PrEP

Pre – Before

 Exposure – Coming Into Contact with HIV

 Prophylaxis – Treatment to Prevent an Infection from Happening
Generic Name

 tenofovir disoproxil fumarate + emtricitabine (TDF-FTC)

 Listed in the WHO’s List of Essential Medicines
 Other forms of PrEP (not yet available in Ph):
 tenofovir alafenamide + emtricitabine (Descovy)
 darunavir (as vagina ring)
 cabotegravir (as injectable suspension)
What is PrEP?

 PrEP is when people take an HIV medication to reduce their chance of getting infected with Hiv.
 Recommended use of PrEP is daily.
 For MSM, event-driven PrEP can be advised.
How well does PrEP work?

 It does not provide 100% protection, but it is highly effective and provides great protection against HIV, by
up to 99%.
 It is more effective to those who take it daily. It is the recommended and most convenient approach.
Who should consider using PrEP?

 If you thin you are at high risk of HIV infection.

 You are not using condoms (or doing unprotected sex)
 You have more than one sexual partner in the past six months, or has a partner with other sexual partners.
 You inject drugs and share injecting equipment
 You have been told you have an STI
 You and your sexual partner do not discuss your concerns about HIV
 Men and transgender people who have sex with men
 Sex workers (especially if not able to use condoms with every sexual act)
Should I do daily or event-driven PrEP?

For whom is ED-PrEP appropriate? For whom is ED-PrEP NOT appropriate?

A man who has sex with another man: