pep stands for post exposure
prophylaxis pep refers to taking
emergency medicines
after you've been exposed to hiv pep can
help prevent you from getting hiv
if you start it within 72 hours or three
days
after being exposed to hiv otherwise
it's not
effective
if you think you've been exposed to hiv
during sex
we're sexually assaulted
or shared needles with someone who has
hiv
pep may be right for you the sooner you
start pep
the better it works every hour matters
it's important to start the medication
before the virus takes hold of your
system
if you think you need pep contact your
doctor or visit a local
health center or an emergency room as
soon as you can
and if pep seems like a good option you
can get a prescription for it
pep isn't just a one-time pill it's many
pills
over many weeks you take anti-hiv
medicines
one to two times a day for at least four
weeks
there can be side effects of pep like
stomach aches and tiredness
but pep side effects aren't dangerous
and can be treated
pep lowers your chances of becoming hiv
positive by a lot
but there's no guarantee that pep will
work
your doctor or nurse can help you decide
if pep is right for you
they'll talk with you about what
happened
when it happened and who it happened
with to help you figure out if pep is a
good option for you
pep isn't meant to be used often it's
only used in case of emergencies
for ongoing hiv prevention continue to
use protection
like condoms and dental dams along with
prep if you'd like more information
you can ask a doctor or nurse about prep
which is a daily pill that can help you
prevent hiv
if it makes sense for you you can start
prep
immediately after finishing pep without
stopping
in between
pep is covered by most insurance plans
but for those who are
uninsured or underinsured and live in
massachusetts
the hiv drug assistance program or hgap
can be used to pay for pep so if you
need help paying for pep
you can take advantage of using the hiv
drug assistance program
want to learn more about pep or prep
check out my other articles
Moving on to what Prep is;
people are talking about prep but what
is it and what does it do prep means
pre-exposure prophylaxis and it's the
use of medication to protect someone
from getting HIV this is important
because HIV continues to be a worldwide
health crisis in the US alone there's an
estimated 1.2 million people living with
HIV and many of them do not know they're
infected about 50,000 people become
infected with HIV in the US every year
there are lots of ways to stay safe from
HIV and using condoms has been the main
strategy for years prep is a new HIV
prevention strategy that was approved by
the US Food and Drug Administration in
2012 and it's one of the first HIV
prevention strategies that can be used
by women and men on their own without
depending on their partner several
research studies have found that prep is
safe to use and effective at preventing
HIV infection people in these studies
who took prep consistently once a day
reduced their risk of getting HIV by
over 90 percent while those who did not
take prep or not protected lots of new
information has come out about prep but
we still have a lot to learn
we know that daily dosing one prep pill
a day every day gives very high levels
of protection in both men and women for
people whose only risk for HIV is from
anal sex protection could still be high
even if you occasionally miss a dose
because high levels of prep concentrate
in the rectum levels of prep in the
vagina may be more sensitive to miss
doses research is looking at prep
regiments that are less than daily but
right now the recommendation is still
one dose every day for anyone using prep
studies are also being done to determine
whether there are any interactions
between prep and hormone therapy prep
does not reduce the effectiveness of
birth control and prep is unlikely to
affect hormones used by transgender
people most of the information about
prep has come from studies of men who
have sex with men and heterosexual
couples in which one partner has HIV and
the other does not
there will be new studies for prep with
transgender people and for
using prep during pregnancy how does
prep work let's take a look at how prep
helps prevent HIV infection in your body
your body's protected by special cells
in your immune system called cd4 T cells
these cells normally help keep you
healthy when you're exposed to a germ or
virus but when HIV enters your body it
hunts down these T cells attacks them
and uses them to make copies of itself
at a very high rate as many as several
billion copies per day these new copies
of the virus go out into the body and
find even more t-cells to take over
using them to make even more copies the
immune system just can't keep up with
the virus to stop it from making all
those copies and that results in HIV
infection
now let's rewind and see what would
happen inside your body if you were
exposed to HIV I'll take you prep
imagine that you start taking prep once
a day your body digests the pills and
the medication starts building up
protection for your t-cells because of
the way prep works it builds up faster
in the rectum then in the vagina so
let's say you've been taking prep daily
for a few weeks and then you're exposed
to HIV as before HIV tries to attack
your t-cells but this time because
you've been taking prep it doesn't
succeed it tries to take over the cells
to make those copies of itself but it
can't because those cells are protected
the result no HIV infection how should
you take prep prep comes as a pill that
should be taken once every day because
prep gets used up by your body if you
don't continue to take it every day
your cells will lose that protection you
control how much benefit you get from
prep and that ranges from no protection
at all to very high levels of protection
prep works best only when you take it
regularly once each day taking extra
pills will not provide you with extra
protection and it could make you sick
prep has been shown to be safe and
effective but as with all medications
there are things you need to know prep
is not a cure for HIV and prep is not a
vaccine against HIV even taking prep
every day will not protect you from
other sti's like herpes gonorrhea and
syphilis prep does not prevent pregnancy
but it probably won't cause harm during
pregnancy or breastfeeding either
there are studies going on right now
looking at using prep to safely conceive
with an hiv-positive partner and to
provide protection throughout pregnancy
if you do get pregnant or want to get
pregnant or breastfeeding prep talk to
your provider about it some people may
experience an upset stomach when first
taking prep until their body gets used
to it prep should only be used if you're
HIV negative HIV positive people need
more than just one medication to control
the virus that's why anyone starting
prep must
first get an HIV test to make sure they
don't have HIV and they need to get
tested regularly for as long as they're
taking prep and if they've taken a break
from prep they must get tested before
starting again prep is not perfect
HIV is a complicated virus in some rare
forms may be able to get around the
medicine in prep but it's believed that
this is extremely uncommon bottom line
prep is safe and it works very well when
taken consistently if you do choose to
take prep remember how it protects your
T cells from HIV and be sure to take it
once a day every day to take control of
your sexual health how do you qualify
for prep prep is an option for anyone
who is HIV negative has normal kidney
functioning and is willing to see a
provider every three months for HIV
testing and STI screening
how much does prep costs many different
factors affect the cost of prep but it
can be affordable
don't let the expense stop you from
asking about prep and finding out what
it would cost for you where can you find
out more about prep the best thing you
can do is to talk to a healthcare
provider in addition you can find links
and other resources online at what is
prep org
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