&lt;h1&gt;&lt;strong&gt;Tips for PrEP users - What else do you need to know about PrEP?&lt;/strong&gt;&lt;/h1&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you&amp;rsquo;ve been prescribed PrEP, here are some important things to know. This info doesn&amp;rsquo;t replace&amp;nbsp;your PrEP provider though, so if you have specific medical concerns you should ask your doctor. If you&amp;rsquo;re interested in starting PrEP or have other sexual health questions or needs, BOOK APPOINTMENT AND TALK TO US.&lt;/span&gt;&lt;/p&gt;
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&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Medication Instructions&lt;/h2&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Store the bottle at room temperature. Do not keep the bottle in a hot car or refrigerator.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Do not share your Truvada with others. It may seem like a generous thing to do, but could actually cause harm.&amp;nbsp;Truvada PrEP&amp;nbsp;is not safe for everyone. (Another reason why seeing our PrEP provider regularly is important!)&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;How To Take PrEP?&lt;/h2&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;There are 30 pills of Truvada in each bottle,&amp;nbsp;to be used over&amp;nbsp;30&amp;nbsp;consecutive days of PrEP.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take 1 pill every day. Taking more than&amp;nbsp;1 pill a day could be harmful.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&amp;rsquo;s OK to take this medication if you&amp;nbsp;drink alcohol or use drugs.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&amp;rsquo;s OK to take this&amp;nbsp;medication with or without food.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;For those&amp;nbsp;&lt;strong&gt;engaging in anal sex, it takes&amp;nbsp;a week of continuously taking PrEP&lt;/strong&gt;&amp;nbsp;before there is enough medication in your body to decrease your chance of getting HIV.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;For those&amp;nbsp;&lt;strong&gt;engaging in vaginal sex, it takes 30 days before there is enough medication in your body for vaginal exposure&lt;/strong&gt;.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Get into a routine to remember every dose&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Do these to help you remember to take your pill everyday:&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Keep&amp;nbsp;your medication bottle somewhere visible, like near your toothbrush or in the kitchen;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take the pill at the same time you do something else you do every day, like eat breakfast or brush your teeth; and,&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Keep an extra pill with you for times when you&amp;rsquo;re not&amp;nbsp;home when it&amp;rsquo;s time to take your dose, or if there&amp;rsquo;s a chance you might stay over at someone else&amp;rsquo;s place.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h2 class=&quot;blue text-block-section__headline&quot;&gt;HOW TO TAKE PREP 2-1-1&lt;/h2&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Only Truvada has been studied as 2-1-1, so &lt;/span&gt;do not use this dosing strategy with Descovy&lt;span style=&quot;color: #99ccff;&quot;&gt; until we know more about it.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take two pills at least two hours before having sex.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take one pill 24 hours later.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take one more pill 24 hours after that.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you&amp;rsquo;re having sex for an extended amount of time, continue to &lt;/span&gt;take a pill every 24 hours until you have two days without sex.&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;This way of taking PrEP is only recommended for people having &lt;/span&gt;anal sex&lt;span style=&quot;color: #99ccff;&quot;&gt;, not people having vaginal or front hole sex.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Remember: Don&amp;rsquo;t pick and choose when to use the dosing strategy based on your perception of your partner&amp;rsquo;s HIV status, because you may not be correct 100% of the time.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/PrEP%20on%20demand%20new.png&quot; width=&quot;1200&quot; height=&quot;600&quot; /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;If You Miss A Dose&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;People sometimes forget or skip doses. If you forget to take a pill, just take it when you remember. For example:&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you usually take a pill in the morning but realize at 10pm&amp;nbsp;that you forgot to take a dose, it&amp;rsquo;s OK to take 1 pill at night and then continue with your usual morning dose the next day.&lt;/span&gt;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Potential Side Effects&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Some people&amp;nbsp;get side effects when taking PrEP. Symptoms are usually mild and go away after the first month on PrEP. You might experience&amp;nbsp;gas,&amp;nbsp;bloating, softer/more frequent stools, or nausea. If you experience symptoms related to your stomach, here are some things to try:&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;- Take&amp;nbsp;your pill&amp;nbsp;with food; or&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;- Take your pill at night before you go to sleep.&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you have side effects and are getting PrEP from our PrEP Clinic,&amp;nbsp;contact us.&amp;nbsp;We can help.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Discussing PrEP With Others&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;People sometimes find it helpful to tell friends or family that they are taking PrEP. Think carefully about who you want to tell about your PrEP use&amp;mdash;you&amp;rsquo;ll want them to be supportive of your decision. Taking PrEP is a personal decision, so you shouldn&amp;rsquo;t feel pressured to tell anyone if you don&amp;rsquo;t want to.&lt;/span&gt;&lt;/p&gt;
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&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Stopping PrEP&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&amp;rsquo;s your choice to stop taking PrEP if you want to. Before you do,&amp;nbsp; call your doctor or the&amp;nbsp;clinic who prescribed you PrEP to let them know. Your doctor or our&amp;nbsp;PrEP staff will tell you more about this, but if you want to stop PrEP, you must:&lt;/span&gt;&lt;br /&gt;&lt;strong&gt;Continue to take PrEP for 1 month from the point in time when you might have last been exposed to HIV; and,&lt;br /&gt;&lt;/strong&gt;&lt;strong&gt;Get tested for HIV 4 weeks after stopping PrEP.&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Pausing &amp;amp; Restarting PrEP&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you&amp;rsquo;ve been on PrEP, but stopped for a while, and are ready to resume taking PrEP one a day, make sure you get an HIV test before starting again.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ffcc00;&quot;&gt;People who may have HIV&amp;mdash;even if they don&amp;rsquo;t know it&amp;mdash;must not take PrEP&lt;/span&gt; because they&amp;nbsp;may develop resistance to the medication. That means that PrEP (Truvada and other brands) won&amp;rsquo;t work for them but would cause problems instead.&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;That&amp;rsquo;s why it&amp;rsquo;s important to get an HIV test and make sure you&amp;rsquo;re HIV-negative before you start PrEP after taking a break.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you have stopped PrEP for more than 7 days, and would like to restart,&amp;nbsp;call us&amp;mdash;or your provider&amp;mdash;so that you can get guidance on how to do this safely.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you were prescribed PrEP, but didn&amp;rsquo;t start it within 7 days and had sex during this time, you will need to take another HIV test before you can start your medication.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Report any flu-like symptoms or rashes to your health care provider or our staff, since these could be symptoms of early HIV infection.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Can I switch PrEP brand from one brand to another?&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;According to what we know, there are many brands for the original PrEP such as Truvada, Ricovir-EM, Teno-EM, Tenof-EM, Tanvin-EM and these PrEP can be used interchangeably. They workd the same, so you can switch them when you need to lower the cost if you are paying for PrEP out of your own pocket.&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
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&lt;h4&gt;&lt;span style=&quot;color: #ff0000;&quot;&gt;|&lt;/span&gt;Big news: Truvada&lt;sup&gt;&amp;reg;&lt;/sup&gt;&amp;nbsp;went generic on September 30, 2020&lt;/h4&gt;
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&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The generic form of the medication is called&lt;em&gt;&amp;nbsp;emtricitabine 200mg/tenofovir disoproxil fumarate 300mg&lt;/em&gt;&amp;nbsp;(FTC200/TDF300 for short).&lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;The generic medication&amp;nbsp;&lt;em&gt;FTC200/TDF300&lt;/em&gt;&amp;nbsp;will protect you from HIV just as effectively as the brand-name version always has.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
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&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;For the latest version of PrEP (2019) the original brand name is Descovy, the generic versions are TAFicita and TAFERO-EM which you can switch between three of them as well. But in many countries, Descovy is not that expensive anymore so you can stick with Descovy.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Combining PrEP With Other Prevention Strategies&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;PrEP isn&amp;rsquo;t 100% effective and also doesn&amp;rsquo;t protect against other STIs.&amp;nbsp;If you&amp;rsquo;re taking PrEP, you&amp;nbsp;should also&amp;nbsp;take other steps to protect yourself like using condoms and lube and getting regularly tested for STIs.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Remember, it takes about 1 week of continuous dosing before you are protected by Truvada.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Health Monitoring While On PrEP&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Regular visits to your PrEP provider are essential while you are taking PrEP.&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;At PULSE, after you start taking PrEP we repeat lab tests every 3 months.&lt;br /&gt;Some people get tested every 6 months that&#39;s OK too but just make sure to get tested and remember that if you live in some big cities and are sexually active, the chance for getting infected with some bacterial or viral STDs are high.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Questions And Concerns&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you have been prescribed PrEP at PULSE, call us at&amp;nbsp;(+66) 95 915 6385&amp;nbsp;if you have any questions or concerns, or if you&amp;rsquo;re going to run out of pills before your next visit. If you have an emergency, go to the hospital emergency room.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 id=&quot;cc-m-header-14430393125&quot; class=&quot;&quot;&gt;Additional Resources&lt;/h2&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;a href=&quot;https://cms.pulse-clinic.com/prepfaq&quot;&gt;PrEP FAQ&lt;/a&gt;&amp;nbsp;|&amp;nbsp;&lt;a href=&quot;https://cms.pulse-clinic.com/prep-pulse&quot;&gt;Getting PrEP at PULSE CLINIC&lt;/a&gt;&amp;nbsp;|&amp;nbsp;&amp;nbsp;&lt;a href=&quot;https://cms.pulse-clinic.com/tips&quot;&gt;Tips for PrEP Users&lt;/a&gt;&amp;nbsp;&amp;nbsp;|&amp;nbsp;&amp;nbsp;&lt;a href=&quot;https://cms.pulse-clinic.com/howtotakeprep&quot;&gt;How to take PrEP&lt;/a&gt; &lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;a href=&quot;https://cms.pulse-clinic.com/buypreponline&quot;&gt;Buy PrEP Online&lt;/a&gt;&amp;nbsp;|&amp;nbsp;&lt;a href=&quot;https://cms.pulse-clinic.com/truvada&quot;&gt;Truvada&lt;/a&gt;&amp;nbsp;&amp;nbsp;|&amp;nbsp;&amp;nbsp;&lt;a href=&quot;https://cms.pulse-clinic.com/teno-em&quot;&gt;Teno-Em Thai PrEP&lt;/a&gt;&amp;nbsp;&amp;nbsp;|&amp;nbsp;&amp;nbsp;PrEP Drug Monitor&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;a href=&quot;https://www.sfcityclinic.org/services/hiv-prevention-care/prep&quot;&gt;&lt;span style=&quot;color: #999999;&quot;&gt;sfcityclinic.org/services/prep.asp&lt;/span&gt;&lt;/a&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;prepfacts.org&lt;/span&gt;&lt;br /&gt;&lt;a href=&quot;https://www.cdc.gov/hiv/basics/prep.html&quot;&gt;&lt;span style=&quot;color: #999999;&quot;&gt;cdc.gov/hiv/basics/prep.html&lt;/span&gt;&lt;/a&gt;&lt;br /&gt;&lt;span style=&quot;color: #999999;&quot;&gt;projectinform.org/prep/&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #999999;&quot;&gt;&lt;em&gt;Content on this page was adapted from San Francisco City Clinic.&lt;/em&gt;&lt;/span&gt;&lt;/p&gt;
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&lt;/div&gt;

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