PrEP & PEP (HIV)

[@benjamintembo2480]

I wish there was a way of liking this more than 1 times. Very great video.

[@TheTropicalVoyager]

Incredible. Thank you!

[@DrMK7]

You're very welcome!

[@benjamintembo2480]

Thanks for the educative video.. it deserve to be shared widely. . So informative and the explanations are so clear. I have really learned

[@DrMK7]

You’re most welcome 🙏

[@josephnamushi]

Powerful explanation Doc👍🤝🔥

[@DrMK7]

Glad it was helpful!

[@goliathngulube1621]

I started taking after 4hours of exposure and am now on day five but am experiencing the following syptoms: Fever sometimes Burning stomach and chest Lite headache And feeling like something is stuck on my throat.should i be worried please advice

[@DrMK7]

usually the drugs in the first 2 weeks have some side effects but should not be out of the ordinary, if it helps try taking the medication at night before sleeping (same time)

[@mwandilamd577]

Thank you! Quite informative

[@DrMK7]

You’re welcome

[@caspermukalo6323]

@@DrMK7 hello dr

[@humphreymothis3923]

Thanks for sharing this information

[@DrMK7]

My pleasure

[@ssa.6]

The doctor had a needle stick injury to a vein, but it was a superficial scratch, not deep, and some blood fell on the scratch. I wasn't wearing gloves. My doctor told me there's no need for preventive treatment. I tested negative with fourth-generation testing after 6 weeks, and I'll repeat the test after 3 and 6 months. Am I safe? I'm worried.

[@DrMK7]

you are most like okay

[@ssa.6]

​@@DrMK7Update: The patient who tested positive on the rapid strip test when they came to the clinic due to high blood pressure of 23/11. We retested the patient with a fourth-generation ELISA test on three samples, and the result came back negative. (For your information, the patient only suffers from chronic hypertension.) What is your opinion, Doctor?

[@anoldmmari-mi7qg]

Hello doctor.... drug lebled LA75 (tenofovir300mg,lamivudine 300mg and dolutegravir 50gm) can be used as PEP?

[@DrMK7]

yes it can

[@anoldmmari-mi7qg]

@@DrMK7 Pep may work if you get bruises during sex?

[@anoldmmari-mi7qg]

@@DrMK7 dr when someone taking LA75 for 15 day then end with N33 Volutrip for 15 days .... Are also correct effective?.

[@yvesshemamanzi9969]

What about LTD doctor

[@bharadwaj25]

Doctor, i am a male and a month back performed oral sex on a women whose hiv status is unknown. I started taking PEP at the 25th hour after exposure. I completed the 28 days course today. I have some doubts that are causing me anxiety. 1) what is the risk of oral sex in hiv transmission ? 2) How effective is pep when taken exactly 25 hours after exposure ? 3) Most days i took the pill at exactly the same time but there were days when it got delayed by 10 minutes max. Is this a cause for alarm ? Thank you for your response in advance.

[@DrMK7]

just get the test done it will save you all the anxiety

[@bharadwaj25]

Ok, thank you

[@ksazobafit....2216]

Hi Doctor, I got possible exposure when they were drawing blood for tests, I started about 43hours after exposure at 9:35am,the doctor had said with reydin side effects are better at night,she didn't want me to wait until night time to start so she said I must take one soon I get the meds and then another one at night then going forward I should keep taking it at night, when I got to the phamarcy they said if I take one in the morning I must continue taking one in the morning, so I have been taking 1 reydin at 9:35 am as pep, is this fine I'm just worried I might have misunderstood her. Am I supposed to take a double dose as the first dose as pep then continue taking 1 for the rest of the course?

[@DrMK7]

Hey; sorry to hear about what happened, no I do not think you were supposed to take an initial double dose however I presume the doctor said that so that as you continue the medication the subsequent days when you will take at night you would have some drug level in your blood stream. So if you took in the morning then the next day for example you were to take at night you would have a period where you do not have an effective drug level in the bloodstream between that first morning dose and the next day evening dose as you wanted to take them at night to lessen the side effects. I hope that makes sense. Do speak to your doctor and pharmacists in person to get more details.

[@ksazobafit....2216]

@@DrMK7 thank you for this, and taking time to respond, she did mention the side effects are better handled at night but I just needed to be sure there isn't a double dose rule I will speak to her again when they are back from holiday. Thank you, God bless you.

[@sb8882]

​@@ksazobafit....2216Hello...are you on it for 28 days?

[@rhesusmonkey197]

Hi how are you right now

[@Danrockz777]

@@ksazobafit....2216 hey how are you now ? I've been exposed and got PEP at 46 hours.

[@francismuiruri9223]

I took pep ,finished and tested negative 1 week after pep,4 weeks after pep using determine hiv 1/12(3rd gen),then i tested at 6 weeks post pep using first line hiv 1/2 2.0 test kit,all negative..when shoulf i do my last test ,also how reliable are the tests i have taken so far.? Doctor please help am very anxious.

[@DrMK7]

The tests are reliable you are most likely negative ideally the test you do after the pep is sufficient but you can wait a month and retake the test to be sure

[@francismuiruri9223]

​​@@DrMK7hank you doc for replying..what if I experience long term side effects or symptoms during and after pep,like mild face rash,white tounge and recurring muscle pains ? Also how should I calculate window period ,I.e after exposure or after last dose of pep?its such a confusing issue.

[@DrMK7]

@@francismuiruri9223 don’t worry about the side effects too they will clear with time as your body flushes the meds out of your system, to be on a safe side after a exposure I recommend 90 days retest after the incident but the newer tests we are using now are more sensitive than older ones and the testing method is thorough

[@sb8882]

Hello...how are you now?

[@sayyamariv7108]

Hello! Doc i took pep and then after pep on 45 day after. exposure i took fourthgeneration lab tets came negative then again after week 9 i took rapid test fourth generation came negative should i take again on test at 12 week or should i stop cuz i learn that fourth generation test is conclusive at week 6 but why then test at 3 month is recommended ?

[@DrMK7]

there is no need you’re most likely negative

[@sayyamariv7108]

@@DrMK7 thankyou doc for answering i have lab test after 45 days of expsoure not 45 days after pep and the second test was rapid fourthgeneration which was after week 9 of expsoure not of pep so i should i stop worring now ? The anxiety i m in

[@vikas1991vikas]

@@sayyamariv7108 bro test 6 weeks after pep that is more conclusive

[@sb8882]

How did you go?..how was your journey on pep?

[@sayyamariv7108]

@@sb8882 well it was the one of the biggest lesson learning experience for me the medicine itself do not have any sideeffects or issues for me but its just when you take first dose you might feel like vomiting or upser stomach but with time it goes away the main issue is the phycological impact that experience like that can have on a person so if anyone is taking pep stay in touch with your phycologist cuase you may develop hiv phobia which can make your life living hell cuz i m going through this now i have this fear of getting hiv i dont shakehands even and i know this is not.how hiv spread but still i get anxiety when ever someone touch me so it very difficult for me to live normally and well i m hiv negative so pep is very effective

[@TandiFlaming]

Hey sir I have two questions can one using condoms and is on prep, can he or she contuct HIV ?? Nd if using prep is it ok having unprotected sex??

[@DrMK7]

for your first question yes but highly dependent on many other factors and for the second question it depends on also other factors like viral load for example of the same said patient

[@devadev6876]

Sir hiv symptoms found after 8days now I take pep or any other treatment

[@DrMK7]

what symptoms are you talking about?

[@devadev6876]

@@DrMK7 throat pain and itching face,lips and hand no body pain

[@devadev6876]

Lite headache

[@devadev6876]

​@@DrMK7no fever sir

[@devadev6876]

@@DrMK7 please reply sir

[@andresbello417]

I got prescribed 2 for pep not 3

[@DrMK7]

Which ones ?

[@andresbello417]

Tivicay 50 mg and Emtricitabine and Tenofovir

[@andresbello417]

It’s 3 then one bottle has two different meds . How effect is this for pep I got exposed within 7 hours and I took them right way

[@andresbello417]

?

[@DrMK7]

@@andresbello417 you are on 3 drugs Trivacy 50 is dolutegravir, so essentially you’re on Tenofovir, Emtiricitabine and dolutegravir which are the drugs we can use for prep, in terms of transmission the chances are low and it’s good you started the prep early, if possible the source of your exposure if they are taking medication and are virally suppressed then you chance of infection is even lower, additionally the exposure you had if it’s a needle stick for example is it deep needle stick injury, did the need have visible blood on it, did it have a hollow bore there are many factors to transmission however do make sure you take the drugs everyday at the same time for 28 days then retest afterwards

[@itsfunnyd]

How common is prep failure if taken correctly

[@DrMK7]

not so common

[@itsfunnyd]

I took is for 7 days before sex and was displaying symtoms of hiv 2 weeks later I'm so scared

[@DrMK7]

Why did you take it only for 7 days ..?

[@itsfunnyd]

@@DrMK7 online it says max protection for bottom is 7 days plus is 99%

[@DrMK7]

Pep should be taken for 28 days then you retest after 28 days

[@ZimbaBwe-i5p]

Is acriptega ltd pill be used as PEP

[@DrMK7]

yes it can