Over the past few years, there has been a growing recognition of Pre-Exposure Prophylaxis (PrEP) as a means of preventing HIV transmission. However, despite this heightened awareness, numerous queries continue to circulate regarding PrEP. In the following article, we will provide answers to some of the most commonly posed questions about PrEP. This will include explanations of its mechanism, dosing frequency, the significance of undetectable viral loads, and more.

How does PrEP work to treat HIV?

PrEP functions by halting the replication and dissemination of HIV within the body. The drugs contained in PrEP operate by inhibiting an enzyme known as reverse transcriptase, which is crucial for the virus’s replication and dissemination. By obstructing this enzyme, the virus becomes incapable of reproducing and is ultimately eradicated from the body.

Do you need to take PrEP regularly for it to be effective?

Yes, to ensure the effectiveness of PrEP, it is imperative to adhere to a consistent and prescribed regimen. Taking PrEP consistently, ideally at the same time daily, is essential. This practice guarantees that you sustain the necessary medication levels in your system, thereby ensuring continuous protection against HIV.

Do I need to take PrEP for my whole life?

The duration of PrEP usage varies based on an individual’s HIV risk levels. For those at a high risk of contracting HIV, an extended or indefinite PrEP regimen may be necessary. It’s crucial to understand that PrEP is a continuous medication, not a one-time treatment. Some individuals may need to maintain their PrEP regimen, while others can gradually reduce its frequency as their risk of infection diminishes.

Does PrEP protect against other STIs?

PrEP is an excellent choice for individuals at a heightened risk of acquiring HIV. Nevertheless, it’s important to note that PrEP is not designed to safeguard against other sexually transmitted infections, such as chlamydia, gonorrhea, herpes, or syphilis, for instance.

Is it suitable to take PrEP for one night only?

No, PrEP cannot be used for a single night. PrEP safeguards against HIV by establishing and sustaining a consistent medication level within the body. Employing PrEP on a one-night basis will not provide protection against HIV infection because the required medication level hasn’t been established.

Is it safe to miss a dosage of PrEP?

Skipping a PrEP dose can diminish the medication’s effectiveness. Nonetheless, the occasional missed dose doesn’t automatically render it ineffective. If you happen to miss a dose, take it as soon as possible, and then resume your regular dosing schedule.

Can you share PrEP with an HIV+ partner?

It’s crucial to emphasize that sharing your PrEP medication with anyone, regardless of their HIV status, should be avoided. Using someone else’s medication can result in allergic reactions, unwanted side effects, or potentially reduce the effectiveness of the HIV management medication the person is currently taking.

Who is PrEP typically recommended for?

PrEP is primarily advised for individuals who are at a heightened risk of HIV infection. This typically encompasses:

  • Men who engage in sexual activity with men
  • Transgender individuals involved with men or who have a history of unprotected sex
  • Heterosexual individuals with a partner who is HIV positive, involved in sex work, or has a history of condomless sex
  • People who engage in drug injection or share needles and injection equipment with others

What are the different types of HIV PrEP treatment?

Various HIV PrEP treatments are accessible for those in need. The most frequently employed PrEP treatment consists of a combination of two medications known as emtricitabine/tenofovir. This medication is referred to by its generic name, emtricitabine/tenofovir, or under the brand name Truvada.

What is Undetectable equals untransmittable (U=U)?

U=U stands for Undetectable equals Untransmittable. This signifies that individuals who are HIV positive and achieve an undetectable viral load through ART (antiretroviral therapy) cannot sexually transmit the virus to others. An undetectable viral load implies that the level of virus in the bloodstream of an HIV-positive person is so minimal that it cannot be detected through standard tests.

Do you need to use condoms if you take PrEP?

Absolutely, it remains strongly advised to use condoms while undergoing PrEP treatment. While PrEP is highly effective in preventing HIV transmission, it does not provide protection against other sexually transmitted infections. Furthermore, PrEP is not 100% foolproof. Despite its high effectiveness, there is still a very small risk of HIV transmission.

Is PrEP HIV treatment available on MedsBase?

Yes, PrEP is available on MedsBase, and you can purchase it conveniently without the need for a doctor’s appointment or a prescription. This allows you to skip the queue, and PrEP will be discreetly delivered to your doorstep.

What is the PrEP Care Continuum?

The PrEP Care Continuum is a structured framework delineating the various phases of PrEP utilization. Its purpose is to assist healthcare providers in identifying deficiencies in PrEP care, thus enhancing accessibility and treatment retention. The stages of the PrEP Care Continuum are outlined as follows:

  1. Awareness – Raising awareness regarding PrEP.
  2. Access – Guaranteeing individuals have access to PrEP.
  3. Initiation – Commencing PrEP for eligible and interested individuals.
  4. Adherence – Ensuring individuals on PrEP adhere to their prescribed regimen.
  5. Retention – Ensuring ongoing care and support for individuals using PrEP.

Which symptoms are typical of acute HIV infections?

In the early stages of HIV infection, individuals may exhibit flu-like symptoms that typically manifest within two to four weeks after exposure to the virus. The most prevalent symptoms of acute HIV infection encompass:

  1. Fever
  2. Fatigue
  3. Skin rashes
  4. Headaches
  5. Sore throat
  6. Muscle and joint discomfort
  7. Diarrhea
  8. Nausea and vomiting

How is nPEP different from PrEP?

PrEP, short for pre-exposure prophylaxis, and nPEP, which stands for non-occupational post-exposure prophylaxis, are both HIV prevention methods, but they vary in their application. nPEP is a treatment used to prevent HIV infections following potential exposure to the virus. It generally entails taking antiretroviral medication within 72 hours of exposure and continuing for 28 days. In contrast, PrEP is a preventative regimen taken daily before any potential exposure to HIV.

Sources

https://www.greaterthan.org/prep-faq/

https://www.prepwatch.org/wp-content/uploads/2016/08/z-fold_FAQbrochurePrEPsa.pdf

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