere 2-1-1 asigur\u0103 protec\u021bie la 2 ore dup\u0103 prima doz\u0103 de 2 comprimate (doar pentru b\u0103rba\u021bi care au sex cu b\u0103rba\u021bi).<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 uit s\u0103 iau o doz\u0103 de Tenvir-EM?<\/h3>\n<p>Ia-o imediat ce \u00ee\u021bi aminte\u0219ti, cu excep\u021bia cazului \u00een care urm\u0103toarea doz\u0103 programat\u0103 este \u00een urm\u0103toarele 4 ore. Respectarea zilnic\u0103 a tratamentului peste 4 doze\/s\u0103pt\u0103m\u00e2n\u0103 confer\u0103 protec\u021bie ridicat\u0103 pentru b\u0103rba\u021bii care au sex cu b\u0103rba\u021bi; sub 4 doze\/s\u0103pt\u0103m\u00e2n\u0103, protec\u021bia scade rapid. Femeile cisgender au nevoie de \u22657 doze\/s\u0103pt\u0103m\u00e2n\u0103 pentru o protec\u021bie similar\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool?<\/h3>\n<p>Da \u2014 nici Tenvir-EM, nici doxiciclina nu interac\u021bioneaz\u0103 semnificativ cu alcoolul la consum moderat. Consumul excesiv de alcool este asociat cu nerespectarea tratamentului PrEP \u0219i cu cre\u0219terea frecven\u021bei practic\u0103rii sexului riscant, a\u0219a c\u0103 gestioneaz\u0103 aceast\u0103 problem\u0103 separat.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua acest medicament \u00een sarcin\u0103?<\/h3>\n<p>Tenvir-EM are date bune pentru utilizarea \u00een sarcin\u0103 \u0219i este acceptabil atunci c\u00e2nd riscul de HIV justific\u0103 utilizarea. <strong>Doxiciclina este contraindicat\u0103 \u00een sarcin\u0103 dup\u0103 18 s\u0103pt\u0103m\u00e2ni<\/strong> (efecte asupra din\u021bilor \u0219i oaselor ale fetusului). Opre\u0219te componenta doxy-PEP dac\u0103 r\u0103m\u00e2i \u00eens\u0103rcinat\u0103; continu\u0103 Tenvir-EM dac\u0103 riscul de HIV persist\u0103, sub supraveghere specializat\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 sunt expus la HIV \u00eenainte ca PrEP s\u0103 devin\u0103 complet activ?<\/h3>\n<p>Dac\u0103 ai avut o expunere de risc ridicat \u00een primele 7 zile de la \u00eenceperea PrEP zilnic, contacteaz\u0103 un medic pentru a discuta despre HIV PEP (un regim de 28 de zile cu 3 medicamente, care trebuie \u00eenceput \u00een 72 de ore). Nu te baza pe protec\u021bia par\u021bial\u0103 a PrEP pentru o expunere acut\u0103 de risc ridicat.<\/p>\n<h3 class=\"wp-block-heading\">Cum este expediat pachetul?<\/h3>\n<p>Ambalaj discret simplu, f\u0103r\u0103 denumiri de medicamente pe exterior. Livrare worldwide. The <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> acoper\u0103 o reshipare gratuit\u0103 dac\u0103 coletul t\u0103u nu ajunge \u00een 20 de zile lucr\u0103toare.<\/p>\n<h3 class=\"wp-block-heading\">Pot pl\u0103ti cu criptomoned\u0103?<\/h3>\n<p>Da \u2014 Bitcoin, Ethereum, USDT \u0219i alte criptomonede majore prin Plisio, cu o reducere automat\u0103 de 10% la finalizarea comenzii. Vezi the <a href=\"https:\/\/medsbase.com\/ro\/crypto-payment-guide\/\">Ghid pentru pl\u0103\u021bi crypto<\/a>.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot face testele necesare?<\/h3>\n<p>Majoritatea clinicilor de s\u0103n\u0103tate sexual\u0103, cabinetelor de medicin\u0103 general\u0103 \u0219i numeroase programe comunitare gratuite de testare (de ex. Terrence Higgins Trust \u00een Marea Britanie, Planned Parenthood \u00een SUA, servicii regionale \u00een alte \u021b\u0103ri) ofer\u0103 panoul complet trimestrial de IST \u0219i testarea HIV necesare pentru utilizarea sigur\u0103 a PrEP.<\/p>\n<p><!-- mb-bundle-quantities-v1 --><\/p>\n<h2 class=\"wp-block-heading\" id=\"whats-in-each-tier\">Ce con\u021bine fiecare nivel<\/h2>\n<p>Tenvir-EM se ia o dat\u0103 pe zi pentru PrEP HIV. Doxiciclina 100 mg este inclus\u0103 pentru Doxy-PEP \u2014 dou\u0103 comprimate (200 mg) \u00een 72 de ore dup\u0103 sex f\u0103r\u0103 prezervativ, conform ghidului CDC 2024. Provizia de doxiciclin\u0103 presupune aproximativ 5 evenimente pe lun\u0103; utilizatorii cu activitate mai intens\u0103 ar trebui s\u0103 completeze cu un pachet separat Cendox sau Doxypal.<\/p>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0 18px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px 12px;border:1px solid #ddd;text-align:left;\">Nivel<\/th>\n<th style=\"padding:10px 12px;border:1px solid #ddd;text-align:left;\">Cuprins<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px 12px;border:1px solid #ddd;vertical-align:top;white-space:nowrap;font-weight:600;\">1 Lun\u0103<\/td>\n<td style=\"padding:10px 12px;border:1px solid #ddd;\">\n<ul style=\"margin:6px 0 0 18px;padding:0;\">\n<li>Tenvir-EM (TDF 300 mg + FTC 200 mg) \u2014 30 de comprimate<\/li>\n<li>Doxiciclin\u0103 100 mg \u2014 10 comprimate (\u22485 evenimente doxy-PEP)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px 12px;border:1px solid #ddd;vertical-align:top;white-space:nowrap;font-weight:600;\">3 Luni<\/td>\n<td style=\"padding:10px 12px;border:1px solid #ddd;\">\n<ul style=\"margin:6px 0 0 18px;padding:0;\">\n<li>Tenvir-EM (TDF 300 mg + FTC 200 mg) \u2014 90 de comprimate<\/li>\n<li>Doxiciclin\u0103 100 mg \u2014 30 de comprimate (\u224815 evenimente doxy-PEP)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px 12px;border:1px solid #ddd;vertical-align:top;white-space:nowrap;font-weight:600;\">6 Luni<\/td>\n<td style=\"padding:10px 12px;border:1px solid #ddd;\">\n<ul style=\"margin:6px 0 0 18px;padding:0;\">\n<li>Tenvir-EM (TDF 300 mg + FTC 200 mg) \u2014 180 comprimate<\/li>\n<li>Doxycycline 100 mg \u2014 60 comprimate (\u224830 evenimente doxy-PEP)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><!-- \/mb-bundle-quantities-v1 --><\/p>\n<p class=\"medsbase-link-boost-2026-05-21\" data-marker=\"mb-link-boost-tavin-em\">Numele <a href=\"https:\/\/medsbase.com\/ro\/prep-starter-pack\/\">Pachet de \u00eenceput PrEP<\/a> pachete Tenvir-EM cu doxiciclin\u0103 pentru Doxy-PEP; utilizatorii care prefer\u0103 TDF\/FTC produs de Emcure pot substitui <a href=\"https:\/\/medsbase.com\/ro\/tavin-em\/\">Tavin EM (tenofovir 300 mg + emtricitabin\u0103 200 mg)<\/a> ca tablet\u0103 zilnic\u0103 de PrEP p\u0103str\u00e2nd componenta de doxiciclin\u0103 pentru profilaxia ITS.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2 class=\"wp-block-heading\">De asemenea, \u00een gama noastr\u0103 de S\u0103n\u0103tate Sexual\u0103<\/h2>\n<ul>\n<li><strong>Alternative HIV PrEP TDF\/FTC:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/ricovir-em\/\">Ricovir EM<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/tenof-em\/\">Tenof EM<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/tavin-em\/\">Tavin EM<\/a><\/li>\n<li><strong>HIV PrEP TAF\/FTC (doar pentru MSM \u0219i femei trans):<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/taficita\/\">Taficita<\/a><\/li>\n<li><strong>Pachet ITS:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/std-protection-pack\/\">Pachet Protec\u021bie IST<\/a><\/li>\n<li><strong>Doxycycline singur:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/doxycycline-capsules\/\">Capsule Doxycycline<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/cendox\/\">Cendox<\/a><\/li>\n<li>Vede\u021bi \u00eentreaga <a href=\"https:\/\/medsbase.com\/ro\/sexual-health\/\">S\u0103n\u0103tate sexual\u0103<\/a> categorie<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Informa\u021bii importante de siguran\u021b\u0103<\/h2>\n<p>PrEP pentru HIV necesit\u0103 confirmarea statutului HIV-negativ \u00eenainte de \u00eencepere \u0219i la fiecare 3 luni \u00een timpul terapiei. Serologia hepatitei B \u0219i func\u021bia renal\u0103 (eGFR) trebuie verificate la ini\u021biere. Starter Pack-ul PrEP este un regim supraveghet de specialist, nu un substitut pentru urm\u0103rirea clinic\u0103. Nu \u00eencepe\u021bi dac\u0103 sunte\u021bi HIV-pozitiv \u2014 TDF\/FTC singur selecteaz\u0103 rapid rezisten\u021ba M184V. Nu utiliza\u021bi dac\u0103 eGFR &lt; 60 mL\/min. Doxiciclina este contraindiat\u0103 \u00een sarcin\u0103 dup\u0103 18 s\u0103pt\u0103m\u00e2ni, la copiii sub 8 ani \u0219i la oricine cu hipersensibilitate cunoscut\u0103 la tetracicline. \u00centrerupe\u021bi imediat \u0219i c\u0103uta\u021bi ajutor medical pentru erup\u021bii cutanate severe, icter, semne de seroconversie HIV acut\u0103 (febr\u0103\/erup\u021bie\/limfadenopatie 2\u20134 s\u0103pt\u0103m\u00e2ni post-expunere) sau dureri abdominale severe. Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te consultul cu un clinician calificat.<\/p>","protected":false},"excerpt":{"rendered":"<p>Pachet de start PrEP \u2014 Tenvir-EM (TDF\/FTC) pentru PrEP HIV + doxiciclin\u0103 100 mg pentru Doxy-PEP recomandat de CDC. Protec\u021bie stratificat\u0103 \u00eempotriva HIV (reducere 86\u201399%) + ITS bacteriene (reducere 60\u201380%). Regim supravegheat de specialist.<\/p>","protected":false},"featured_media":70078,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3338,3337],"product_tag":[5833,5906,5907,3225,5815,5908,5354,5909,5910,5834,5911,5912,3340],"class_list":{"0":"post-70064","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-prep-medication-pre-exposure-prophylaxis","7":"product_cat-sexual-health","8":"product_tag-bundle","9":"product_tag-chlamydia-prevention","10":"product_tag-doxy-pep","11":"product_tag-doxycycline","12":"product_tag-hiv-prevention","13":"product_tag-medsbase-pack","14":"product_tag-prep","15":"product_tag-prep-starter-pack","16":"product_tag-sexual-health","17":"product_tag-stack","18":"product_tag-sti-prevention","19":"product_tag-syphilis-prevention","20":"product_tag-tenvir-em","22":"first","23":"instock","24":"shipping-taxable","25":"purchasable","26":"product-type-variable","27":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/70064","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=70064"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/70078"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=70064"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=70064"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=70064"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=70064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}