What Is PrEP for HIV Prevention?

PrEP (Pre-Exposure Prophylaxis) is a daily medication that prevents HIV infection. When taken as prescribed, it is more than 99% effective.

Medications

  • Truvada: tenofovir/emtricitabine (approved for all at-risk populations)
  • Descovy: tenofovir alafenamide/emtricitabine (not approved for vaginal sex)
  • Apretude: long-acting injection every 2 months

Who Should Consider PrEP

  • HIV-negative partner of HIV-positive person
  • Multiple sexual partners without consistent condom use
  • Recent bacterial STD
  • Injecting drug use with sharing

Requirements

  • Confirmed HIV-negative before starting
  • HIV testing every 3 months while on PrEP
  • Kidney function monitoring
  • Adherence is critical for effectiveness

Access

  • Covered by most insurance
  • Patient assistance programs available (Gilead Advancing Access)
Source: CDC, American Sexual Health Association.

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