If you have had a high risk exposure to HIV in the last 72 hours. It must be started within 72 hours after a possible exposure to HIV.
PEP is a 4 week course of HIV prevention which may stop HIV infection occurring, provided the treatment is started as soon as possible after the risk event happens. PEP should be started within a few hours of exposure to HIV or as soon as possible. If it is not started within 72 hours (3 days) it is not likely to work.
more to know about PEP
you should take pep if...
- The partner is known to be HIV positive AND not on treatment.
- You had anal sex or vaginal sex without condom
- Condom break
- Presence of blood, cuts or ulcers
- You are not circumcised
- You have been exposed to potentially HIV infected body fluids
- Your exposure was less then 72 hours ago
- Partner of unknown HIV status who belong to higher risk HIV group (e.g. MSM or from africa or S.E.Asia)
- They penetrated you (Their penis, your arse) AND you don't know for sure whether they have HIV or not.
how does pep work?
It takes a few days for HIV to become established in the body following exposure. Once it is established you will have HIV for the rest of your life. However, if you begin taking PEP in time, the anti-HIV drugs will prevent the HIV (that's already in your body) from reproducing and it DIES out before it has a chance to multiply. PEP drugs given at this time may help the body’s immune system to stop the virus from replicating (multiplying) in the infected cells of the body. The cells originally infected would then die naturally within a short period of time without producing more copies of HIV.
WHAT WOULD BE DONE WHEN RECEIVING EMERGENCY PEP?
1. Consultation
2. Rapid screening for HIV, Hepatitis B, C virus with result in 15 minutes, accuracy 99.9%
3. Kidney function tests
4. PEP Medications
5. Test or treatment for possible sexually transmitted infections
what will doctor ask me?
The doctor will try to evaluate how likely it is you have actually been exposed to HIV before starting treatment.
Questions will include what happened to make you think you’ve been exposed to HIV, what sort of sexual or injecting activity or partner is likely to be HIV-positive. We will ask you things like if you know whether the person has HIV (and if they are HIV-positive, if you know if they have an undetectable viral load), and in the case of a possible exposure through a sexual encounter, we will ask about things like: the kind of sex you had (e.g., anal, vaginal or oral sex); if you fucked them or they fucked you; if either of you came inside the other; and if there is anything else you are worried about.
It is important to be honest and accurate in providing this information – WE are there to help you, not to judge you, and the information will help us to assess the seriousness of the situation.
The risk of getting HIV from oral sex is extremely low. PEP is not recommended after possible exposure to HIV through oral sex. The only exception would be following receptive oral sex from a partner known to have HIV and when the receptive partner has cuts or lesions such as ulcers in their mouth.
what are the side effects of pep?
Fewer than 1 in 100 of our patients actually develop any side effects.
Common side effects (<1%) include nausea, diarrhoea and feeling tired.
Rash and fever are uncommon (< 0.1%) side effects.
TAKING OTHER DRUGS WHILE YOU ARE ON PEP
PEP can interact with other drugs (including other prescription drugs, supplements and vitamins) and change the way the PEP drugs work. Taking recreational drugs while on PEP can be risky. Recreational drugs can have severe side-effects in combination with some of the PEP drugs. Talk to the doctor or nurse who prescribes you PEP about any other prescription or recreational drugs you may be taking or planning to take. If you wish to take recreational drugs while on PEP, talk to the doctor who prescribed you PEP
I HAVE COMPLETED MY 28 DAYS COURSE OF PEP,
WHAT DO I DO NEXT?
Once you've finished the course of PEP, see your provider or come back to us to get tested for HIV, the doctor will evaluate your risks and might recommend you to start taking PrEP. You should get tested again 3 months after you have finished the PEP to confirm!