Post Exposure Prophylaxis Within 72 Hours

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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...

Ask the Experts

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 »

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 »

How effective is post-exposure prophylaxis?

What if there is a risk of expoure, the likelihood to be cured by the cocktail if taken within the first 24 hours, before it is penetrating the lymph glands? Is it close to 100%. What are the rates of sucess reported in the studies? I did read the...

Response from Rick Sowadsky, M.P.H.

Nevada State Health Division AIDS Program

Thank you for your question. Post-Exposure Prophylaxis (PEP) after a high risk occupational exposure, has been found to reduce the infection rate by approximately 80% (depending on the study). PEP is recommended for high risk occupational... 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 »

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 »

exposure

Posted by Anonymous, 6 Replies

Last sept (1999), I found out my 2-year boyfriend was HIV +. I checked out OK. Last week, we saw each other and had unprotected sex - sort of rough and I started to bleed. I went to my MD for a test and am getting the results tomorrow. Pray for... 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 »

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