The Blue Pill that Prevents HIV Infection

Oct 6th, 2015

Which Title?

  1. "The Blue Pill That Saves Your Bareback Fantasy"
  2. "The Blue Pill That Saves Your Condoms"
  3. "The Blue Pill that Prevents HIV Infection"

The Basics

PrEP, PEP, TasP

TRUVADA® the Drug

 

2006

2015

2014

2012

Gilead Sciences’ TRUVADA (emtricitabine/tenofovir) was approved for AIDS treatment.

Food and Drug Administration (FDA) approved Truvada for PrEP.​​

Centers for Disease Control and Prevention (C.D.C.) recommended Americans at high risk for AIDS take Truvada to prevent HIV infection.

Kaiser (San Francisco), PROUD (England) research published

Effectiveness

Side Effects?

  • Common types: headache, stomach-area (abdomen) pain, and decreased weight.
  • Rare but Severe types: liver, kidney damage.

Bareback?

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • Genital warts

Why would I need PrEP?

  1. Because sometimes you just forget...
  2. Because now you are in power.
  3. Because your dating pool just get a bit larger, with quality people. Welcome the poz!

Paying for TRUVADA

Getting It for Free

Available payment assistance programs for Truvada (Starting 2014)

  1. TRUVADA® for PrEP Medication Assistance Program
  2. TRUVADA® Co-Pay Assistance Program
  3. Patient Access Network Foundation Assistance Program for HIV Treatment and Prevention

Do the Calculation!

  1. 30 pills of TRUVADA (one bottle):
    1. No insurance: $1,672.99
    2. Aetna Student Health Insurance co-pay: $269.59
  2. PAN Foundation Assistance Program for HIV Treatment and Prevention
\$27.21 + \$269.59 * 12 + \$180 * (2-1) + \$25 * (4-1) = \$3,517.29 < \$4,000
$27.21+$269.59∗12+$180∗(2−1)+$25∗(4−1)=$3,517.29<$4,000\$27.21 + \$269.59 * 12 + \$180 * (2-1) + \$25 * (4-1) = \$3,517.29 < \$4,000

The PrEP Gameplay

  1. Meet your doctor. Talk. Get tested for HIV, other STIs, and Hepatitis antibodies.
  2. While you wait, apply for payment assistance program!
  3. After a week, meet your doctor for results. Get prescribed for 30 days' supply!
  4. Two weeks in. Tell you doctor you're OK on drugs/medication.
  5. Pills finished. Meet your doctor for 60 days' supply.
  6. Three months on PrEP. Get an HIV test. Meet your doctor for 90 days' supply.
  7. Six months on PrEP. Get an HIV & comprehensive STI test. Meet your doctor for 90 days' supply.
  8. Repeat Step 6 and 7. UNTILL you're done with sex.

Clinics that Provide PrEP and/or PEP in LA County

Link: The original Google Fusion Table

PEP

In case you are too lazy to get Truvada,

but made a mistake last night...

  • PEP must be started as soon as possible to be effective. To be most effective, treatment should begin within an hour of exposure.
  • PEP has little or no effect in preventing HIV infection if it is started more than 72 hours after HIV exposure.

Discussion Time!

Slides will be posted here.

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