rawfuckr
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Everything posted by rawfuckr
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You can learn about PROUD here http://www.proud.mrc.ac.uk/ . Enrollment is now closed. There is some chance they may expand the trial to full efficacy for thousands of people but it remains to be seen as more funding is needed. If funding is obtained enrollment would resume in 2015 PrEP is not officially available anywhere in Europe, including the NHS.
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Gilead not being forthcoming could be one of the causes, but I feel it's probably more on the lines of PrEP being related to gay people and not being that important for the politics of the EU in the big scheme of things. Gay people falling through the cracks. It is also true that there just some lag with HIV medications between USA and Europe. Complera just got approved recently in Spain and not too long ago in the UK. It had been available in the USA for a while. But while for Complera things were set in motion since FDA approval I haven't heard a single thing anywhere in the EU of pushing this forward in any way or manner. Sure there are studies here and there, but that's it.
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Would seroconversion start this quickly?
rawfuckr replied to spb050675's topic in HIV/AIDS & Sexual Health Issues
You should really consider PrEP. It will put your mind at ease. -
I live part time in Europe and part time in USA and I'm sort of appalled about the inexistent uptake of PrEP in Europe. At this point it's abundantly clear that PrEP is extremely effective if given to the right people so it's disappointing that the EU countries are not fast tracking this intervention. I mean there doesn't seem to be even any talks of implementing programs to administer it. There is PROUD in the UK, but why wait to see the results of that when you have already a lot of data from other studies elsewhere? Do people here have any thoughts about this?
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Most of the guys that blow me want that load in their mouth. I consider my hookups a pretty good representation of the general population, specially does who don't do anal and just oral. I know many many poz guys, and not a single one claims they got HIV from oral. I have a few that say they got it from a broken condom and I sort of believe it. Oral has to be very very safe (for HIV) no matter what you do. On that note, I think people should be a lot more concerned about other STDs in the mouth that you will likely get at some point if you are sucking dick. Gonhorrea, chlamydia are super easy to catch, so it's best if folks get STD tested with an oral swab in their mouth. It's important to get the oral swab because these infections are site specific. Another one you are almost guaranteed to catch if you suck a dick or two is HPV and this one can cause throat and oral cancer. It's quite rare, but gay men have a much higher risk for it because all of the dick sucking. There is also a vaccine for HPV, gardasil, but it's effectiveness is questionable if you've been playing around for a few years.
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Interesting. So CCR5 delta 32 is essentially a different gene producing a different protein. What is the name of that new fuison inhibitor that acts directly on HIV?
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^^ This. I personally find it amazing that after decades of misery we have given the opportunity to fuck raw and still not get HIV. Would be sad if people still seroconverted just because they didn't take PrEP correctly. Taking a pill a day is very easy, just use a pillbox, do it the same time of day, fuck raw, stay negative.
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Hey Poz1956, enjoying your posts. The way I understood it CCR5 delta 32 knocks the whole CCR5 gene down making it useless. People who are homozygous for it (those who have two copies) have effectively no CCR5 protein on the cell surface and therefore no chance for HIV to bind to it. The amazing part of it is that all the folks with two copies, around 2% of europeans seems to have perfectly normal lives, so you'd think there should be no consequence about blocking it with Maraviroc or other drugs on those people who have normal CCR5. For those folks who are interested 23andme.com will check your CCR5 status. If you have the two copies, luckily for you, you will likely never get HIV.
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I had read somewhere that HIV who is resistant to Truvada is not particularly virulent, so it's unlikely that those resistant strains will be the ones that will initiate the infection. In that context, Truvada would also work even if the individual had some mutation that was resistant to FTC.
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You don't say if you are in the USA, but if you are, sounds like you are making little money so you may qualify for essentially free insurance coverage with either Medicaid or one of the Silver 94% plans with no deductibles and very low copays that are available to those making less than $20K. I'm getting PrEP with Obamacare and I'm paying $55/month for the premium and they've been covering my PrEP 100%. My only costs has been the copays for docs and testing which are $5 each. I have no medical or drug deductibles. Enrollment ends in 5 days so you need to hurry up. What state are you in?
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I'm not sure this is the greatest of ideas. If you seroconvert on 4 pills/week you'll most definitely have suboptimal levels of Tenofovir and Emtricitabine that will at that moment be used to fight the virus. If you go on 4 pills/week for a while while seroconverting seems the chances of developing resistance to Tenofovir could be higher which is something you don't really want. Maybe you could increase your frequency of HIV testing to once a month or 2-4 weeks after sex event with a PCR HIV test to make sure you catch your seroconversion ASAP.
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Getting HIV is really no fun at all, so the only thrill I get is the fear of seroconverting, which in my case has no enjoyable component. With PrEP is nice to know there is an extra level of protection and I make damn sure I take those pills every day.
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I didn't see this argument in this thread, but in the USA the insurance companies springing the $14k/year for PrEP can actually make financial sense. If there is enough good triaging of who is getting PrEP, specially giving it to those who are really at risk, the folks getting fucked raw and taking loads, being on PrEP for those folks and averting infections should beat a lifetime of HIV treatment, whose meds will be more costly, will have to be taken for life and you have to add all the doctor and testing and side health issues that come with being poz. Take into consideration that PrEP doesn't have to be taken forever, and people can take breaks therefore the cost is not strictkly $14K/year. Also with the new PrEP options in the horizon and Truvada PrEP becoming generic in just a few years it does make sense for them to cover it.
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Great to hear you are being so open with your partner. If you adhere to PrEP properly and you are getting tested frequently I think there is very little risk of giving HIV to each other. Tells us how it works for you.
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They should go away in about a week as your body gets used to the drug. Most people don't experience diaherrea but some do. When it's shows up it goes away quickly.
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This doesn't really mean much. Most of the HIV blood test you'll get if you go to a doctor are regular antibody test that have about the same window period than oraquick does. It is true that you can order an RNA HIV test and that one has a two week period, but it's expensive and you have to ask explicitly. Some std clinics are doing RNA HIV tests by default, so he may want to try that.
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Unlike what some people say here doing Oraquick on the spot offers some level of protection because at least you know he was negative 1+ months ago. It is true however that if he seroconverted recently you are going to get a very dangerous load. You can ask him not to come inside if you want to diminish the chances of you seroconverting. And probably the best thing you could do is go on PrEP and adhere to it, that would make it very difficult for you to seroconvert and would be able to fuck raw with protection for HIV. Please ignore the folks in here that are promoting you to go bareback regardless of the risk. Getting HIV is absolutely no fun and a lifelong infection you'll have to deal with every day of your live until you die. Much better if you can do things now to avoid it.
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This is very important. Truvada is very well tolerated, but in the few cases where it's going to cause trouble you want to know right away and you need a doctor checking this for you continously.
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1) PrEP is not approved in Canada but you can get Truvada off-label 2) 99% if you take it every day 3) You must take PrEP full 7 days every day to be protected. Continue taking it. Then you have to take it 30 days after last exposure to make sure it kill any possible HIV. Taking one pill on friday probably won't do much. 4) Yes. You just have to take the pill every day to have the 99% less risk of getting HIV. 5) PrEP is definitely a much better idea so you have protection at the time of infection. PEP is only 80% effective, has to be done on 72% of exposure, the drugs have more side effects, and maybe more difficult to find at the moment.
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Ejaculating sperm is about the only and main reason of the existence of a man. A load is what makes life go around and why everyone of us exist. Getting that special man seed inside you is what is so arousing and why people love it so much.
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This happens to me all the time, and I think for most bottoms the moment you come it's over and getting fucked feels awful. Most good tops understand this and will fuck you slower to make sure you don't come quickly. It's about communication. A good top will also understand that your sex drive is gone for a while and will adjust accordingly. I hate guys who insist in keep fucking you after I've come, or they keep playing with my ass. I do make the effort to get them off if I went first, but if it takes too long I lose interest. Another thing i've found it helps for me its to jack off like half an hour before your hookup. It makes it more difficult to come on your own when you are getting your prostate massaged.
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45 loads in 7 days - is PrEP even a factor?
rawfuckr replied to Pighole88's topic in PrEP Discussion
Some insurance companies have started to require prior authorization when Truvada is prescribed 'without a third agent'... that is for PrEP use. United Healthcare is one of them. The PA is actually very simple and it's just the doctor stating the person is at high risk, reporting condomless buttfucking will suffice. There are really no insurances out there who are not covering Truvada PrEP and most of them have it on Tier 2 as a prefered brand drug so the copays are also not that crazy. It just takes a little bit of shopping around to find the right plan for everyone. -
45 loads in 7 days - is PrEP even a factor?
rawfuckr replied to Pighole88's topic in PrEP Discussion
I thought all the new plans with the ACA would cover Truvada.. maybe just at a higher copay if they put it on a higher tier. I got one individual Silver plan with BlueShield here in California and they are covering PrEP no questions asked. I had to pay $250 yearly deductible but that's it. Gilead is picking up the copays so my cost is now zero. I just ordered a 90 day supply and BlueShield paid all $3500 for it... or so they say they did. I really doubt that's how much they pay to Gilead. Pighole88, you should really try to make an effort to get yourself continuing on PrEP. If you seroconvert the cost of treating your HIV will be so much more than what PrEP will cost, let alone the heavy toll on your health and lifelong consequences. -
Current official recommendation is to take Truvada for 7 days before considering yourself fully protected. I've heard two weeks from other sources but Bob Grant, the guy who has been responsible for iPrEX and probably one of the people in the world that knows more about PrEP talks about 7 days so that seems safe. If you ever want to stop they talk about 4 weeks after last sexual interaction
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PrEP is not available for the general public anywhere in Europe. If you are lucky you could find a doctor that may prescribe it off label and would issue a prescription but you would probably have to pay for it and its expensive, usually about 600 euros a month.
