hungry_hole

Some comments about PrEP

21 posts in this topic

18 hours ago, topstud127 said:

Speaking of, its seems to be damn there omnipotent for gay men with insurance. All over the course of the last two years. Its time for the price to go down. $1400 for 30 days... Gilead card aside, I doubt they need to price it that high. When the time comes for generics, it'll drop, but until then, we're at their mercy. Meanwhile, they're testing other iterations so I'm guessing one will replace the other.

Truvada comes off patent in 2021. It's part of why there's such a push to develop injectables and reformulations. 

If the ACA were to survive -- it's not -- you'd have seen more downward pressure on Truvada's cost before 2021. We'll get to cheaper Truvada, it's just going to take a while.

 

12 hours ago, hungry_hole said:

Maybe in your case PrEP makes you feel free because all you care is protecting yourself from HIV. You decided to ignore Hep-C and Herpes and you feel that Chlamydia, Gonorrhea and Syphilis are not a big deal. But most people outside this Fetish/Fantasy world called "Breeding Zone" would have trouble understanding how could someone care so little about STDs. 

Well, Hep-C isn't a big issue for HIV- people. There are some cases of transmission between negative people, but outside of injecting drugs or fisting, its really difficult to do. The best way to prevent Hep C transmission in negative people is to keep people that way.

Herpes is a risk, but herpes is a risk for everyone. It's a skin-to-skin transmitted disease. So you can wrap yourself from neck to knee in a plastic wrap, and still get it if you kiss a person. 

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It's always better to avoid taking medications, especially these powerful medications found in PrEP.

Truvada in HIV- people, is little stronger than aspirin. The majority of bodies have no problem tolerating it. And because of how well its tolerated in HIV+ bodies long term, if there was no other option ever coming down the pike, Truvada would still be a pretty good option for people.

But not everyone will be slutty across the days of their life. People change. People go through "seasons of risk" as Bob Grant says. So while some people will probably take PrEP (in whatever form) for decades, but others will go off and on it as needed.

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The only sensible way to use PrEP is as a complement to another more sustainable strategy like Safestsex.org. I know that as a safestsex.org member I'm only reducing the risk of STDs because the information I get from other members is clear and includes all STDs.

Others will disagree, but I just can't see relying on data provided by someone else regarding STIs is a better policy than regular testing yourself. Taking PrEP, being checked at least quarterly -- if not more frequently -- is still the best way to make sure I'm not carrying around hitchhiker. Someone telling me they aren't, someone showing me a site or a printout, might reduce the odds a bit, but the only way to be certain is to be tested.

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A SafestSex.org member who takes a two-week "sexation" to Fort Lauderdale can go on PrEP a few days before until a few days after the holiday.

On demand PrEP, the 2:2:1 method, is a valid way of taking PrEP. It's not common Stateside because the testing was for daily PrEP. But the French have rolled it out, and there will be some longer term studies about if its already high level of protection is exactly the same as daily use. 

I've taken anti-depressants since I was 21. I'm 47 now. I expect to take some kind of anti-depressant and some kind of PrEP until I fall asleep for the final  time. 

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I'm 24 and I'm certainly a lost. I use my insurance for Truvada, anti-depressants, adderall, and all the associated visits and blood work. I'm still on my parents, but 1) the deductible is absurdly high so damn near everything is out of pocket. Its works better as a secondary supplement. 2) I don't want them in my business that way (HIPAA, but still).

All those things are more or less voluntary, but for better and worse, our medical system isn't built around "need." That said, if things weren't prohibitively expensive and insurance wasn't such a high profit business, I wouldn't be so indifferent to "paying my share." Instead, a month worth of pills is $1400 and the shrink I see every three months for five minutes to authorize my refills is $400 an hour with no insurance. 

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10 hours ago, subbytch said:

Others will disagree, but I just can't see relying on data provided by someone else regarding STIs is a better policy than regular testing yourself. Taking PrEP, being checked at least quarterly -- if not more frequently -- is still the best way to make sure I'm not carrying around hitchhiker. Someone telling me they aren't, someone showing me a site or a printout, might reduce the odds a bit, but the only way to be certain is to be tested.

I think this paragraph tells me that you don't understand the concept behind SafestSex.org because you say that the best policy is testing which is the fundamental part of the safestsex.org strategy: get tested, get tested, get tested.The only thing is that as a safestsex.org member you will be required to enter the specific details of each of the tests so then this information can be exchanged with other members and see when your potential fuck-buddy got tested for the different STDs.

It's true that guys on PrEP get tested frequently but guys who aren't on PrEP can also test frequently and if he's a member he can the enter the data from tests into his STD profile.

SafestSex.org membership has many "side effects" such as learning more about STDs and being aware of ways to prevent STDs. I also like it because it keeps track of my tests which I sometimes forget the dates. "It's been 8 months? I thought my last tests were done a couple of months ago".

SafestSex.org provides you with a tool to help prevent STDs. But it's up to you how you how to use the membership. Any members here? My SSXID is KUK777Q19 and I'd like to exchange with other members. You would have to tell me because a member won't see my data in their screen until I get to see the other member's data on my screen. Having my ID does not make my data public.

SafestSex.org is not a magic bullet that will make you immune to all STDs. I keep dreaming. I find myself sometimes with strong feelings to go to a bathhouse and have all kinds of sex with guys in the darkroom and in the gloryholes. Right now I could never have anon sex at a very low risk by knowing all guys are tested and as committed as I am to staying away from STDs. But I could see that it may be possible to have really slutty sex with not so much risk. It may possible.

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Mark my words. Prep should be banned. Totally. The virus will respond with mutations to circumvent it's effect, then Bam! Zombie Apocalypse!  

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14 minutes ago, timfreo said:

Mark my words. Prep should be banned. Totally. The virus will respond with mutations to circumvent it's effect, then Bam! Zombie Apocalypse!  

There's a fitness cost for HIV to mutate resistances. (It's happening now, before PrEP.) That cost makes it even less likely the virus can transmit and overcome a body's natural defenses. 

PrEP is not going to cause the apocalypse.

 

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I've been on prep for about six months. It hasn't really changed my sexual behavior. Parr of me still doesn't trust it to be completely effective. 

I don't know how long I will stay with it. I am concerned about possible liver and kidney damage.

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