PRep: a risk-Reduction strategy
Pre-Exposure Prophylaxis or PrEP is commonly known as the HIV prevention pill. That means routinely taking prescription medicine before you're exposed to HIV to help reduce your chances of getting it. PrEP is for those who are HIV-negative and are at a higher risk of contracting HIV through sex.
How effective is it?
PrEP is highly effective at preventing HIV when taken as indicated. PrEP reduces the risk of getting HIV from sex by about 99% when taken as prescribed. Among people who inject drugs, it reduces the risk by at least 74% when taken as prescribed. PrEP is much less effective when it isn't taken consistently.
What prescriptions are approved for PrEP? PrEP can be taken as pills or as a long-acting injectable. There are two pills approved for daily use as PrEP. They are combinations of two anti-HIV drugs in a single pill:
Truvada® (emtricitabine/tenofovir disoproxil fumarate) is for all people at risk for HIV through sex or injection drug use. Generic versions are also available.
Descovy® (emtricitabine/tenofovir alafenamide) is for sexually active men at risk of getting HIV. Descovy® is not for women who are at risk for HIV through receptive vaginal sex.
A long-acting injectable form of PrEP has also been approved by the FDA:
Apretude® (cabotegravir) is for people at risk for HIV through sex who weigh at least 77 pounds (35 kg). It’s an injection given by your health care provider every other month instead of daily oral pills.
Do you need other protection?
PrEP does not protect against sexually transmitted diseases such as gonorrhea, chlamydia, or syphilis. We advise that condoms or other harm reduction measures be used in tandem with PrEP. It is essential to be tested regularly. It is up to the individual to decide for themselves what level of protection feels right and gives them the best peace of mind
How do I pay for it? Everyones’ financial situation is different and we are happy to help you explore your options. You can enter your information below or email our PrEP navigator Jadyn at JSloan@MHBHC.org for more information.