Tips & info for PrEP users
If you’ve been prescribed PrEP, there are some important things to know. This info doesn’t replace your PrEP provider though, so if you have specific medical concerns you should ask your healthcare provider or PrEP provider.
- Store the bottle at room temperature. Do not keep the bottle in a hot car or refrigerator.
- Do not share your Truvada with other people. It may seem like a generous thing to do, but could actually cause harm. Truvada for PrEP is not safe for everyone. (Another reason why seeing your PrEP provider regularly is important!) Also, you’ve been prescribed a specific dose and you need that dose in order for PrEP to work.
HOW TO TAKE PREP
- It’s OK to take this medication if you drink alcohol or use drugs.
- It’s OK to take this medication with or without food.
HOW TO TAKE DAILY PREP
- Take one pill every day. Taking more than one pill a day could be harmful.
- For those engaging in anal sex, it takes a week of of continuously taking Truvada before there is enough medication in your body to decrease your chance of getting HIV.
- For those engaging in vaginal or front hole sex, it takes 30 days before there is enough medication in your body.
- Get into a routine to remember every dose: Keep your pill bottle visible, take your pill at the same time every day.
- Keep an extra pill with you for times when you’re not home when it’s time to take your dose or if there’s a chance you might stay over at someone else’s place.
HOW TO TAKE PREP 2-1-1
- Take two pills at least two hours before having sex.
- Take one pill 24 hours later.
- Take one more pill 24 hours after that.
- If you’re having sex for an extended amount of time, continue to take a pill every 24 hours until you have two days without sex.
- This way of taking PrEP is only recommended for people having anal sex, not people having vaginal or front hole sex.
- Remember: If you’re using PrEP 2-1-1, use it the same way for every sexual encounter. Don’t pick and choose when to use the dosing strategy based on your perception of your partner’s HIV status, because you may not be correct 100% of the time.
IF YOU MISS A DOSE
- If you are taking daily PrEP, and you forget or skip a dose, take a pill when you remember.
- If you are taking PrEP 2-1-1, and you forget or skip a dose, take 2 pills immediately and call your healthcare provider for further instructions.
POTENTIAL SIDE EFFECTS
Some people get side effects when taking Truvada for PrEP. Symptoms are usually mild and go away after the first month on PrEP. You might experience gas, bloating, softer or more frequent stools or nausea.
If you experience symptoms related to your stomach, here are some things to try:
- Take your pill with food
- Take your pill at night before you go to sleep
It’s your choice to stop taking PrEP if you feel stopping PrEP is appropriate for you.. Before you do, call your provider or the clinic that prescribed you PrEP to let them know. Your provider or our PrEP staff will tell you more about how to stop taking PrEP.
PAUSING & RESTARTING DAILY PREP
If you’ve been on daily PrEP, but stopped for a while, and are ready to resume taking PrEP once a day, make sure you get an HIV test before starting again. Talk to your healthcare provider about how to start PrEP safely if you have stopped it.
COMBINING PREP WITH OTHER PREVENTION STRATEGIES
PrEP doesn’t protect against other STIs. If you’re taking PrEP, you should also take other steps to protect yourself like using condoms and lube and getting regularly tested for STIs.
HEALTH MONITORING WHILE ON PREP
Regular visits to your PrEP provider are essential while you are taking PrEP. People taking PrEP typically see their PrEP provider once every three to six months.
Whether you’re considering PrEP for yourself or you’re a clinician thinking about offering PrEP, you might find these resources helpful.
Truvada Lawsuit Ads are Misleading
Truvada is a well-studied medication that is safe for the vast majority of people taking it for PrEP and for HIV treatment.
34% of transmasculine people given PrEP info by providers
Transmasculine individuals need access to sexual health care and PrEP information, without assumptions or judgment about sexual preferences.
IAS 2019 – PrEP use by transmasculine & transfeminine folks: New data from Northern California
In a sample of more than 2,500 transgender clients receiving care from a large managed health care system, only 16% with an indication for PrEP were linked to PrEP care.
IAS 2019 – Personal agency is central to ending the HIV epidemic
PrEP advocate Damon L. Jacobs explains why agency -- the personal freedom of choice and equal access -- is critical and how access to information and research is an essential component.
No effect of cocaine and PrEP on kidneys, but adherence suffers
Using hair samples to quantify cocaine use history, researchers found that both “light” and “heavy” use was associated with less consistent PrEP dosing.
New Policies to Improve PrEP Access
A new USPSTF recommendation paves the way for broader PrEP insurance coverage; SB 159 would allow PrEP and PEP to be dispensed at California pharmacies without a physician’s prescription.
USPSTF Recommendation for PrEP
Task Force recommends that clinicians offer PrEP to individuals at high risk for HIV acquisition.
PrEP 2-1-1 offered at Magnet
PrEP on-demand (also known as PrEP 2-1-1) is an alternative dosing strategy in which scheduled Truvada doses are taken around the times of sex instead of once daily.