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Burst condom + pep
Feb 28, 2009

Hi, Was having sex with a commercial sex worker when Condom broke and I withdrew immediately. Washed my penis with water and wiped clean.Used a new condom which functioned fine. This was 4 hours ago. Should I start PEP on Duovir (Lamivudine 150mg+Zidovudine 300mg) to be safe ? I asked the CSW her HIV status and she said her last test was negative and she never has sex without condoms. What is the risk and are there any side-effects.Please let me know. Very worried. RD

Response from Dr. McGowan

Post exposure prophylaxis, which would be appropriate in the setting you described, should be started as soon as possible and is less effective beyond 72 hours after exposure to HIV. The HIV medication used for this purpose like zidovudine and lamivudine can have side effects but if used early on the benefits can outweigh these especially in a high-risk exposure. You should be evaluated for other sexually transmitted diseases such as syphilis.



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