Is combivir an appropriate HIV nPEP regimen for one time unprotected encounter with CSW of unknown status in Kenya? I'm a 24 yr male from UK. Insertive vaginal and oral. Asked about Kaletra and doc said it's low risk doesn't recommend, but I am still very worried. Started within 12 hours, but still within 72 if kaletra should be added. I feel terrible of course but appreciate any advice.
Sorry but truvada is not ok in case of tdf resistance , which is only theory because there is notone single case of naive treatment developping resistance.the other antiviral in combo is too weak and similar to lamivudine, it also shares lamivudine mutants and resistance
the correct choice is entecavir which combo with tdf cross protect from development of any resistance
i think there are many tries from drug makers to push truvada because the patent will expire after many years.
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. Since I waited for more than 3 hours before I was able to see the doctor, I was already drowsy when the doctor talked to me.
How can I change from taking Truvada in the noon to taking Truvada at midnight? For instance, should I do two doses of Truvada in one 24 hour period or should I do no doses in one 24 hour period to get it right?
3. When the doctors prescribed the medication I ended up taking 4x the recommended dose of Aluvia. This was due to me having received four cans of Aluvia,not realizing that each can was meant to last 1 week.
You never had an exposure.
My doctor has been in Africa for the last 2 months she's been in Nigeria and Kenya should I be concerned about her continuing being my doctor?
I am a gay male and have taken Truvada as PrEP daily since last November.
This past week, I ran out of my Truvada after taking it on Tuesday morning. Prior to that, I had taken it daily for more than a month. I did not take Truvada on Wednesday or Thursday. I changed insurances and wanted to wait to pick up my refill until I got my copay and assistance straightened out.
On Friday I had anal sex as the bottom with a man I know who says he is negative.
This is a potential concern because the drugs in Truvada – tenofovir and emtricitabine – are active against HBV as well as HIV.
HIV and HBV are spread through some common transmission routes, including sexual transmission, vertical transmission (mother to child) and via multi-person use of injection equipment.
Hi Doctor, Sorry for my English in advance, I am very nervous and worry.
I am gay (bottom), I met a stranger yesterday and we had sex.
I am very sure he used a condom in the beginning, as I double checked.
However, in the middle, he suddenly stopped and insert again, I thought he was putting more gel, but when he put in again, I found very strange and I push him away and I found he pull off the condom, the unprotected contact was only about 2 seconds and halfway in.
But I could realized that she was quite worried because I had had only Truvada in the begining of my treatment and in the very deadline edge.
This is the first time in my life I'm going through a situation like that, and in another country that not mine, far from my Family and friends, it's really hard.
yes you are right, etv will work but for a short time (about 50-70% resistance at 5 years), very bad solution
i suggest check hbvdna with ultrasensitive hbvdna and see if it increases, decreases again because truvada resistance is very unlikly although not impossible
you can check with this supersensitive assay
http://www.ngi.com/
http://www.ngi.com/downloads/hbv_ultraqual.
The risk for acquisition of HIV from unprotected genital sex with an infected partner is less than 1 in 1000. With a condom that risk falls to about 1 in a million even if she was infected. If you were exposed because she is infected and the condom came off, with the Truvada your risk would be less than 1 in 100,000 and perhaps lower.
You have a good plan- get your partner tested. I suspect at that time you will be able to stop taking the Truvada.
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