Treatment FAQ

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

by Christine Mueller V Published 3 years ago Updated 2 years ago
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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 Prep and who can take it?

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.

What is Prep and how does it prevent HIV?

PrEP (pre-exposure prophylaxis) is medicine people at risk for HIV take to prevent getting HIV from sex or injection drug use. When taken as prescribed, PrEP is highly effective for preventing HIV.

How will prep impact Australia's response to the HIV epidemic?

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.

Does prep protect you from any other STIs?

‘And to explain that PrEP doesn’t protect from any other STIs, so it is important that people come back on a regular basis to have STI screening. ‘It is recommended that people on PrEP have an HIV test, a kidney function test, and a sexual health screening every three months.’

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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 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 is the difference between PrEP and treatment as prevention?

This process of taking ART, achieving undetectable status, and preventing the spread is referred to as treatment as prevention. PrEP on the other hand, is a way for people who do not have HIV to prevent infection by taking one pill every day. When taken daily, PrEP is highly effective for preventing HIV.

What does PrEP mean in healthcare?

PrEP, or pre-exposure prophylaxis, is medicine people at risk for HIV take to prevent getting HIV from sex or injection drug use. PrEP can stop HIV from taking hold and spreading throughout your body. Currently, there are two FDA-approved daily oral medications for PrEP.

Who qualifies for PrEP?

Specifically, the Centers for Disease Control and Prevention (CDC) recommends that PrEP be considered for people who are HIV negative and who have had anal or vaginal sex in the past 6 months and: have a sexual partner with HIV (especially if the partner has an unknown or detectable viral load), or.

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.

Does PrEP protect both partners?

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

Does PrEP prevent Covid?

We confirmed that social distancing did not moderate PrEP protective effect through the pathway analysis and all the logistic regression models confirmed that oral PrEP reduced self-reporting of COVID-19 symptoms in our sample.

Is PrEP and ARV the same?

ARVs and PrEP use the same drugs. But ARV combinations (called ART) use three HIV drugs and PrEP only uses two drugs (tenofovir DF and emtricitabine). PrEP should be available free in South African clinics. You can't use your partners ARVs for PrEP.

What does PrEP consist of?

PrEP consists of a combination of two antiretroviral drugs (tenofovir and emtricitabine), usually taken daily and often in combination with other HIV medicines. When taken consistently, the Centers for Disease Control and Prevention estimates that PrEP reduces the risk of HIV infection by up to 92 percent.

When should PrEP be taken?

On-demand PrEP involves taking 2 pills, 2-24 hours before a possible sexual exposure to HIV and then continuing to take 1 pill each day until 2 days after their last possible sexual exposure. The only PrEP medication approved for on-demand use is Truvada.

How do I get on PrEP Australia?

PrEP can be obtained with a prescription from your doctor or sexual health clinic. It is subsidised by the Government through the Pharmaceutical Benefits Scheme (PBS) for Australian residents who hold a current Medicare card. You can also visit the PrEPaccessNOW website for more information on accessing PrEP.

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 PrEP?

PrEP (Pre-Exposure Prophylaxis) is a HIV prevention program that makes use of medication and regular sexual health testing to prevent HIV. By taking PrEP, people who are HIV-negative (meaning they do not have HIV) can reduce the chance of getting HIV by up to 99%. The drugs used in PrEP are also often used in treating HIV.

How do I take PrEP? Daily or on-demand PrEP?

There are many ways that people can take PrEP, and the Australian guidelines for taking PrEP have been created by experts in the field of HIV prevention. Currently only two ways of taking PrEP have been recommended and these are; daily PrEP and on-demand PrEP.

Is PrEP for me?

Pre-Exposure Prophylaxis (PrEP) is for HIV-negative people who may be at risk of HIV. Many factors can impact on your own personal level of risk. Factors to consider whether PrEP may be right for you include:

How does PrEP Work?

Normally when a person is exposed to HIV, the virus attaches itself to immune cells and uses them to make more HIV. The newly made HIV then spreads and attaches to more immune cells until they can no longer fight off illnesses and infections.

Is PrEP Effective?

PrEP is one of the most effective HIV prevention tools that we have. PrEP is more than 99% effective when taken as prescribed and is more effective than condoms in preventing HIV. Many different figures have been thrown around about how effective PrEP is.

What are the side effects?

PrEP has very few side effects, and very few people experience them. The most reported side effects can include headaches, nausea or fatigue however these side effects are usually mild and tend to pass quickly.

What is the difference between PEP and PrEP?

Where PrEP is taken before you’re potentially exposed to HIV, PEP is taken after a suspected exposure. PEP stands for post-exposure prophylaxis, and is taken only if someone thinks they have already been exposed to HIV, either through sex without condoms, injection drug use, or needlestick injury.

What is a PEP?

PEP is short course of anti-HIV medicines taken by someone who might have been exposed to HIV, with the aim of preventing infection.

What is the medication that you can take to reduce your risk of getting infected with HIV?

This type of medication is called pre-exposure prophylaxis or PrEP.

What is the name of the drug that is taken by a person who does not have HIV?

This type of medication is called pre-exposure prophylaxis or PrEP. PrEP is an anti-HIV medicine called Truvada that is taken by a person who does not have HIV to lower their risk of infection. Although they sound similar, it is important not to confuse PrEP with PEP (post-exposure prophylaxis).

Can you take PrEP before sex?

It is important to start taking the pills before you have sex with someone who has HIV. Note that if you are already infected with HIV, taking PrEP does not reduce the risk of transferring the virus to other people through sexual contact or blood.

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.

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.

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 ...

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.

PrEP does not lead to riskier behavior

A vocal few argue that PrEP will lead to higher rates of condomless sex, and perhaps to a higher likelihood of transmission of sexually transmitted infections besides HIV. But this has yet to proven true.

The trouble with a once-a-day-pill

Critics often point to problems with the current PrEP formulation — one pill, taken once a day. They argue that PrEP is only effective if taken properly, and people do not always adhere to a pill-a-day regimen. To some extent, there is some truth to this concern.

PrEP and privilege

With the evidence suggesting the PrEP is effective, even if not taken consistently, and doesn’t necessarily lead to risky behavior, why does there continue to be a debate over whether it is a good thing? And what purpose does this debate serve? Researchers and academics have the privilege of engaging in intellectual back and forth about PrEP and its role in fighting this epidemic.

What is PREP in HIV?

Pre Exposure Prophylaxis (PrEP) Pre-exposure prophylaxis (PrEP) is a prevention strategy where an HIV negative person takes treatment before exposure to HIV. This is a whole new approach to HIV prevention, as HIV transmission could be substantially reduced if HIV negative persons most at risk of acquiring HIV are offered PrEP to prevent becoming ...

How to contact QPP?

Please contact QPP if you would like any further info, you can speak to our team toll free from a land-line on 1800 636 241, use the contact form provided or call (07) 3013 5555 (nationally).

How long after exposure to HIV can you take PEP?

PEP is a HIV treatment taken within 72 hours after exposure to HIV to prevent it from establishing itself in the body, whereas PrEP is a HIV treatment taken before and after exposure.

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