Post-exposure prophylaxis (PEP) for HIV prevention

Post-exposure prophylaxis (PEP) for HIV prevention

All about PEP (post-exposure prophylaxis)

PEP (post-exposure prophylaxis) is a course of antiviral medication to

prevent HIV infection

if you think you have been exposed to the virus.

View transcript

Video courtesy Thorne Harbour Health

When to take PEP (post-exposure prophylaxis)

PEP (post-exposure prophylaxis):

must be started within 72 hours of HIV exposure

be taken correctly as prescribed over a 28-day treatment period

dosage is usually 1 tablet taken daily (in some circumstances, a combination of 2 or 3 tablets taken daily).

What PEP (post-exposure prophylaxis) is used for

PEP (post-exposure prophylaxis) is taken after a known or suspected exposure to HIV to prevent HIV infection.

Examples of known or suspected exposure to HIV may include:

Condom

  • less sex with a person whose HIV status you don’t know or who has HIV and is not on treatment.

Where a condom has broken or failed during sex.

Sharing needles or other injecting equipment.

If exposure to HIV is through a person with HIV who has an undetectable viral load, PEP is not recommended, as there is no risk of transmission.

Where to get PEP (post-exposure prophylaxis)

If you think you have been exposed to HIV, do not wait for an appointment to see a GP. Call the

PEP info line at the Victorian HIV Prevention

Service

External Link

(Tel.

1800 889 887

) for guidance and information about where to find your closest PEP provider.

Your PEP provider will ask you a series of questions to determine your risk and whether PEP is appropriate.

PEP is available from:

the emergency department of most public hospitals

sexual health clinics

some general practice clinics which specialise in sexual health.

If the exposure happens ‘after hours’, emergency departments are often the best place to go to start PEP as soon as possible.

PEP is widely available in Victoria and further information can be found at:

GetPEP

External Link

provides a comprehensive list of places where you can get PEP throughout Victoria and the rest of Australia.

Victorian NPEP Service, Alfred

Health

External Link

– information and advice for people seeking PEP.

PEP (post-exposure prophylaxis) possible side effects

PEP can cause severe side effects in some people. These include:

nausea and vomiting

headaches

an upset stomach

diarrhoea

fatigue

or tiredness.

Important things to know about PEP (post-exposure prophylaxis)

Important things to remember about PEP:

Must be started within 72 hours of potential exposure.

Must be taken every day for 28 days to work.

It does not protect against other

sexually transmissible infections (STIs)

– such as

syphilis

,

gonorrhoea

and

chlamydia

.

Is not a morning-after pill (known as

emergency contraception

) that makes it easy and safe to have sex without a condom.

Get yourself tested for STIs, and treated if necessary, by your local GP (doctor).

Other HIV prevention options

There are many easy and effective ways to prevent HIV. Other than PEP, HIV transmission can also be prevented by:

Using condoms

(including

female or internal condoms

) with water or silicone-based lubricant during anal or vaginal sex.

Using clean, sterile injecting equipment.

Taking pre-exposure prophylaxis (PrEP)

– for people at risk of HIV transmission.

Achieving and maintaining “undetectable” HIV viral loads (U=U) if you have HIV by taking HIV antiretroviral treatment (ART) as prescribed.

Depending on your risk factors and lifestyle, you may be more suited to other HIV prevention methods. It is important to find the right prevention method (or combination of methods) that works for you and your sexual partners.

If you have used PEP more than once, you may wish to talk to your GP about starting pre-exposure prophylaxis or PrEP for HIV prevention.

PrEP is a pill taken once a day and is 99% effective at preventing HIV transmission if taken consistently as prescribed.

For more information visit or call the

Victorian PrEP Service, Alfred

Health

External Link

on

1800 889 887

.

Where to get help

Your

GP (doctor)

Your local community health service

Sexual Health Victoria

(SHV)

External Link

. To book an appointment call SHV Melbourne CBD Clinic:

(03) 9660 4700

or call SHV Box Hill Clinic:

(03) 9257 0100

or (free call):

1800 013 952

. These services are youth friendly.

Melbourne Sexual Health

Centre

External Link

Tel.

(03) 9341 6200

or

1800 032 017

or TTY (for the hearing impaired)

(03) 9347 8619

Get

PEP

External Link

If you believe you may have been exposed to HIV. Tel.

1800 889 887

Living Positive

Victoria

External Link

Tel.

(03) 9863 8733

Positive Women

Victoria

External Link

Tel.

(03) 9863 8747

Victorian HIV Service, Alfred

Health

External Link

Tel.

(03) 9076 5436

Positive Living

Centre

External Link

Tel.

(03) 9863 0444

or

1800 622 795

(for country callers)

Multicultural Health and Support

Service

External Link

, Centre for Culture, Ethnicity and Health Tel.

(03) 9418 9929

Thorne Harbour

Health

External Link

(formerly Victorian AIDS Council) Tel.

(03) 9865 6700

or

1800 134 840

Equinox Gender Diverse Health

Centre

External Link

Tel.

(03) 9416 2889

PRONTO!

External Link

Tel.

(03) 9416 2889

Ballarat Community Health Sexual Health

Clinic

External Link

Tel.

(03) 5338 4500

Bendigo Community Health Sexual Health

Clinic

External Link

Tel.

(03) 5434 4300

Or

(03) 5448 1600

Gateway Health Clinic

35

External Link

, Wodonga Tel.

(02) 6022 8888

or

1800 657 573

Sunraysia Community Health

Services

External Link

Tel.

(03) 5022 5444

Barwon Health Sexual Health

Clinic

External Link

Tel.

(03) 5226 7489

Women’s sexual and reproductive health hubs

(throughout Victoria)

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