{"id":66149,"date":"2025-03-11T06:15:29","date_gmt":"2025-03-11T06:15:29","guid":{"rendered":"https:\/\/medsbase.com\/?post_type=product&#038;p=66149"},"modified":"2026-05-01T06:37:00","modified_gmt":"2026-05-01T06:37:00","slug":"std-protection-pack","status":"publish","type":"product","link":"https:\/\/medsbase.com\/sv\/product\/std-protection-pack\/","title":{"rendered":"STD-skyddspaket"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is the STD Protection Pack?<\/h3>\n<p style=\"margin:0;\">The <strong>STD-skyddspaket<\/strong> bundles three prescription medications used together for sexual-health prevention and treatment: <strong>TDF\/FTC 30 tablets<\/strong> (HIV pre-exposure prophylaxis), <strong>doxycycline 100 mg 60 capsules<\/strong> (bacterial-STI post-exposure prophylaxis and chlamydia\/syphilis treatment), and <strong>azithromycin 250 mg 18 tablets<\/strong> (gonorrhoea or chlamydia treatment course). This is a <strong>prescription stack<\/strong> requiring baseline HIV testing, clinician oversight, and quarterly STI screening.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase?<\/strong> H\u00e4rstammar fr\u00e5n en WHO-GMP-certifierad tillverkare \u00b7 Diskret f\u00f6rpackning \u00b7 V\u00e4rldsvid leverans \u00b7 <a href=\"\/sv\/reviews\/\" rel=\"noopener\">1 400+ verifierade kundrecensioner<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Varje best\u00e4llning omfattas av v\u00e5r <a href=\"https:\/\/medsbase.com\/sv\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 om din f\u00f6rs\u00e4ndelse inte anl\u00e4nder inom 20 arbetsdagar, skickar vi om den.<\/p>\n<h3>Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase<\/h3>\n<p>Att best\u00e4lla fr\u00e5n MedsBase ger dig produkter fr\u00e5n en WHO-GMP-certifierad tillverkare, diskret f\u00f6rpackning i vanliga kuvert, v\u00e4rldsomsp\u00e4nnande leverans och 4.9\u2605 betyg fr\u00e5n \u00f6ver 1 400 verifierade kunder. Kortbetalningar hanteras via en reglerad krypto-p\u00e5fart \u2014 kontoutdraget kommer att visa processorns namn (en reglerad kortbetalningsprocessor), aldrig \u201cMedsBase\u201d eller n\u00e5got l\u00e4kemedelsnamn. Varje f\u00f6rs\u00e4ndelse t\u00e4cks av v\u00e5r <a href=\"\/sv\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Reshipment Assurance Policy<\/a>.<\/p>\n<p><strong>STD-skyddspaket<\/strong> is a curated 3-medication bundle designed around a modern sexual-health strategy: <strong>continuous HIV prophylaxis<\/strong> (via daily TDF\/FTC) combined with <strong>bacterial-STI prevention and treatment<\/strong> (via doxycycline) and a <strong>course of azithromycin<\/strong> for specific bacterial infections when indicated. It is targeted primarily at sexually active men who have sex with men (MSM), transgender women, and others at substantial STI risk who want one prescription bundle covering the most common sexual-transmission pathogens.<\/p>\n<p><strong>This bundle requires careful clinical oversight.<\/strong> It is not a single product with one indication &mdash; it is a clinical stack. Each component has its own dosing, its own monitoring requirements, and its own contraindications. Please read the individual sections below before using.<\/p>\n<h2 class=\"wp-block-heading\">What Is in the Pack?<\/h2>\n<table>\n<thead>\n<tr>\n<th>Component<\/th>\n<th>Kvantitet<\/th>\n<th>Purpose<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg (TDF\/FTC)<\/strong><\/td>\n<td>30 tablets (1 month daily dosing)<\/td>\n<td>HIV pre-exposure prophylaxis (PrEP) &mdash; daily HIV prevention<\/td>\n<\/tr>\n<tr>\n<td><strong>Doxycycline 100 mg<\/strong><\/td>\n<td>60 capsules<\/td>\n<td>Treatment of chlamydia, syphilis, and some gonorrhoea cases. Also used as <strong>DoxyPEP<\/strong> &mdash; post-exposure prophylaxis for bacterial STIs, CDC-recommended for MSM and transgender women (2024 guidelines)<\/td>\n<\/tr>\n<tr>\n<td><strong>Azithromycin 250 mg<\/strong><\/td>\n<td>18 tablets<\/td>\n<td>Treatment course for gonorrhoea (with ceftriaxone) or alternative for chlamydia where doxycycline is contraindicated. <strong>Not recommended as PEP<\/strong> due to rising macrolide resistance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Component 1 &mdash; TDF\/FTC for HIV Prevention (PrEP)<\/h2>\n<p>The TDF\/FTC tablets in this pack are used for <strong>daglig HIV-preexpositionsprofylax (PrEP)<\/strong>. When taken consistently, daily TDF\/FTC reduces HIV-1 infection risk by over 99% (iPrEx, PROUD, Partners PrEP). The component here is identical to <a href=\"\/sv\/tenvir-em\/\" rel=\"noopener\">Tenvir EM<\/a>.<\/p>\n<p><strong>Mandatory baseline tests before starting PrEP:<\/strong><\/p>\n<ul>\n<li><strong>HIV test<\/strong> &mdash; must be confirmed negative (otherwise TDF\/FTC is sub-therapeutic for active HIV and selects for resistance)<\/li>\n<li><strong>Hepatitis B (HBsAg)<\/strong> &mdash; TDF treats HBV; stopping in HBV-positive patients can trigger hepatitis flare<\/li>\n<li><strong>Renal function (eGFR)<\/strong> &mdash; TDF is renally cleared; eGFR &lt;60 mL\/min is a contraindication to TDF-based PrEP<\/li>\n<li><strong>Baseline STI screen<\/strong><\/li>\n<\/ul>\n<p><strong>Ongoing monitoring:<\/strong> HIV test every 3 months, renal function every 6 months, STI screen every 3 months.<\/p>\n<p>For the full PrEP protocol, dosing options (daily vs on-demand 2-1-1), side effects, contraindications, and discontinuation guidance, see the <a href=\"\/sv\/tenvir-em\/\" rel=\"noopener\">omfattande Tenvir EM-sida<\/a>.<\/p>\n<h2 class=\"wp-block-heading\">Component 2 &mdash; Doxycycline 100 mg<\/h2>\n<p>Doxycycline serves two roles in this pack:<\/p>\n<h3 class=\"wp-block-heading\">Role A &mdash; Treatment of bacterial STIs<\/h3>\n<ul>\n<li><strong>Chlamydia trachomatis:<\/strong> 100 mg twice daily for 7 days. CDC 2021 first-line (replaced azithromycin as first-line due to efficacy and reduced Mycoplasma genitalium selection pressure)<\/li>\n<li><strong>Syphilis (early\/secondary):<\/strong> 100 mg twice daily for 14 days if penicillin is contraindicated<\/li>\n<li><strong>Non-gonococcal urethritis:<\/strong> 100 mg twice daily for 7 days<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Role B &mdash; DoxyPEP (post-exposure prophylaxis for bacterial STIs)<\/h3>\n<p><strong>DoxyPEP<\/strong> is the use of a single 200 mg dose of doxycycline within 72 hours of a high-risk sexual exposure to prevent bacterial STIs. Evidence from the San Francisco DoxyPEP trial (2022) and Molina et al. (2018) showed approximately <strong>65% reduction in chlamydia, syphilis, and gonorrhoea<\/strong> incidence in MSM and transgender women taking DoxyPEP. The CDC formally endorsed DoxyPEP for MSM and transgender women in 2024.<\/p>\n<p><strong>DoxyPEP dosing:<\/strong> 200 mg orally as a single dose within 72 hours (ideally within 24 hours) of condomless sex. Do not exceed 200 mg per 24-hour period. DoxyPEP is <strong>not recommended for cisgender women<\/strong> &mdash; trial evidence showed mixed results in this population.<\/p>\n<p><strong>Doxycycline common side effects:<\/strong> GI upset, photosensitivity (wear sunscreen, avoid tanning beds), oesophageal irritation (take with a full glass of water, stay upright for 30 minutes). <strong>Contraindicated in pregnancy, breastfeeding, and children under 8<\/strong> due to tooth staining and bone growth effects.<\/p>\n<h2 class=\"wp-block-heading\">Component 3 &mdash; Azithromycin 250 mg<\/h2>\n<p>The azithromycin in this pack is provided as a treatment-course supply &mdash; <strong>not as routine PEP<\/strong>. Appropriate uses:<\/p>\n<ul>\n<li><strong>Gonorrhoea (urethral\/rectal\/pharyngeal):<\/strong> as part of a dual regimen with ceftriaxone IM, per CDC 2021 guidelines. Azithromycin alone is <strong>inadequate<\/strong> for gonorrhoea due to macrolide resistance<\/li>\n<li><strong>Chlamydia (alternative)<\/strong> where doxycycline is contraindicated (pregnancy, allergy): 1 g single dose. Doxycycline is preferred first-line per CDC 2021<\/li>\n<li><strong>Mycoplasma genitalium (some strains):<\/strong> 1 g day 1, then 500 mg days 2&ndash;5, typically with a macrolide-susceptibility assay<\/li>\n<\/ul>\n<p><strong>Azithromycin is NOT appropriate for DoxyPEP<\/strong> &mdash; the CDC explicitly recommends doxycycline over azithromycin for PEP due to rising macrolide resistance and narrower efficacy spectrum.<\/p>\n<p><strong>Common side effects:<\/strong> nausea, diarrhoea, abdominal pain, QT prolongation (caution with other QT-prolonging drugs, especially methadone and certain antipsychotics).<\/p>\n<h2 class=\"wp-block-heading\">Who Is This Pack For?<\/h2>\n<ul>\n<li>Sexually active cisgender MSM and transgender women with multiple partners or inconsistent condom use<\/li>\n<li>People starting PrEP who also want on-hand DoxyPEP coverage and a course of azithromycin for specific treatment situations<\/li>\n<li>HIV-negative adults who have confirmed baseline testing (HIV, HBV, renal, STI screen) and clinician access for ongoing quarterly monitoring<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Who This Pack Is NOT For<\/h2>\n<ul>\n<li><strong>HIV-positive individuals<\/strong> &mdash; TDF\/FTC alone is inadequate HIV treatment and causes resistance. See <a href=\"\/sv\/hiv-medication\/\" rel=\"noopener\">HIV-medicin<\/a> for appropriate regimens<\/li>\n<li><strong>Gravida eller ammande kvinnor<\/strong> &mdash; doxycycline is contraindicated<\/li>\n<li><strong>Children under 8<\/strong> &mdash; doxycycline is contraindicated due to tooth staining<\/li>\n<li><strong>People with eGFR &lt;60 mL\/min<\/strong> &mdash; TDF is contraindicated; consider TAF-based alternatives<\/li>\n<li><strong>Cisgender women seeking DoxyPEP<\/strong> &mdash; current trial evidence does not support DoxyPEP in cis-women; daily PrEP remains standard<\/li>\n<li><strong>Anyone with a macrolide allergy or QT-prolonging condition<\/strong> where azithromycin is unsafe<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">F\u00f6rvaring<\/h2>\n<ul>\n<li>Store each component in its original packaging<\/li>\n<li>Below 30&deg;C, cool and dry; doxycycline capsules are particularly heat-sensitive<\/li>\n<li>Do not use after the expiry date on any component<\/li>\n<li>H\u00e5ll utom r\u00e4ckh\u00e5ll f\u00f6r barn och husdjur<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Related Pages<\/h2>\n<ul>\n<li><a href=\"\/sv\/tenvir-em\/\" rel=\"noopener\"><strong>Tenvir EM<\/strong><\/a> &mdash; comprehensive page on TDF\/FTC PrEP (same active ingredient as this pack&#8217;s HIV component)<\/li>\n<li><a href=\"\/sv\/tenvir-af\/\" rel=\"noopener\"><strong>Tenvir AF<\/strong><\/a> &mdash; TAF-based PrEP alternative (gentler on kidneys and bones)<\/li>\n<li><a href=\"\/sv\/doxycycline-capsules\/\" rel=\"noopener\"><strong>Doksycyklinkapslar<\/strong><\/a> &mdash; dedicated page for the antibiotic in this pack<\/li>\n<li><a href=\"\/sv\/sexual-health\/\" rel=\"noopener\"><strong>Sexual Health category<\/strong><\/a><\/li>\n<li><a href=\"\/sv\/hiv-medication\/\" rel=\"noopener\"><strong>HIV Medication category<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">Vanliga fr\u00e5gor<\/h2>\n<h3 class=\"wp-block-heading\">Is the STD Protection Pack a single drug?<\/h3>\n<p>No. It is a 3-medication bundle combining TDF\/FTC (for HIV PrEP), doxycycline (for DoxyPEP and bacterial STI treatment), and azithromycin (for specific bacterial STI treatment courses). Each component has its own dosing and monitoring requirements.<\/p>\n<h3 class=\"wp-block-heading\">Does this pack replace condoms?<\/h3>\n<p><strong>Nej.<\/strong> Condoms are the only measure that protects against all sexually transmitted infections simultaneously. PrEP prevents HIV only; DoxyPEP reduces bacterial STI risk but does not eliminate it; neither prevents genital herpes, HPV, or mpox. Use condoms alongside this pack for comprehensive protection.<\/p>\n<h3 class=\"wp-block-heading\">Do I need to see a doctor before using it?<\/h3>\n<p><strong>Ja.<\/strong> The TDF\/FTC component requires confirmed HIV-negative status, baseline HBV\/renal\/STI testing, and ongoing quarterly HIV and STI monitoring. Doxycycline and azithromycin also have contraindications that require clinician review (pregnancy, allergy, drug interactions).<\/p>\n<h3 class=\"wp-block-heading\">What is DoxyPEP and is it in this pack?<\/h3>\n<p>DoxyPEP is the use of a single 200 mg doxycycline dose within 72 hours of a high-risk sexual exposure to reduce bacterial STI risk. Evidence shows ~65% reduction in chlamydia, syphilis, and gonorrhoea incidence in MSM and transgender women. The doxycycline 100 mg capsules in this pack can be used for DoxyPEP (take 2 capsules = 200 mg within 72 hours of exposure).<\/p>\n<h3 class=\"wp-block-heading\">How often should I get tested while using this pack?<\/h3>\n<p>HIV: every 3 months. Full STI screen (chlamydia, gonorrhoea, syphilis): every 3 months. Renal function and hepatitis: every 6 months. This is the standard PrEP monitoring cadence and applies to everyone using TDF\/FTC prophylactically.<\/p>\n<h3 class=\"wp-block-heading\">Is DoxyPEP safe for cisgender women?<\/h3>\n<p>Current trial evidence does not support DoxyPEP for cisgender women &mdash; the dPEP trial in Kenyan women did not show the same reduction as the MSM trials. CDC 2024 guidelines recommend DoxyPEP specifically for MSM and transgender women. Cis-women should discuss alternatives with their clinician.<\/p>\n<h3 class=\"wp-block-heading\">Can I take all three medications at the same time?<\/h3>\n<p>They are taken on different schedules. PrEP is daily; DoxyPEP is episodic (within 72 hours of exposure, max once per 24 hours); the azithromycin course is prescription-directed for a specific diagnosed infection. They do not typically interact, but disclose all three to your clinician for review.<\/p>\n<h3 class=\"wp-block-heading\">What are the main side effects to watch for?<\/h3>\n<p>TDF\/FTC: first-week nausea\/headache, long-term renal and bone monitoring needs. Doxycycline: GI upset, photosensitivity, oesophageal irritation &mdash; take with water and stay upright. Azithromycin: GI upset, rarely QT prolongation. Seek urgent medical attention for severe fatigue, jaundice, unexplained muscle pain, or irregular heartbeats.<\/p>\n<h3 class=\"wp-block-heading\">Is this pack cheaper than buying the components separately?<\/h3>\n<p>The pack is a bundle SKU meant to offer a convenient 1-month starter supply for the most common sexual-health-prevention strategy. For price comparison with individual items, see the linked pages above.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p class=\"medsbase-bundle-link-2026-05-01\" data-marker=\"mb-bundle-link-prep-starter-pack\">If your STD-prevention strategy includes ongoing HIV PrEP plus on-demand bacterial-STI cover, our <a href='\/sv\/prep-starter-pack\/'>PrEP Startpaket (Tenvir-EM + doxycyklin 100 mg)<\/a> bundles daily TDF\/FTC with doxy-PEP doxycycline in matched 1, 3, or 6-month tiers \u2014 different scope from the broader STD Protection Pack.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Other Sexual-Health and Anti-Infective Medications<\/h2>\n<ul>\n<li><a href=\"\/sv\/tenvir-em\/\">Tenvir EM (TDF\/FTC) \u2014 daily HIV PrEP backbone<\/a><\/li>\n<li><a href=\"\/sv\/doxt\/\">Doxt (Doxycycline) \u2014 STI post-exposure prophylaxis &amp; chlamydia \/ syphilis treatment<\/a><\/li>\n<li><a href=\"\/sv\/azee\/\">Azee (Azithromycin) \u2014 gonorrhoea \/ chlamydia regimens<\/a><\/li>\n<li><a href=\"\/sv\/cifran\/\">Cifran (Ciprofloxacin) \u2014 adjunct fluoroquinolone<\/a><\/li>\n<li><a href=\"\/sv\/metrogyl\/\">Metrogyl (Metronidazole) \u2014 anaerobic \/ protozoal cover<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Reduces STD infection risk<br \/>\n\u2705 Protects against HIV<br \/>\n\u2705 Behandlar bakteriella infektioner<br \/>\n\u2705 Prevents recurrent STDs<br \/>\n\u2705 St\u00f6djer sexuell h\u00e4lsa<\/p>\n<p><strong>STD-skyddspaket<\/strong> inneh\u00e5ller <strong>PrEP (Emtricitabine and Tenofovir)<\/strong>, <strong>Doxycyklin<\/strong> &amp; <strong>Azithromycin<\/strong>.<\/p>","protected":false},"featured_media":66247,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3484,3485,3338],"product_tag":[3487,5823,3225,5822,3339,5815,5824,5354,5821,3335],"class_list":{"0":"post-66149","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-chlamydia-treatment","8":"product_cat-prep-medication-pre-exposure-prophylaxis","9":"product_tag-azithromycin","10":"product_tag-bacterial-sti-prevention","11":"product_tag-doxycycline","12":"product_tag-doxypep","13":"product_tag-emtricitabine","14":"product_tag-hiv-prevention","15":"product_tag-msm-health","16":"product_tag-prep","17":"product_tag-std-protection","18":"product_tag-tenofovir","20":"first","21":"instock","22":"shipping-taxable","23":"purchasable","24":"product-type-variable","25":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product\/66149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/comments?post=66149"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media\/66247"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media?parent=66149"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_brand?post=66149"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat?post=66149"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_tag?post=66149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}