PrEP - GET PrEP AT PULSE CLINIC Makati, Manila, Philippines

Our team will help you choose which treatment plan to follow. 
We’ll check your medical history, personal sexual risk evaluation and run HIV test, kidney function test, Hepatitis B and liver function blood tests. 
We can arrange a sexual health screen at our PULSE CLINIC (Bangkok, Phuket, Hong Kong, Kuala Lumpur, Singapore).
We can dispense up to 12 bottles at the first visit. You can chose from;
Truvada, TENO-EM, Ricovir-Em, TENOF-EM, Descovy, Taficita, Tafero-Em

The whole process to acquire PrEP at PULSE CLINIC takes 30 minutes.
You will also receive medical certificate that will allow you to travel with PrEP medications in every countries.

PrEP appointment includes consultation, risk evaluation, rapid HIV and syphilis test, metabolic test (kidney function, liver function and hepatitis B vaccine level). Once you book appointment for PrEP, you don't need to book appointment for HIV test or other tests.

• Make sure you get tested for HIV, kidney functions, Hepatitis B virus before taking PrEP.
• Make sure you didn't have exposure to HIV (bareback sex, sharing needles) 14-21 days before HIV test

It’s important to have regular monitoring. We’ll make sure everything is going OK and doing well. 
We’ll check HIV status, do syphilis test. Twice a year we’ll run a blood test to check your kidneys and liver with doctor, counselor.
And if our doctor ordered your labs in advance you can use our PULSExpress service to make things faster for you. 

If you decide to continue we can sell you up to 12 month’s supply each visit for personal use.

• Make sure you're HIV NEGATIVE, have normal kidney function to continue taking PrEP safely.
• Make sure you take PrEP daily and do not share your PrEP with those who have not get tested.
• Make sure you don't have other SEXUALLY TRANSMITTED INFECTIONS
• Make sure you get proper treatment when having STDs and tell your sex partner(s) to get tested and treated too.

11 branches of PULSE CLINIC are now open 7 days a week in all 5 countries; Thailand, Hong Kong, Malaysia, Singapore, Philippines.
But if you can't visit us at the clinic for whatever reasons, You can buy PrEP online from our licensed clinics.

• Make sure we have your prescription and or lab results before ordering PrEP
• Make sure you send us a copy of passport and lab results from your doctor or your labs or send us prescription from your doctor. We’ll re-check your results, then we can provide you 3 to 6 month’s supply each time.

HOW TO TAKE PrEP? 

It depends on how often do you have sex and  do you plan to have sex well in advance?
Clinical Practice Guideline of the United States (2013) and HIV prevention Guidelines of Thailand (2014) provided comprehensive information which suggests us to use daily oral PrEP to reduce the risk of acquiring HIV infection in adults. Our advice around PrEP is based on the results of 2 European studies. The 2 studies looked at different ways of taking the treatment. Both of the studies showed an 86% reduction in catching HIV. 

PROUD Study¹ DAILY DOSE
People took a Truvada pill every day. No one taking the Truvada correctly caught HIV in this study. (This is the officially recommended way to take PrEP.)

IPERGAY Study²  ON DEMAND
Take 2 Truvada pills between 2-24 hours BEFORE sex. Then take one Truvada pill every day until 2 days have passed after the last condomless sex. This regimen is not recommended for vaginal sex. (and not recommended for gay people who enjoy chemsex or do not plan to have sex very well, because there are already evidences that many people forget to take the third and the forth pill.)

We can run a blood test to check the correct drugs are present in your body. You need to have taken a pill in the 24 hours before the test.  Therapeutic drug monitoring (TDM) is a branch of clinical chemistry and clinical pharmacology that specialises in the measurement of medication concentrations in blood.

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