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[av_slide_full slide_type='image' id='186' video='http://' mobile_image='' fallback_link='http://' video_format='' video_ratio='16:9' title='HIV Pre-Exposure Prophylaxis (PrEP)' custom_title_size='34' custom_content_size='27' caption_pos='caption_bottom caption_bottom_framed caption_framed' link_apply='' link='lightbox' link_target='' button_label='Click me' button_color='light' link1='manually,http://' link_target1='' button_label2='Click me' button_color2='light' link2='manually,http://' link_target2='' font_color='' custom_title='' custom_content='' overlay_opacity='0.5' overlay_color='' overlay_pattern='' overlay_custom_pattern='' av-medium-font-size-title='' av-small-font-size-title='' av-mini-font-size-title='' av-medium-font-size='' av-small-font-size='' av-mini-font-size='' av_uid='av-acmvd']
Sanguen offers access to anti-retroviral medication to persons at risk of HIV infection.
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<h1>WHAT IS HIV Pre-exposure prophylaxis (PrEP)?</h1>
HIV PrEP is the administration of anti-retroviral medications to HIV-uninfected individuals at high and ongoing risk of HIV acquisition to prevent HIV. In Canada, 2 anti-retroviral combination medications are approved for PrEP: emtricitabine 200 mg/tenofovir disoproxil fumarate 300 mg, (Truvada) and emtricitabine 200 mg/tenofovir alafenamide 25 mg (Descovy).
<h3>WHO SHOULD BE CONSIDERED FOR HIV PrEP?</h3>
Daily PrEP with Truvada is approved for use by adults with sexual risks for HIV.
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<h2 style="text-align: center;">PrEP Clinic Services</h2>
<div style="text-align: left;">
<ul>
 	<li>Sanguen is now accepting referrals in General ID, HIV, Hepatitis C, HIV pre-exposure prophylaxis (PrEP), needlestick injuries, sexually transmitted infections including chlamydia/gonorrhea/syphilis, active/latent tuberculosis and so much more provided by Dr. Sidra Hassan</li>
 	<li>All in-person visits are taking place at Sanguen’s Waterloo office</li>
 	<li>Please call the office to book or change follow-up visits</li>
</ul>
If you are interested in HIV PrEP, you can book an appointment by calling: 519-603-0223.

To learn more about PrEP, visit:

<a href="http://thesexyouwant.ca/prep/reasons-to-get-on-prep/" target="_blank" rel="noopener">http://thesexyouwant.ca/prep/reasons-to-get-on-prep/</a>

<a href="https://www.catie.ca/en/fact-sheets/prevention/pre-exposure-prophylaxis-prep" target="_blank" rel="noopener">https://www.catie.ca/en/fact-sheets/prevention/pre-exposure-prophylaxis-prep</a>

</div>
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<strong>WHAT IS PrEP?</strong>
- PrEP stands for HIV Pre-Exposure Prophylaxis.
- PrEP involves taking medication regularly to lower the chance of HIV infection.
- When taken regularly, PrEP works very well.
- PrEP does not protect against other sexual infections.

<strong>WHAT MEDICATIONS CAN BE USED?</strong>
- 2 combination medications are approved for PrEP in Canada
- Emtricitabine 200 mg/tenofovir disoproxil fumarate 300 mg (Truvada) can be used by adults with sexual risks for HIV. It can be used off-label for people who inject drugs.
- Emtricitabine 200 mg/tenofovir alafenamide 25 mg (Descovy) can be used by adolescents and adults with sexual risks for HIV. It has not been studied for people having receptive vaginal sex.
- These medications work best when 1 tablet is taken daily, with or without food.
- It takes 7 days for PrEP to be effective for anal sex. It takes 21 days for PrEP to be effective for vaginal sex.

<strong>CAN I TAKE PrEP “ON DEMAND”?</strong>
- On-demand PrEP might be an option for gbMSM individuals (gay, bisexual, and other men who have sex with men).
- On-demand PrEP has not been studied for people who have vaginal sex, or people who inject drugs.

<strong>WHAT DO I NEED TO DO WHILE TAKING PrEP?</strong>
- Blood tests must be done every 3 months to test for HIV infection and to check your kidneys.
- You should be tested for other sexually transmitted infections every 3 months.

<strong>HOW MUCH DOES PrEP COST?</strong>
- Truvada is covered under the Ontario Drug Benefit, and the Trillium Drug Plan.
- Most private drug plans cover Truvada and Descovy

<strong>WHAT ARE THE SIDE EFFECTS OF PrEP?</strong>
- Some people notice nausea, diarrhea, bloating or headaches when they start PrEP. These side effects usually go away on their own.
- Truvada may cause thinning of the bones. Make sure that you are getting calcium (1000 mg per day) and vitamin D (1000 IU per day) from your diet and supplements.
- Tenofovir can cause kidney problems. Your kidneys will be checked with bloodwork every 3 months while you are taking Truvada.
- Descovy can cause cholesterol and blood sugar issues.
- Rarely, people can have an allergic reaction to PrEP. If you have rash, swelling, or difficulty breathing, go to the emergency department for medical care.
- If you get HIV while on PrEP, you will need to stop PrEP and start new treatments for HIV. If you experience symptoms that could be early HIV, see your doctor right away. Symptoms of early HIV include:
fever, headache, joint pain, sore throat.

<strong>WHAT IF I FORGET TO TAKE A DOSE?</strong>
- Take the medication as soon as you remember, unless your next dose is due within the next 6 hours. In this case, take your next dose at the usual time and do not double your dose.

<strong>WHAT IF I DECIDE TO STOP PrEP?</strong>
- Continue PrEP for AT LEAST 48 HOURS after your last possible HIV exposure (sex without a condom or shared drug equipment). The Canadian Guidelines recommend continuing PrEP for 28 days after your last possible HIV exposure.
- Follow up with your doctor for HIV testing 4-6 weeks after your last possible HIV exposure.
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