S48(3) Pre-Exposure

Question 1

Tenofovir disoproxil fumarate/ Emtricitabine (Truvada™)

More well studied

Answer 1

Indication: All people at risk through sex or injection drug use

Kidney impairment

Bone demineralization

Question 2

Tenofovir alafenamide/ emtricitabine (Descovy™)

Answer 2

Indication: People at risk through sex EXCEPT those assigned female at birth at risk from vaginal sex

Associated with weight gain

Question 3

Pre-Exposure Prophylaxis (PrEP)

Pro

Answer 3

• Prevention against HIV
• 1 pill once a day
• Generic option available
• Covered by most insurances

Question 4

Pre-Exposure Prophylaxis (PrEP)

Con

Answer 4

• Takes 21 days to be effective
• Side effects like weight gain
• Doesn’t protect against other STDs
• Labs q3mo
• Slight concern for resistance if contract HIV while on PrEP

Question 5

PrEP Counseling

Answer 5

Takes 21 days to be effective
7 days for anal tissue
21 days for vaginal tissue and for injection drug use
Unknown time for insertive anal or vaginal sex

Question 6

While on PrEP, you should still use a condom to prevent against other STIs and pregnancy

Answer 6

True

Question 7

while on PrEP, you must get labs every 3 months and see a provider to renew the prescription
Screen for HIV and other STDs
Ensure kidney function is adequate

Answer 7

True

Question 8

Risky sexual behaviors

Answer 8

• Sex without a condom
• Sex with a condom that is used incorrectly or degraded by lubricant
• Sex with a HIV+ partner that is not virally suppressed
• Riskiest sex act = receptive anal sex
• Multiple partners
• Substance use/ abuse

Question 9

Condoms reduce risk of transmission by ~ 80%

Answer 9

If penal condoms are not preferred, can use vaginal condom and remove inner ring as an anal condom

Question 10

Circumcised men are less likely to get HIV from vaginal sex than uncircumcised men

Answer 10

True

Question 11

Undetectable = Untransmissable (U = U)

Answer 11

True