PrEP (Pre-Exposure Prophylaxis) is a medicine for HIV negative people, taken before sex, so it is “pre-exposure”. Prophylaxis means to prevent infection- in this case, HIV. It can reduce the risk of getting HIV when taken as instructed.
PrEP is made up of two drugs, Tenofovir and Emtricitabine, taken as a single pill. These drugs are known as antiretroviral medicines and have been used as a part of HIV treatment for many years. You may know this medicine by its brand name, “Truvada”.
Results in trials have been very successful, with PrEP significantly lowering the risk of becoming HIV positive and without major side effects. In trials, if people took the pills as prescribed, the protection PrEP provided from HIV is close to 100%.
In clinical trials, PrEP has been used in two different ways:
Both methods have been shown to be very effective, although event-based dosing has only been studied in gay and bisexual men.
PrEP does not protect people from other STIs, and people on PrEP should get regular full STI tests to look after their general sexual health.
PrEP has been shown to be most useful for people who are at high risk of getting HIV. This includes people who might have difficulties with regular condom usage from communities which are disproportionately affected by HIV, such as:
It is important for people on PrEP to be able to:
PrEP on the NHS
PrEP is now funded as a free NHS treatment
If you are interested in getting PrEP in this way then please ring the PrEP line on 0117 342 6941. and leave your name and contact telephone number to be added to our “waiting list” – we will then call you back to discuss eligibility and arrange appointment – there may be a delay in arranging your first appointment – depending on demand for PrEP and current COVID restrictions to service.
Buying generic PrEP online
Some people are also buying generic versions of Tenofovir/Emtricitabine from online pharmacies. If you live in the UK it is legal to buy and import PrEP as long as it is for personal use only, and you buy no more then 3 months’ supply at once .
Some UK sexual health clinics have undertaken drug level testing on people who have been ordering generic PrEP online to check the validity of the drugs. Reports indicate that good levels of active drug have been reported, with it being recommended that people stick to ordering types of generic PrEP which are listed on the US Food and Drug Administration (FDA). Iwantprepnow lists current sources of online generic PrEP which has been previously validated by drug level testing from these sexual health clinics.
If you’re thinking about getting PrEP from outside the NHS England Impact trial, it’s important that you talk to a sexual health adviser, doctor or nurse, such as those at Unity. We will be able to support you to use the treatment safely and provide necessary tests before starting PrEP (such as a HIV test and kidney function test), and help with STI screens and monitoring.
If you are planning to start taking PrEP, or are already taking PrEP and require monitoring, please attend a Unity clinic.
Before starting PrEP, it is advised that you:
If you are already taking PrEP, we can:
If you would like more information on PrEP:
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