Pre-exposure prophylaxis, more commonly known as PrEP, has brought about a seismic shift in our approach to HIV prevention. It is like a protective shield, an armor that guards us against an invisible enemy. It is a testament to how far medical science has come, not only treating illnesses but preemptively fending them off.
PrEP is a tablet, a simple yet potent pill that, when taken daily, significantly reduces an individual’s risk of contracting HIV. It is like an invisible sentinel, providing vigilant protection from dawn to dusk.
The power of PrEP lies in its combination of two vital medicines: tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC). The TDF component, clocking in at 300 mg, and the FTC component at 200 mg, work in tandem, like two superheroes on a vital mission. They play a synergistic game of tag team against the would-be invaders, blocking HIV from establishing a foothold in the body.
This formidable duo is available in one convenient pill marketed under the name Truvada. It’s not just a pill, but a lifeboat, a refuge, and a beacon of hope for those at high risk of HIV. Truvada, with its distinctive blue hue, is a creation of Gilead Sciences, a name that has become synonymous with relentless innovation and the pursuit of health and well-being.
Gilead Sciences, a behemoth in the realm of biomedical sciences, has been at the forefront of disease management for years. The birth of Truvada as PrEP in their laboratories is a testament to their continued commitment to creating a healthier world.
How effective is PrEP?
There have been many studies with varying results. Generally, protection rates differ between groups with different sexual orientations. Numbers range from 50% to 84% according to the 4 studies quoted in the US CDC’s Interim Guidelines. Other publications quote protection rates as high as 99%.
We must bear in mind that like every other method of HIV prevention, PrEP is not failsafe. It is one of the many weapons in our current arsenal to reduce the burden of HIV on the world. Other prevention methods include:
- Consistent and correct condom use.
- Access to treatment.
- Treatment as prevention.
- Education.
- Male circumcision.
What are the side effects of PrEP?
Minor side effects such as nausea, headache and weight loss are possible.
Major side effects like effects on the kidney and bone density are rare.
In my personal experience prescribing PrEP, I have not come across anything more than some minor nausea.
What is the cost of PrEP?
This of course varies from country to country and even between centres in the same country. In our clinic, one bottle of 30 tablets of Truvada costs $900 before GST.
How can I start PrEP?
Come see us at our clinic. You will need several tests including an HIV test, STD screening, and a kidney function test.
You can start on the pills immediately. It is best to be on the pills for at least 7 days before engaging in any risky encounters.
How can I stop PrEP?
It is best to continue PrEP for at least 4 weeks from the last risky encounter.
You will also be advised to get screening tests done for HIV and other STDs 3 months from the last encounter.
How long can I take PrEP for?
PrEP can be taken indefinitely and should be taken as long as you remain at risk of HIV.
It is best to see your doctor every 3 months to screen for HIV and STDs and monitor for potential side effects.
It also contains real life stories from patients who have taken PrEP and their experiences. I highly recommend that you check it out if you are considering starting on PrEP.
Final Words
As we continue to wage war against HIV, PrEP stands as a powerful ally, offering a frontline defense and a shield of protection. This simple yet mighty pill is a beacon of hope, a testament to human resilience and the marvels of scientific innovation.
But remember, it is only part of our arsenal. PrEP works best when used in conjunction with other preventative measures, like consistent and correct use of condoms, regular testing, and proper education.
The journey to a world free from the shadow of HIV is a long one, but with tools like PrEP, we are inching closer to that reality. Reach out to your healthcare provider, educate yourself, and make informed choices for your health.
Remember, the key to HIV prevention lies not only in the hands of science but also within our grasp through responsible choices and actions. Stand tall, stay informed, and take steps today towards a healthier tomorrow. The power to prevent HIV begins with you.
