How Do I Get A Prescription For Post Exposure Prophylaxis

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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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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 »

hiv exposure, post exposure prophylaxis and rash

hello,i'm a resident physician and was recently exposed to an HIV infected pt. i sustained a superficial laceration from trauma shears contaminated with dried blood that was several hours old but i started expanded pep nonetheless. 2 days...

Response from Keith Henry, M.D.

University of Minnesota, School of Medicine

Most likely a drug rash but the situation is stressful (I have seen numerous drug rashes on situations like yours). KH... Read more »

Does Post Exposure Prophylaxis increase the odds of a false negative test 30 days after exposure?

Hi, Dr. Bob. I hope my question has not already been answered. I will try to make it quick. A month ago I was raped by a man I do not know. Immediately after, I called the police and was taken to the ER where they prescribed me 30 days of PEP (and...

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation

Hi.Sorry to hear about the sexual assault. I hope the perpetrator is now behind bars.The guidelines for post-PEP HIV testing recommend HIV-antibody testing at four to six weeks, three months and six months from the date of exposure.Dr. Bob... 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 »

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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 »

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 »

hiv prophylaxis

Posted by Anonymous, 2 Replies

My partner is pos.Last week the condom broke so doc gave me kaletra+combivir to take as 'morning after pill' or prophylaxis.ok for 3 days (except terrible shits) then BANG! puking,stomach pains,sweats,fatigue(so bad it brought on an attack of... Read more »

How Accurate is CRP Test at 10 days post exposure

Posted by Anonymous, 1 Reply

Hi Everyone:

At 10 days post exposure my CRP test was 0.7% which the Dr. says is pretty much no HIV possible. What have you guys heard? Read more »

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