Getting A Prescription For Post Exposure Prophylaxis

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Get the Facts

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...

Ask the Experts

No sleep from 2 days! (NON-OCCUPATIONAL POST EXPOSURE PROPHYLAXIS)

Hello Dr. Frascino,I am a 26 yr old male from Tulsa, Oklahoma. I had unprotected viginal sex 2 days before with an unknown girl. I have been loyal to my girl friend till now. I don't know the HIV status of that girl, but she accepted that she...

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation

Hey Tulsa Guy,Your nearby "hopspital" has no clue what PEP is??? YIKES! That's shocking even for a square red state in the middle of the country!I doubt an HIV-knowledgeable physician would recommend a course of PEP for the type of... Read more »

Post-Exposure Prophylaxis, Occupational Exposure

Hi Dr Frascino, I am a medical resident and today suffered an occupational injury from an AIDS patient. I was placing a 20G IV when the patient jumped and it stuck my finger. The injury wasn't very deep, but I had a bit of blood from the...

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation

Hi,Yes, PEP further reduces your HIV-acquisition risk; however, we can't say by exactly how much because there are many confounding variables, including viral strain, viral load, whether the source patient was on antiretrovirals, time to your... Read more »

Post-exposure prophylaxis

Hos does PEP work?It is starting to get quite popular here down under, but I dont understand how it actually works. If PEP blocks a cell cycle in replication, how come the meds dont 'cure'HIV? What is the percentage of effectivity of...

Response from Benjamin Young, M.D., Ph.D.

Rocky Mountain CARES

PEP, or post-exposure prophylaxis works by preventing viral replication. Productive viral replication results in the insertion of the HIV chromosome into our genes-- hence it becomes part of our cell's own chromosomes and can be very... Read more »

Post exposure prophylaxis

My sister was recently diagnosed with HIV. Her viral load was 115,000. Last time she and her boyfriend had intercourse was about a month ago (she says while she was having her period). He has tested negative for HIV. Should he consider taking PEP...

Response from Ryan M. Kull, C.S.W

Columbia University's Health & Related Services

Post-exposure prophylaxis is probably only effective in preventing infection if medication is begun within seventy-two hours of exposure. It is possible for your sister's boyfriend to begin taking medication if he has been infected as an early... Read more »

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Post-Exposure Prophylaxis (PEP) - Help

Posted by MF2010

Hi all,

I've been exposed to HIV in the beginning of this month.
My condom completely broke and i had sex for a couple of minutes completely exposed. I suspect my partner was HIV infected.

Went straight to the hospital and started Post-Exposure... Read more »

87 days post exposure

Posted by mike_7801

Hi ,
I had 4, 6, 8, & 10th week -ve results.. so i wanted to have a 3 month test.
i went to get tested on monday ie 11th june ( 87 days post exposure ).
I gave my blood in the morning around 8:45 am.. and the Lab guy told me that i can check my... Read more »

4 week 'negative' girlfriend showing extreme symptoms post (my) exposure

Posted by 908320498, 10 Replies

Hi guys,

Firstly - thank you for running such an informative service. I have already posted this on another forum but maybe you - as experts - can help shed some light / further offer some assistance.

Please help me.

45 days ago - whilst traveling... Read more »

exposure 10 days ago--prophylaxis drug an option?

Posted by Anonymous, 2 Replies

I'm happily married and monogamous for the past 10 years. Ten days ago 5 minutes of drunken stupidity could have changed all that.

I had gone to a strip club (which is a rarity for me). I got way too drunk and stupid, and got a lap dance. The... Read more »

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