PRE-EXPOSURE PROPHYLAXIS (PrEP) Preventing HIV Mario presents for Pre-Exposure Prophylaxis (PrEP) treatment. He has had over 6 partners in the last 9 months and many of them he states he has had sex without a condom. All his partners are males. He states both oral and rectal sex. Mario would like to know more about PrEP as he has heard about this medication from friends. Mario’s last sexual partner was four weeks ago. He states getting HIV tested 4 months ago and was negative.

Mario is seen via video-conference with a KnowNOW doctor and his history is obtained. He is sent to a local lab site for HIV testing, Syphilis, Chlamydia and Gonorrhea testing. Since he wants PrEP he is also sent for kidney and liver testing, as well as Hep B testing. Mario’s test come back five days later he logs onto KnowNOW and sees that all his test results are negative. He gets to see a KnowNOW doctor again for free. The doctor reviews the lab tests and prescribes Truvada (Tenofovir/Emtricitabine) with two refills. He is sent to a primary care doctor in his neighborhood with instruction to return to KnowNOW if Truvada is not prescribed. It is suggested to Mario that he has to take the medication daily and have good adherence to protect him from getting HIV.

You can only take PrEP if you are HIV negative, Hepatitis B negative, and have a kidney and liver function screen that is normal. Our KnowNOW doctors will give you two refills and suggest you try and follow-up with a local primary care provider. Truvada has to be taken daily for the medication to protect you from acquiring HIV. nike air max thea damen nike air max thea damen nike air max thea damen