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Sanguen offers access to the anti-retroviral medication PrEP to persons at risk of HIV infection.

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<h2 style="text-align: center;">What Is PrEP?</h2>
    <ul>
     <li>PrEP stands for HIV Pre-Exposure Prophylaxis, meaning you take a medication before any exposure (sex or shared drug equipment to decrease the chance of HIV infection) </li>
      <li>PrEP is part of an effective strategy used by HIV negative people to reduce their risk of becoming HIV positive </li>
      <li>PrEP will not protect you from any other infections</li>
    </ul>

<p> </p>
<h3 style="text-align: center;">What Medication Is Used And How Should I Take It?</h3>
    <ul>
     <li>PrEP consists of a single tablet called Truvada that contains 2 medications – Tenofovir DF and Emtricitabine </li>
     <li>Take 1 tablet daily, with or without food </li>
     <li>It will require 7 consecutive days of dosing to reach protective levels in your body against HIV for anal sex, and 21 days for vaginal sex </li>
    </ul>

<p> </p>
<h3 style="text-align: center;">Can I Take Prep "on Demand" ("Disco Dosing", Or "Condom Holidays")?</h3>
    <ul>
     <li>It is recommended that you take PrEP every day </li>
     <li>One study showed that guys taking PrEP for a few days before and after sex reduced HIV transmissions. Most people in the study were having sex often, so this "short-term" PrEP usage might actually have been similar to daily PrEP in practice.</li>
    </ul>

<p> </p>
<h3 style="text-align: center;">What Do I Need To Do While Taking PrEP?</h3>
    <ul>
     <li>Blood tests will be done every 3 months to monitor you for HIV infection and to check your kidneys. These tests are necessary for ongoing renewals of PrEP</li>
     <li>Routine tests for other sexually transmitted infections are also recommended every 3 months, as PrEP will not protect you against other infections </li>
     <li>It is recommended that PrEP be used with other strategies to reduce the risk of HIV, including condoms and avoiding sharing drug equipment.</li>
    </ul>

<p> </p>
<h3 style="text-align: center;">What Are The Side Effects Of PrEP?</h3>

    <ul>
     <li>Some people experience nausea, diarrhea, bloating or headaches in the first few weeks. These side effects usually go away on their own.</li>

     <li>Tenofovir may cause mild thinning of the bones, which seems to be corrected if PrEP is stopped. It is recommended that you get a protective amount of calcium (1000 mg per day) and vitamin D (400 IU – 1000 IU per day) from your diet and supplements to reduce possible bone effects.</li>

     <li>Rarely, people can experience an allergic reaction to the medication, with rash, swelling, difficulty breathing. If these symptoms develop, you should be assessed immediately in the emergency department.</li>

     <li>Tenofovir can rarely lead to kidney problems. Your kidney function will be monitored while you are on PrEP. </li>

     <li>There has been one case of someone developing drug-resistant HIV while taking PrEP. 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.</li>
    </ul>

<p> </p>
<h3 style="text-align: center;">If You Forget To Take A Dose</h3>
    <ul>
     <li>Take the medication as soon as you remember, unless your next dose is due within the next 6 hours. In this case, resume at your usual time and do not double your dose.</li>
    </ul>

<p> </p>
<h3 style="text-align: center;">If You Decide To Stop PrEP</h3>
    <ul>
     <li>Continue PrEP for 28 days after the last possible HIV exposure (sex without a condom or shared drug equipment).</li>
     <li>Follow up with your doctor for HIV testing 4-6 weeks after your last possible HIV exposure.</li>
    </ul>

<p> </p>

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