Dr. Kamila Seilhan
Dr. Kamila Seilhan, Internist and Medical Director at LabFinder.com, offers an summary for stopping HIV in higher-risk sufferers.
— Dr. Kamila Seilhan
NEW YORK, NY, UNITED STATES, August 10, 2023/EINPresswire.com/ — Pre-exposure prophylaxis, or PrEP, is a sort of medicine that may assist stop the event of HIV. However there are a variety of widespread questions and misconceptions round PrEP: Is it for everybody? Is PrEP protected? And the way efficient is it? Dr. Kamila Seilhan, Board-Licensed Internist and Medical Director of LabFinder.com, an internet scheduling platform for affected person laboratory and radiology appointments, solutions the highest 10 questions on PrEP. HIV testing is obtainable from LabFinder.
1. Is PrEP efficient at stopping HIV?
“The brief reply is definitively sure. When taken as prescribed, PrEP reduces the chance of contracting HIV by means of intercourse by 99%. There’s much less details about people who find themselves prone to contracting HIV by means of needle sharing, however for this group PrEP seems to be no less than 74% efficient, which continues to be very vital,” mentioned Dr. Seilhan.
2. If somebody thinks they’ve simply been uncovered to HIV, ought to they begin PrEP?
“It is a widespread false impression about PrEP,” Dr. Seilhan defined. “PrEP is a preventative measure that wants to be taken repeatedly and earlier than publicity so as to be efficient. It’s not for infrequent or one-time use,” she added.
3. Is PrEP protected to use?
“Once more, the reply right here is unequivocally sure. Research have discovered no vital destructive results in individuals who have maintained a PrEP routine for 5 years. After all, like all medicine, there’s at all times a possible for some unintended effects, however they’re typically delicate for most individuals” Dr. Seilhan mentioned.
A number of the unintended effects somebody might need from PrEP embody:
• Nausea
• Diarrhea
• Headache
• Fatigue
• Abdomen ache
4. Who is an efficient candidate for PrEP?
“PrEP is for folks with an elevated danger for contracting HIV. Those that aren’t repeatedly participating in higher-risk actions don’t want to take PrEP. That being mentioned, solely about 10% of the worldwide inhabitants who would profit from PrEP are at present taking these medicine in accordance to the WHO,” mentioned Dr. Seilhan.
Somebody ought to think about PrEP in the event that they’re HIV-negative and meet any of the next standards:
• has a sexual accomplice who has HIV
• has intercourse with out persistently utilizing condoms
• recognized with an STD within the final 6 months
• shares needles or drug injection supplies
• has an injection accomplice who has HIV
5. Does PrEP stop all STIs?
“That is one other widespread false impression, and it’s necessary for folks to know that the reply isn’t any. PrEP solely helps to stop HIV. Different STIs—like syphilis and gonorrhea—are usually not prevented by PrEP, and individuals who take PrEP drugs ought to nonetheless use condoms to shield themselves from these different infections,” mentioned Dr. Seilhan.
6. What PrEP drugs are authorised by the FDA?
“There are just a few totally different choices right here. Some will work higher for various folks relying on particular person preferences in addition to limitations of the drugs themselves, however there are alternatives for everybody,” mentioned Dr. Seilhan.
Truvada is a drugs that’s efficient for everybody. It accommodates tenofovir disoproxil plus both emtricitabine or lamivudine, and there are generic variations obtainable.
Descovy is one other medicine that accommodates tenofovir disoproxil and emtricitabine in addition to alafenamide. This medicine is efficient for males and for transgender girls. For folks assigned feminine at delivery who’re prone to contracting HIV by means of receptive vaginal intercourse, Descovy shouldn’t be used. There isn’t any generic model right now.
Vocabria is a drug that accommodates cabotegravir. It is a drug used to deal with HIV however will also be used for PrEP on a short-term foundation. There isn’t any generic model right now.
Apretude is the ultimate PrEP drug at present authorised to be used in the USA. It additionally accommodates cabotegravir however is for long-term use. There isn’t any generic model right now.
7. How are PrEP drugs taken?
“Apretude is an injection that you just get at your healthcare supplier’s workplace, and it’s efficient for 2 months. The opposite drugs are all every day oral tablets. It’s necessary to bear in mind to take these on the identical time every single day, not solely after a possible HIV publicity,” Dr. Seilhan mentioned.
8. What in regards to the PrEP ring?
“Dapivirine is a microbicidal vaginal ring that’s used for PrEP in some African international locations, however it has not been authorised by the FDA. Whereas some research have discovered it to be efficient and with out critical unintended effects, it’s not at present being thought-about by the FDA and isn’t probably to be obtainable within the US anytime quickly,” Dr. Seilhan mentioned.
9. What if a dose is missed?
“If one of many capsules will get missed, the perfect factor to do is take it as quickly as you notice it after which get again onto the traditional schedule. If it’s getting shut to the subsequent time to take it while you bear in mind, simply take one on the regular time—don’t double up. If somebody goes to miss an injection, they need to speak to their healthcare supplier to give you a plan,” Dr. Seilhan suggested.
10. Is PrEP lined by insurance coverage?
“Underneath the Inexpensive Care Act, PrEP is required to be lined by practically all insurance policy. For folks with out insurance coverage, there are a number of help applications obtainable, and there are particulars on the CDC’s web site,” mentioned Dr. Seilhan.
Bio: Kamila Seilhan DO is a New York Metropolis-based inside drugs specialist who has been in observe for greater than 20 years. She is board-certified by the American Board of Inner Drugs. As well as to her observe, she serves as medical director of LabFinder.com.
About: LabFinder is a consumer-facing platform that transforms the affected person expertise by means of seamless lab & radiology testing, guiding sufferers to conveniently situated testing facilities, dealing with appointment bookings, providing telehealth providers, and permitting sufferers to evaluation their check outcomes multi function place. LabFinder helps sufferers by means of their care journey from reserving to billing—lowering bills, hurdles, and frustrations. www.labfinder.com.
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