Don't Start PEP Without Clarity
Starting Post-Exposure Prophylaxis is an urgent but serious medical decision. Here are the most critical questions to ask your specialist.
Timing and Risk
- Am I within the 72-hour window? PEP must be started within 72 hours, ideally within 24 hours. The sooner, the better.
- What is the actual risk of my exposure? Not all exposures warrant PEP. A specialist will stratify your risk based on the type of fluid and contact.
The Regimen and Side Effects
- Which PEP regimen will you prescribe? The modern standard is a three-drug regimen (usually TDF+FTC+DTG). Avoid outdated two-drug prescriptions.
- What are the side effects? Expect mild nausea, fatigue, or headaches, but severe side effects should be reported immediately.
- How long is the course? Exactly 28 days. Do not stop early.
- What if I miss a dose? Take it as soon as you remember, unless it's almost time for the next dose. Do not double up.
Lifestyle and Confidentiality
- Can I drink alcohol? Alcohol does not interact with the medication, but excessive drinking might cause you to forget a dose.
- Is online consultation valid? Yes, telemedicine is entirely legal and highly efficient for time-sensitive PEP prescriptions.
- Is this confidential? Absolutely. Your medical records are protected by law. Dr. Monga ensures discreet delivery and private WhatsApp consultations.
- When will I know I'm HIV negative? You will need follow-up testing at 4 weeks, 6 weeks, and definitively at 90 days (12 weeks).
