Table of Contents
What is PrEP?
How to Take PrEP
Side Effects
Duration of PrEP Use
Do You Still Need to Use Condoms While on PrEP?
What to Do if You Forget to Take PrEP
The best ways to prevent HIV infection include using condoms during sex, avoiding sharing needles, and not having multiple sexual partners. However, there is now a medication available to reduce the risk of HIV infection before exposure, known as PrEP.
What is PrEP?
PrEP, or Pre-exposure Prophylaxis, is an antiviral medication for individuals who are not yet infected with HIV. It is taken to prevent HIV before exposure. While PrEP is effective in preventing HIV infection, it does not protect against other sexually transmitted infections (STIs). Therefore, it is recommended to use condoms during sex for maximum protection and to reduce the risk of other STIs.
Taking PrEP is similar to taking antiviral medication for HIV-positive individuals in that it requires discipline. It should be taken at the same time every day to ensure maximum effectiveness, potentially preventing HIV infection almost 100%. Irregular intake may reduce its protective effects.
PrEP is not a lifelong medication; it can be started or stopped based on your lifestyle and risk of HIV infection. Always consult a doctor and get a health check-up before starting or stopping PrEP.
How to Take PrEP
There are two ways to take PrEP:
Daily PrEP: Take one pill every day. It should be taken at least 7 days before potential exposure to ensure effectiveness.
On Demand PrEP: Take two pills at least 2 hours before potential exposure, then one pill daily for the next two days. This method is not recommended for individuals with hepatitis B.
Side Effects
Some people may experience side effects such as headaches, dizziness, nausea, stomach pain, or diarrhea, which typically subside within 2-3 weeks. If side effects persist, consult your doctor. Most people do not experience any side effects, but long-term use of PrEP may impact bone and kidney health.
Duration of PrEP Use
For maximum effectiveness, PrEP should be taken for at least 7 days before potential exposure to HIV and continuously every day. If you decide to stop taking PrEP, it should be discontinued 4 weeks after the last potential exposure. It is advisable to get a blood test after stopping PrEP.
Do You Still Need to Use Condoms While on PrEP?
There is a misconception that taking PrEP eliminates the need for condoms. PrEP reduces the risk of HIV by about 90%, but it does not protect against other STIs. Therefore, it is recommended to always use condoms during sex for full protection.
What to Do if you forget to take PrEP, and where to find it in Bangkok?
If you forget to take PrEP, take it as soon as you remember, ideally within 6 hours. If you miss taking PrEP for more than 7 days, restart the regimen.
In Bangkok - Thailand PrEP can only be obtained from authorized healthcare facilities or specialized clinics. Menness Wellness provides consultation and PrEP prescription services. Before receiving PrEP, you must consult a doctor and undergo blood tests to check for HIV, liver, and kidney function. Follow-up blood tests and check-ups will be scheduled every 1-3 months after starting PrEP.
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