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theuse of PEP after condom broke
Feb 15, 2006

is it necessary to use PEP after an incident where the condom broke. I was briefly exposed under a minute and it's been a little over 48hrs. Not sure if PEP can help and my understanding is that PEP can be effective if given within 72hrs. Thank you kindly for your respond

Response from Dr. Frascino

Hello,

Two quick, but very important points about PEP.

1. PEP is only indicated for significant HIV exposures.

2. A significant HIV exposure should be treated as an emergency. PEP should be started immediately or as soon as possible after the exposure. The sooner someone starts PEP, the better the chances PEP has of working. The "72 hour" window concept can be misleading. Starting PEP at one hour is not the same thing as starting PEP at hour 70 after an exposure. PEP is not recommended if the exposure occurred longer than 72 hours ago.

If you are unsure if your "incident" warrants PEP, contact a local HIV/AIDS specialist or go to your local hospital's emergency department without delay.

Good luck!

Dr. Bob



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