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After collecting your samples, you will send back the kit in a prepaid box where doctors will review the results. If after reviewing your health information and your medical provider feels that Truvada for PrEP will be right for you, they will write a prescription and send out a three month supply. You will need to take the prescription every day and get retested every three months to get your prescription refilled.
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PrEP is not intended to be a life-long program. Rather, it is a program where the healthcare provider works with you to develop an individualized plan with as many renewals of the prescription as you and the healthcare provider agree to. For many people, life circumstances change over time and the risk for HIV may be reduced or eliminated. You should discuss the issue of how long you want to take the PrEP medication with your provider. If for any reason you want to stop taking the PrEP medication, consult with the healthcare provider who prescribed it, or another provider who is familiar with PrEP. Generally speaking, cis-gender men taking on-demand PrEP should continue taking the PrEP medication for at least 2 days after any possible exposure. Anyone taking daily PrEP should continue taking the medication for 28 days after the last possible exposure.
\"Sexual health does not stop at access to PrEP. That may be where it starts -- where someone feels empowered and takes a pill to protect themselves against HIV --- but that should not be where it stops,\" Wurcel said.
If you miss a dose, immediately take two of your Truvada pills and contact the clinic or medical provider where you get medical care or PrEP services. You may need to immediately begin post-exposure prophylaxis if there is a chance you were exposed to HIV.
If you are taking daily PrEP you may decide to begin taking PrEP 2-1-1 if you go through a period where you are having sex less often. In this case, you would stop taking a pill every day seven days after you have last had sex. When you start having sex, you would need to take the first dose of two Truvada tablets 2-24 hours before you have sex, and then continue with the 2-1-1 dosing strategy described above.
Dr. Kenneth Mayer, the medical research director at Fenway Health in Boston, a community health center, said the program is a step forward in improving access to the medication for many people. However, he said, the lab tests and clinic visits can cost thousands of dollars per year. While Mayer considers the administration's reliance on community health centers a "very positive thing," finding affordable follow-up services requires the patient to know where to look.
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When collecting your PrEP at a pharmacy, while most pharmacists are aware of the generic alternatives available, it may not be the case everywhere. To assist you, this letter can be showed to the pharmacist which includes a list of brand substitutions for Truvada.
If all this information is on your script along with your correct details (including Medicare number) and the details of your doctor, you should have no trouble accessing generic PrEP at your local pharmacy. While stock levels will vary depending on the pharmacy you go to, in the case where they do not have stock at the time you arrive, they are usually able to order it in within a couple of days. 041b061a72