What is included in patient education about preexposure prophylaxis (PrEP) for HIV?

Updated: Oct 08, 2019
  • Author: Alejandro Delgado, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

When prescribing emtricitabine/tenofovir for PrEP, health care providers must do the following [3] :

  • Prescribe emtricitabine/tenofovir as part of a comprehensive prevention strategy because this drug combination is not always effective in preventing the acquisition of HIV-1 infection

  • Counsel all uninfected individuals to strictly adhere to the recommended emtricitabine/tenofovir dosing schedule because in clinical trials, the combination’s effectiveness in reducing the risk of acquiring HIV-1 correlated strongly with adherence, as demonstrated by measurable drug levels

  • Confirm a negative HIV-1 test immediately prior to initiating emtricitabine/tenofovir for a PrEP indication

  • If clinical symptoms consistent with acute viral infection are present and recent (< 1 month) exposure is suspected, delay starting PrEP for at least 1 month and reconfirm HIV-1 status or use a test approved by the FDA as an aid in the diagnosis of HIV-1 infection, including acute or primary HIV-1 infection


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