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Written by Dr.Deyn Natthakhet Yaemim, 24 March 2018
Medically Reviewed and updated by Dr.Deyn Natthakhet Yaemim, 9 March 2021
A: PrEP means Pre-Exposure Prophylaxis, and it's the use of anti-HIV medication that keeps HIV negative people from becoming infected.
A: Is the HIV in its most natural state, non-mutated strain of a virus.
A: This means the ability of HIV to mutate and multiply/reproduce itself in the presence of antiretroviral drugs that usually kill them (HIV treatment and PrEP).
A: Here's how
A: We know that PrEP works very well to prevent HIV infection when taken correctly and consistently, we prove that PrEP works well by checking your HIV status through testing. However, there are a lot of people who don't want to get tested and start PrEP. Those who don't get tested doesn't mean they don't have HIV. Maybe they just DON'T KNOW they have it.
They may start PrEP before they know they are infected, or they can become infected with HIV while using PrEP. If this happens, the virus in their body could change, or mutate, and become resistant to these ARV drugs. People who have HIV typically need to take 3 ARV drugs to stop the virus from making copies of itself (also called replicating). When drug resistance occurs, some ARVs are no longer able to stop HIV from multiplying and the person would need to start taking a different combination of ARV drugs and 10 times more expensive. Ultimately, this means that the PrEP user may have fewer choices of the ARV drugs that they can use for treatment when they become infected with drug resistant HIV.
A: There can be many reasons, according to my 6 years experiences they;
A: If you don't get tested and proceed with PrEP, later on when you find out you are HIV positive with drug resistant HIV, you'll not be able to avoid frequent doctor visit as a HIV positive person. And you will have to do that for the rest of your life if you don't want your HIV infection to develop to AIDS. If that happens, don't say I never warn you. We allow people to refill PrEP by buying online from our pharmacy only if they have prescription from their doctor beforehand.
A: Maybe, possibly. We do know that the risk of drug resistance was low in completed clinical trials where study participants were assigned to take a daily PrEP. But the risk of drug resistance in the “real world” may differ because:
- In clinical trials, study participants received free HIV testing ONCE A MONTH which allowed research clinicians to immediately stop PrEP use once infection was identified; in the real world, HIV testing may be done every three months, or different intervals, or NOT DONE AT ALL !!!
- We do not know how well each PrEP users take their PrEP; when PrEP is not taken consistently, risk of HIV infection is greater and more chance for drug resistant to develop.
- There is the possibility that PrEP could be started in people who are newly infected with HIV, but HIV tests that we use nowaday can not detect their infection, you can miss the diagnosis even in tight control setting as in research.
A: If you're on PrEP, don't put yourself at this risk. Don't fuck with any people who's taking PrEP without getting tested. If they tell you they're on PrEP, ask them when was the last time they get tested. They should have blood test results on their email address or a photo of their last test results. There are people who even fake their blood test results just to fuck bareback with you guys. And trust me, short course of heavenly fun is not worth the risk to fuck with the wrong guy.
- Take PrEP as prescribed.
- Don't create your own way of taking PrEP.
- Don't share your PrEP to anyone else who's not tested.
- If you want to take PrEP, you get tested before!
- If you're taking PrEP, get tested as suggested!
- Tell your friends and who you fuck with to do it right.
- Don't fuck with those who don't do it right. We have been doing a lot of hard work together in order to keep you safe.
DON'T FUCK IT UP OURSELVES AND DON'T LET SOMEONE ELSE FUCK IT UP! --- Dr.Deyn
- COVID-19 and HIV
- COVID-19 and Sexual Health
- COVID-19 and PrEP
- PrEP and Drug-Resistant HIV
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1.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4054409/
2.https://www.poz.com/basics/hiv-basics/hiv-drug-resistance
4.https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(19)30404-7/fulltext
I have my prescription and I want to order now, TAKE ME THERE !