Treatment FAQ

prep and treatment for prevention what does this mean for hiv in australia?

by Mollie Goodwin Published 3 years ago Updated 2 years ago

PrEP has the potential to significantly impact Australia’s response to the HIV epidemic. It is an important new option in the suite of HIV prevention strategies and, alongside treatment as prevention, will support Australia to meet its target of ending HIV transmission.

Pre-exposure prophylaxis (PrEP) is an oral medication that prevents HIV in people at risk of infection with the virus. PrEP reduces the risk of getting HIV by up to 99% when taken consistently as prescribed. All GPs in Australia can prescribe PrEP. PrEP doesn't protect against sexually transmissible infections (STI).

Full Answer

What is the best way to prevent HIV?

HIV Prevention. PrEP. HIV Pre-Exposure Prophylaxis (PrEP) is the regular use of HIV medications by HIV-negative people to prevent HIV acquisition. Taken as prescribed, PrEP is highly effective at stopping the transmission of HIV and allows people to be in control of their HIV status.

What is HIV pre-exposure prophylaxis?

HIV Pre-Exposure Prophylaxis (PrEP) is the regular use of HIV medications by HIV-negative people to prevent HIV acquisition. Taken as prescribed, PrEP is highly effective at stopping the transmission of HIV and allows people to be in control of their HIV status.

How effective is Prep in preventing HIV?

PrEP is highly effective in preventing HIV when taken with high adherence daily or on-demand. PrEP is an effective prevention strategy for: men who have sex with men (MSM), heterosexual men and women, transgender people, and people who inject drugs who are at-risk of HIV acquisition.

How many people with HIV are receiving prep in Australia?

Consequently, 74% of people living with HIV in 2017 reached viral load suppression, thereby achieving zero risk of onward HIV transmission ( 1 ). By the end of 2018, 18,530 people, of whom 99% were male, were receiving Pharmaceutical Benefits Scheme (PBS)-subsidised PrEP in Australia ( 4 ).

What is PrEP for HIV prevention?

Pre-exposure prophylaxis (or PrEP) is medicine taken to prevent getting HIV. PrEP is highly effective for preventing HIV when taken as prescribed. PrEP reduces the risk of getting HIV from sex by about 99%. PrEP reduces the risk of getting HIV from injection drug use by at least 74%.

What does PrEP mean in Australia?

Prep is a full-time program that children attend from Monday to Friday during normal school hours, generally from 9am to 3pm. To be eligible for Prep, children must be aged 5 years by 30 June in the year they start Prep. Prep is the start of the early stage of learning which continues until Year 2.

What is PrEP HIV Australia?

HIV Pre-Exposure Prophylaxis (PrEP) is the regular use of HIV medications by HIV-negative people to prevent HIV acquisition. Taken as prescribed, PrEP is highly effective at stopping the transmission of HIV and allows people to be in control of their HIV status.

What does PrEP HIV mean?

PrEP (Pre-Exposure Prophylaxis) Español (Spanish) PrEP (pre-exposure prophylaxis) can reduce your chance of getting HIV from sex or injection drug use. When taken as prescribed, PrEP is highly effective for preventing HIV. This section answers some of the most common questions about PrEP.

Who is eligible for PrEP?

Men and transgender women who: Have sex with men. AND have had an HIV negative test during in the preceding year. AND report condomless sex (excluding oral) in the previous 6 months. AND are likely to continue having condomless sex (excluding oral)

How much is PrEP in Australia?

How much does PrEP cost? PrEP patients are responsible for a co-payment of up to $39.50 ($6.40 concession) per 30 day supply. People who are ineligible for subsided PrEP through the PBS must pay full price for the drug, currently up to $800 per 30 day supply.

What is PrEP and how does it work?

PrEP acts as a catalyst that helps the body produce antibodies, which help diseases causing germs and viruses. After contact with the virus, the tenofovir and emtricitabine block the enzyme needed by the virus to replicate. Used correctly, PrEP eliminates the risk of contracting the virus after exposure.

Who needs PrEP Australia?

PrEP is indicated for people who are at risk of HIV infection, or have fears related to acquiring it. Men who have sex with men account for approximately 70% of HIV diagnoses in Australia. A high risk of HIV infection has been associated with: unprotected receptive anal intercourse.

Is PrEP covered by Medicare?

PrEP is covered by most insurance plans and should be covered by Medicaid and Medicare. There are also programs that provide PrEP for free or at a reduced cost. Many organizations have PrEP navigators who can help connect patients to resources. Ask what options are available.

What drug is PrEP?

TRUVADA for PrEP® (pre-exposure prophylaxis) is a once-daily prescription medicine for adults and adolescents at risk of HIV who weigh at least 77 pounds. It helps lower the chance of getting HIV through sex.

What is the difference between PEP and PrEP?

PEP stands for post-exposure prophylaxis. As indicated by 'post', you start to take it after a single event that may have exposed you to HIV. PrEP is designed to be used in a planned way, on an ongoing basis. PEP is used in emergency situations. Most people take PrEP once a day, every day.

Does PrEP protect both partners?

Using PrEP protects you and all of your HIV negative partners.

What is PrEP?

PrEP is the use of HIV medications to prevent the transmission of HIV. When taken daily, PrEP is up to 99 per cent effective in preventing HIV. Currently only one medication is approved for use as PrEP: tenofovir/emtricitabine. It has been used for many years to treat HIV in people living with HIV.

What is involved in prescribing PrEP?

Before prescribing PrEP, prescribers should discuss the risk eligibility criteria with their patients. If a patient is considered eligible for PrEP, prescribers should conduct an HIV test to confirm that the patient is HIV negative. They should also test for sexually transmissible infections (STI), including gonorrhoea, chlamydia, and syphilis.

Who can prescribe PrEP?

PrEP has been listed as a general schedule s85 item on the PBS, and can be prescribed by both general practitioners and nurse practitioners.

Who is eligible for PrEP?

People who are considered at medium to high risk of HIV are eligible for PrEP. This includes gay men and other men who have sex with men (MSM), people who inject drugs (PWID), trans and gender diverse people, and heterosexual men and women at greater risk of HIV.

Are there any side effects to PrEP?

Tenofovir/emtricitabine, the drug used as PrEP, has very few side effects, and very few people ever experience them. For those who do experience them, the side effects usually clear up within a few weeks of starting PrEP. Common side effects included headache, nausea, weight loss, and depression.

How much does PrEP cost?

PrEP patients are responsible for a co-payment of up to $39.50 ($6.40 concession) per 30 day supply.

Who can I contact if I want more information?

For immediate questions about prescribing PrEP, please contact the Victorian HIV Service at Alfred Hospital on (03) 9076 6081.

What is a PrEP?

HIV Pre-Exposure Prophylaxis (PrEP) is the regular use of HIV medications by HIV-negative people to prevent HIV acquisition. Taken as prescribed, PrEP is highly effective at stopping the transmission of HIV and allows people to be in control of their HIV status. PrEP has the potential to significantly impact Australia’s response to the HIV epidemic.

What is the purpose of PrEP?

It is an important new option in the suite of HIV prevention strategies and, alongside treatment as prevention, will support Australia to meet its target of ending HIV transmission.

How long does it take to take PEP?

To be effective at preventing acquisition the medication must be taken with 72 hours of the episode of exposure.

Is PrEP approved by the Australian government?

PrEP has been approved by Australia’s Therapeutic Goods Administration (TGA ) for use by people who are HIV negative and at risk of acquiring HIV. On 21 March 2018, the Federal Minister for Health announced that PrEP will be subsidised by the Australian Government through the Pharmaceutical Benefits Scheme (PBS) from 1 April 2018.

How to access HIV pre-exposure prophylaxis in New Zealand?

There are 3 ways to access HIV pre-exposure prophylaxis (PrEP) in New Zealand (NZ): 1. Publicly funded PrEP. For people eligible for publicly funded health care, PrEP will be funded provided that they meet the NZ Pharmaceutical Management Agency, PHARMAC, funding criteria for emtricitabine with tenofovir disoproxil.

How to access PrEP in Australia?

Access to PrEP in Australia. There are three ways to access HIV pre-exposure prophylaxis (PrEP) in Australia: 1. Through the Australian health-care system. For an Australian resident with a current Medicare card, PrEP can be accessed through the Pharmaceutical Benefits Scheme (PBS) at a subsidised cost.

What is the name of the drug that is used to treat HIV?

These are: tenofovir di soproxil fumarate/emtricitabine (Apotex), tenofovir di soproxil maleate/emtricitabine (Mylan), and tenofovir disoproxil phosphate/emtricitabine ( Tenofovir EMT GH). This recommendation is for the prevention of acquisition of HIV in pre-exposure prophylaxis (PrEP), and for the treatment of HIV in combination with other ...

What is a decision making tool in Australia?

This new 2-page Decision Making in PrEP tool provides a prescribing pathway that summarises the key eligibility and recommended assessment for primary care providers in Australia who wish to prescribe PrEP and the ongoing patient education and monitoring requirements.

Is PrEP effective for HIV?

PrEP is highly effective in preventing HIV when taken with high adherence daily or on-demand. PrEP is an effective prevention strategy for: men who have sex with men (MSM), heterosexual men and women, transgender people, and people who inject drugs who are at-risk of HIV acquisition. In addition, on-demand PrEP is highly effective in MSM ...

Is Truvada still being written?

From 1 April 2020 Truvada® (emtricitabine/tenofovir disoproxil fumarate) for HIV treatment and for pre-exposure prophylaxis (PrEP) was delisted from the Pharmaceutical Benefits Scheme (PBS). ASHM have received reports from community that despite this, Truvada® is still being written on some scripts, causing confusion at pharmacies and in some cases, patients are being charged up to $170 per script.

What is HIV PrEP?

HIV PrEP is a highly effective medication regimen that can lower your chances of contracting HIV and transmitting the virus to your sexual partners. Talk with a healthcare professional or make an appointment with a clinic that offers counseling on HIV prevention and your health. Last medically reviewed on March 8, 2021.

What to do if you think you have HIV?

If you think you may have chances of contracting HIV, it’s important to get regular testing and talk with a counselor or healthcare professional about prevention steps you can take.

What is Truvada used for?

Truvada contains the active ingredients emtricitabine and tenofovir disoproxil fumarate. It is available in both brand-name and generic forms. Truvada comes in multiple strengths, and the dosage is prescribed for HIV treatment or PrEP.

What is a pre-exposure prophylaxis?

Safety. Bottom line. Pre-exposure prophylaxis or PrEP is a once daily medication to prevent the development of HIV cases. It is meant for people who don’t live with HIV but have higher chances of developing the condition. PrEP helps lower the chances of developing HIV by protecting you and your partners from contracting the virus.

How effective is PrEP?

PrEP is highly effective at preventing HIV when it is taken on a regular schedule as prescribed by a doctor. According to the CDC. Trusted Source. , these medications — when taken regularly — lower the chances of contracting HIV from sex by around 99 percent and around 74 percent in people who inject drugs.

Why is it important to wait for a negative test result?

It’s important to wait for a negative test result because PrEP cannot effectively treat HIV on its own, and drug resistance may develop if PrEP is taken during an HIV case. Prevention counseling is another important part of PrEP. Before starting PrEP therapy, a healthcare professional can help you:

How does PrEP work?

They work by stopping the virus from multiplying in your body. Before starting PrEP, and at least every 3 months while you’re taking the medication, you will need to be tested for HIV and have a negative test result.

Why is it important to take HIV medication?

Taking HIV Medication to Stay Healthy and Prevent Transmission. If you have HIV, it is important to start treatment with HIV medication (called antiretroviral therapy or ART) as soon as possible after your diagnosis. If taken every day, exactly as prescribed, HIV medication can reduce the amount of HIV in your blood (also called the viral load) ...

How long does it take for HIV to be undetectable?

Almost everyone who takes HIV medication daily as prescribed can achieve an undetectable viral load, usually within 6 months after starting treatment. There are important health benefits to getting the viral load as low as possible. People living with HIV who know their status, take HIV medication daily as prescribed, ...

Why is it called viral suppression?

It is called viral suppression because HIV medication prevents the virus from growing in your body and keeps the virus very low or “suppressed.”. Viral suppression helps keep you healthy and prevents illness.

What is it called when your viral load is low?

If your viral load is so low that it doesn’t show up in a standard lab test, this is called having an undetectable viral load . People living with HIV can get and keep an undetectable viral load by taking HIV medication every day, exactly as prescribed.

Can HIV go back up?

So, you need to keep taking your HIV medication daily as prescribed. When your viral load stays undetectable, you have effectively no risk of transmitting HIV to an HIV-negative partner through sex. If you stop taking HIV medication, your viral load will quickly go back up.

Can HIV be transmitted to HIV-negative people?

People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners.

Does TasP work for HIV?

People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. TasP works when a person living with HIV takes HIV medication exactly as prescribed and has regular follow-up care, ...

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