Updated : Nov 22, 2020 in Uncategorized

HIV Exam & Avoidance / HIV PEP

HIV may be transmitted when there is high-risk sexual exposure (any unprotected anal or vaginal intercourse, receptive oral intercourse with ejaculation) with: a partner known to be HIV-infected, or a person in a high HIV risk group (commercial sex workers, IV drug users, men who have sex with men/ bisexual men) or in sexual assault  sharing of or exposure to contaminated needles or blades, particularly needle-stick injuries  exposure to contaminated blood or semen or genital fluids, especially through open wounds and cuts, sores and ulcers In such situations, HIV PEP is highly recommended and can help to prevent the transmission of HIV and AIDS. We prescribe the latest HIV PEP medications with minimal side effects and highly tolerable. The more common side effects with older PEP treatments may be nausea, diarrhoea and/or anorexia. These side effects are generally not serious and not permanent and should resolve after the medication is stopped or completed. Baseline HIV test, full blood count, liver and renal function tests will be performed to detect any pre-existing abnormality prior to treatment and can be repeated at  weeks.

There will be a follow-up visit after  weeks to repeat full blood count, liver and renal function tests as well as and a HIV test. Follow-up HIV tests are recommended at and months post exposure. If you have had a high risk exposure, we would also recommend testing for other common STDs or STIs post exposure prophylaxis such as syphilis, gonorrhea and chlamydia. Our STD / HIV clinic provides a full range of STD and STI testing services which can be done at the same time as the HIV testing. Please see here for a full list of STD testing and screening profiles. HIV and STD tests can be customized to suit your risk profile. The timing of the testing should be discussed with our doctor but generally we recommend testing at  weeks, month and  months. While on HIV PEP, do not take any other medications without first consulting the doctor. Do not stop the HIV PEP without first consulting the doctor. If you cannot tolerate the side effects, return to consult the doctor.

HOW IS HIV PEP ADMINISTERED?

HIV PEP treatment involves a one month’s course of triple oral drug combination regimen of antiretroviral HIV PEP treatment. At Tanjong Pagar Medical Clinic, we offer HIV PEP treatment that is safe, well-tolerated, widely used in public government hospitals and in line with international HIV post exposure prophylaxis guidelines. The cost of HIV PEP treatment is approximately  for one month’s course of medication. Generally, exposures to saliva, urine, tears and sweat are not thought to be infectious, and the risk of HIV transmission from splashes of contaminated fluids to mucosal surface or non-intact skin has not been accurately quantified.Tanjong Pagar Medical Clinic is an approved Anonymous HIV Test Clinic by the Ministry of Health Singapore. Have you been exposed to HIV? Did your condom break? Did you have risky sex with a high risk partner? Are you within the window period of  hours? How do you prevent the transmission and spread of HIV? Do a HIV test today to be safe. Estimated risks of HIV transmission per type of exposure. Table  shows the risk of HIV transmission following a single percutaneous occupational, sexual, or injection drug exposure. HIV PEP should be started as soon as possible after exposure up to  hours. The ideal time period to start PEP is within hours from exposure, although it has been shown to be effective up to  hours post-exposure. The earlier HIV PEP is started, the more effective it is in preventing HIV transmission and infection.

If the exposure is more than hours, HIV PEP will be considered on a case by case basis depending on the risk of exposure. The HIV PEP medication is also available to be prescribed on a weekly basis, or as a starter short course of  days “cooling-off” period, so you may not need to pay the full sum upfront. We can advise you based on your financial considerations. Post-exposure prophylaxis (PEP) is medicine you take after you’ve come into contact with HIV, the virus that causes AIDS, to lower your chance of infection. You must start PEP within  hours ( days) after you were exposed to HIV. The sooner you start it, the better. It has little to no effect if you start it  days or more after exposure. PEP can lower your risk of HIV infection by  if you take it as your doctor prescribes.
People who think they might have been exposed to HIV during sex People who have been sexually assaulted Drug users who recently shared needles or other related items
Health care workers who think they’ve been exposed to HIV on the job If you think you were exposed to HIV, go to the hospital or see your doctor as soon as possible. They can help you figure out whether you need PEP.

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