The most common treatment in the US, Canada and the UK is Truvada. This is what is known as a "fixed-dose combination tablet" combining emtricitabine and tenofovir from the NRTI class, and raltegravir, from the integrase inhibitor class. There ARE alternative drugs available and possibly in Thailand they use lamivudine in place of raltegravir. I am definitely NOT a chemist, so I can't tell you for sure if the combination you're taking is appropriate.
I searched couple of papers and i concluded not to double the dose in the case of i used that pill. But i continued my next dose as planned by taking truvada and isentress at the same time.
Although not sure, my question is missing only one dose raltegravir at day 22 could have impact on the efficacy of hiv Pep?
I appreciate your blunt response. I was prescribed Truvada + raltegravir (PEP) but could not obtain raltegravir in Europe. To be fair, I called the US PEP hotline who told me that I could take Truvada as PEP as there are no studies that prove it’s ineffective, so I didn’t start it without advice from the US HIV experts. I agree my anxiety is an issue but I legitimately was seeking an answer.
After several hours going from a hospital to another, I finally could get a Truvada pill in the very deadline limit of the treatment, probably between the 72nd and 74th hour after the sex.
I was quite desperate and I felt that the staff in this hospital wasn't too much prepared to take cases like mine with HIV risk envolved. It took too many hours, even though I tried to explain them the gravity about this situation.
I started PEP 2 hrs later (truvada, norvir, raltegravir, and preszita), my initial results are negative. I do not know the viral load of the patient yet, i can only pray that it is low. I know odds are 0.3% but that doesnt settle my fears, i am young and want to live a happy healthy life with KIDS! DR. please tell me if you have honstly heard of any cases like mine that have converted. I am in awe and feel like my life is totally over and ruined.
I am currently taking truvada and isentress (raltegravir) is this enough I couldn't get my prescription for dolutegravir filled...is this pep enough?
I asked the CSW if she knew her status and she said she was negative (I know that doesn’t mean anything and is almost discomforting because if she is she is most likely not on ARVs). Anyways I rushed to the hospital and was put on PEP at a maximum of 3 hours post exposure (truvada and raltegravir). I have taken the pills without missing any doses. At 3 weeks post exposure the lymph nodes in my neck swelled up slightly and I felt a tiny bit feverish.
I actually went to the clinic, got PEP (truvada 200mg and Raltegravir 400mg), also done hiv prick test which was negative. Dr was helpful and explained everything for me. He also said best thing is as u guys suggest, ask him test but also if he is clear 6 weeks back also, but that also depends on trust.
On my side i don't wanna embarrass him as twice he told me not to worry.
Last night, I had unprotected anal sex with a transvestite sex work. I know, bad move on my part. I was on top and inside of him for only a few minutes at most. One question: How risky is this? He said he's clean, but I don't know whether to believe that. If he is HIV positive, how possible is it I contracted HIV? I rushed to the ER this morning to get PEP, but is it even necessary? And what happens if I did contract HIV and the PEP doesn't work.
I started PEP 2 hrs later (truvada, norvir, raltegravir, and preszita), my initial results are negative. I do not know the viral load of the patient yet, i can only pray that it is low. I know odds are 0.3% but that doesnt settle my fears, i am young and want to live a happy healthy life with KIDS! DR. please tell me if you have honstly heard of any cases like mine that have converted. I am in awe and feel like my life is totally over and ruined.
I presume you had anal sex, because oral is not a risk.
HIV is only diagnosed from a test so all your details and questions have no answers.
Since you have passed 28 days, you can just take a 4th gen test for a conclusive result and all the details you mention which are just question marks will become irrelevant.
I started PEP (Truvada and ISENTRESS which is Raltegravir Potassium Tablets) in 47 hours. I also saw some case about PEP with blood transfusion. A 12 years old girl had a blood transfusion with hiv blood, she took PEP( tenofovir, emtricitabine, ritonavir-boosted darunavir (subsequently changed to lopinavir) and raltegravir) after 24 hours and had these PEP for three months. This girl also has cssr5 dna which is a dna that hard to infect hiv.
You are correct that Truvada is a combination of tenofovir and emtricitabine, and is generally prescribed for patients with HIV. Being a HBV forum, most of us know very little about Truvada except that it is prescribed off-label for HBV by some doctors, and that it is recommended for HBV patients who develop resistance to Tenofovir.
I have been experiencing severe itching and redness in my face after the daily dose of Truvada, which I tried to take Zyrtec for, which helped a little, albeit not much.
Since I was able to visit the hospital in Bangkok just in time for the 72 hour limit, and the time at the hospital was around noon back in UK, I started taking Truvada+Aluvia at once, meaning that I am now taking Truvada + Aluvia around noon and Aluvia around midnight.
Hi Dr,I had unprotected sex with a gay three days ago.But atually,he did not totally penetrate me,just penetrated half of his balanus with less than 30 seconds,and then I pull him out,no cum no blooding.Before his penis penetrate me,he sucked my anus and penetrate me with his finger for minutes.
I am worried about his precum and maybe the penetration cause tiny wound in my anus.It's the first time I tried to be bottom.And yesterday I terribly find haemorrhoids around my anus.
Hi
Thanks for all the help provided by the blog.
I started PEP after a relatively risky exposure. However, I started Turvada 42 hours after exposure. I've read that Truvada has a limited effectiveness after 24 hours. Is this accurate?
I also missed a dose on day 10 and from day 16 got general lymphadenopathy, headaches and other ARS-like symptoms.
Can anyone help?
1 Truvada and 2 Kaletra at 7am while 2 Kaletra at 7pm. Yesterday, I took 1 Truvada at 7am but since I was in a hurry after dinner, I accidentally took one more Truvada last night. I tried to vomit it up but I was able to vomit only a part (dissolved part) of it. Because of panic, I forgot to take Kaletra last night. I rushed to the A&E and asked the doctor's advice on what to do.
He also said he’s been on the Truvda Prep for 2 months and takes it daily. Anyway, I’m still concerned and would like to know:
1. How effective is the Truvada Prep that he is currently taking in preventing getting HIV?
2. I can get tested using a HIV 4th Generation Duo Antigen/Antibody Test at my doctor’s office. How long should I wait to have that test performed for accurate results?
Thank you.
Recommended
