Are Prophylactic Medications Used In Hiv Treatment

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Treatment After Exposure to HIV

For serious exposures, the U.S. Public Health Service recommends using a combination of three approved ARVs for four weeks. For less serious exposure, the guidelines recommend four weeks of treatment with two drugs: zidovudine (Retrovir, AZT) and lamivudine (Epivir, 3TC). In January 2001, the Centers for Disease Control warned against using nevirapine (Viramune) for PEP because of the risk of liver damage. See Fact Sheet 431 for more...

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Prophylactic treatment of neonates born to an HIV positive

Should there be a consent obtained prior to administering the recommended AZT therapy to neonates? How should AZT be seen; just as medication or intensive therapy? Thanks in advance....

Response from Mark Holodniy, M.D., F.A.C.P., C.I.C.

Stanford University, School of Medicine

I am not sure what the genesis of your question is regarding HIV preventative treatment in newborns of HIV infected mothers. But giving such HIV treatment to neonates would be considered standard of care in the appropriate situation.... Read more »

AZT Post Prophylactic

What do you know about using AZT as a post prophylactic in case a woman has had unprotected sex with a man who is HIV positive and she is negative? Do you know when it should be used and how long it should be used to try to keep her positive? Is...

Response from Robert H. Remien, Ph.D.

Columbia University

What you are asking about is "Post Exposure Prophylaxis" (PEP) also known as "Post Exposure Treatment" (PET). Here is a response to a question about PEP that was posted on the "Safe Sex, Prevention, and Transmission"... Read more »

Prophylactic Combivir

Hello, Docs:Thanks for your good work. My question:To make a long story short, I am a married hetero male who had an unfortunate accident with a prostitute: she was hiding menstruation by using a sponge. I used a condom, but we had used a condom for...

Response from David Wohl, M.D.

University of North Carolina - Chapel Hill

I am a little unsure of the specifics of your exposure, or if you really had a true exposure. If you were wearing a condom during oral and vaginal sex, then you have hardly any chance of acquiring HIV from this experience and do not warrant... Read more »

Prophylactic treatment post needle stick injury

Hi If I take this prophylactic treatment and the source test result is negative, I have been advised to stop the treatment. However my question is if I do this and later in my career have another needle stick injury from a higher risk source how...

Response from Keith Henry, M.D.

University of Minnesota, School of Medicine

Later use of HIV drugs for PEP should still work fine in majority of situations. KH... Read more »

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