What Is PrEP?
PrEP stands for "pre-exposure prophylaxis." The word "prophylaxis" means to prevent or protect from an infection or disease.
PrEP can help prevent HIV infection in people who don't have HIV but who are at high risk of becoming infected with HIV. PrEP involves taking a specific HIV medicine every day. If a person is exposed to HIV, having the PrEP medicine in the bloodstream can stop HIV from taking hold and spreading throughout the body.
What HIV Medicine Is Used for PrEP?
The HIV medicine currently prescribed for PrEP is called Truvada. Truvada contains two HIV medicines (tenofovir disoproxil fumarate and emtricitabine) combined in one pill. Truvada was approved by the U.S. Food and Drug Administration (FDA) to treat HIV in 2004, and it was approved by FDA for use as PrEP in July 2012.
Other HIV medicines are being studied for possible use as PrEP. These medicines are called investigational drugs, which means that they are not approved by FDA for general use or sale in the United States. To find out more about investigational HIV drugs, read the AIDSinfo What is an Investigational HIV Drug? fact sheet.
Who Should Consider Taking PrEP?
PrEP is for people who don't have HIV but who are at high risk of becoming infected with HIV through sex or injection drug use.
Specifically, the Centers for Disease Control and Prevention (CDC) recommends that the following people consider PrEP:
- People who are HIV negative and in an ongoing sexual relationship with an HIV-positive partner.
- Gay or bisexual men who are not in a monogamous relationship with a recently tested, HIV-negative partner, who have either 1) had anal sex without a condom in the past 6 months, or 2) been diagnosed with a sexually transmitted disease (STD) in the past 6 months.
- Heterosexual men or women who are not in a monogamous relationship with a recently tested, HIV-negative partner, and who do not always use condoms during sex with partners whose HIV status is unknown and who are at high risk of HIV infection (for example, people who inject drugs or have bisexual male partners).
- People who, in the last 6 months, have injected drugs and have either 1) shared needles or injection equipment, or 2) been in a drug treatment program.
If you think PrEP may be right for you, talk to your health care provider.
Does PrEP Work?
PrEP is most effective when taken consistently each day. According to CDC, by using PrEP every day, you can lower your risk of getting HIV from sex by more than 90% and from injection drug use by more than 70%. Adding other strategies, such as condom use, along with PrEP can reduce a person's risk even further.
Does PrEP Cause Side Effects?
Most people taking PrEP do not have any side effects from the medicine. Some people taking PrEP may have nausea, but this usually goes away over time. Talk to your health care provider if you have any side effect that bothers you or that does not go away.
What Should I Do if I Think PrEP Could Help Me?
If you think you may be at high risk for HIV and that you might benefit from PrEP, talk to your health care provider. If you and your health care provider agree that PrEP may be a good choice for you, the next step is an HIV test to be sure you don't already have HIV. If you are HIV negative and a physical exam and other testing shows that PrEP is likely safe for you, your health care provider can give you a prescription for PrEP.
Many health insurance plans cover the cost of PrEP. A [commercial medication assistance program](http://www.gilead.com/responsibility/us-patient-access/truvada for prep medication assistance program) is available for people who may need assistance paying for PrEP.
What Happens Once I Start PrEP?
Once you start PrEP, you will need to take PrEP every day. If you don't take PrEP every day, there may not be enough medicine in your bloodstream to block HIV. Studies have shown that PrEP is much less effective if it is not taken every day.
You should keep using condoms while taking PrEP. Taking PrEP daily can protect you against HIV infection, but it is not 100% effective. Continued use of condoms can help reduce your risk of HIV infection even further. PrEP also does not reduce the risk of getting any other STDs. Read this fact sheet from CDC for information on how to use condoms correctly.
You must also take an HIV test every 3 months while taking PrEP, so you'll have regular follow-up visits with your health care provider. If you are having trouble taking PrEP every day or if you want to stop taking PrEP, talk to your health care provider.
How Can I Learn More About PrEP?
Visit the websites below from CDC to learn more about PrEP. This fact sheet is based on information from these sources:
- HIV Basics: PrEP
- PrEP Resources
- Preexposure Prophylaxis for the Prevention of HIV Infection in the United States -- 2017 Update -- A Clinical Practice Guideline
[Note from TheBody: This article was created by AIDSinfo, who last updated it on May 25, 2018. We have cross-posted it with their permission.]