SubHornyBottom Posted September 7, 2019 Report Posted September 7, 2019 https://www.nbcnews.com/feature/nbc-out/fda-backs-gilead-s-hiv-prevention-drug-descovy-use-prep-n1040416 So it appears that FDA recently approved a new drug called descovy for PrEP. but the FDA doesn't approve it for women !!! I am smelling some malignancy here. We know this President and his administration doesn't like LGBTs... Is it another step of him to trick us all into getting HIV and die off ? If descovy is really effective, why they don't approve it for women ( because they want women to be intact so that they can better serve as baby-producing-machine ? ) ?...The seheterosexual cisgender scums are definitely up to no good...Thoughts ?
alexcub3118 Posted September 8, 2019 Report Posted September 8, 2019 Men and women have different biological components and there are some medications that may work for males but not females or vice versa. This really isn't fishy at all. 1
Moderators drscorpio Posted September 9, 2019 Moderators Report Posted September 9, 2019 Truvada does not work as effectively for women as it does for men. Truvada builds up in the tissues of the rectum more than it does in the vagina. Apparently, the effect is more pronounced with descovy. 2
rawwhitebottom Posted September 9, 2019 Report Posted September 9, 2019 Ummmm exact opposite Truvada trumps Descovy as far as PReP is concerned so when Truvada goes generic and they want to throw you on Descovy be a smart patient and ask for Generic Truvada over Descovy if u want the protection trust me ........
SubHornyBottom Posted September 11, 2019 Author Report Posted September 11, 2019 On 9/9/2019 at 4:40 AM, rawwhitebottom said: Ummmm exact opposite Truvada trumps Descovy as far as PReP is concerned so when Truvada goes generic and they want to throw you on Descovy be a smart patient and ask for Generic Truvada over Descovy if u want the protection trust me ........ Is Descovy not effective ?
rawwhitebottom Posted September 11, 2019 Report Posted September 11, 2019 Not as much as Truvada is for PrEP
SubHornyBottom Posted September 12, 2019 Author Report Posted September 12, 2019 11 hours ago, rawwhitebottom said: Not as much as Truvada is for PrEP Sources ?
Guest RawCunt Posted September 12, 2019 Report Posted September 12, 2019 Strap that tin foil hat on tighter.
rawwhitebottom Posted September 12, 2019 Report Posted September 12, 2019 Sources?. try being an investigator during its trials trust me they won’t be reporting this info
SubHornyBottom Posted September 12, 2019 Author Report Posted September 12, 2019 46 minutes ago, rawwhitebottom said: Sources?. try being an investigator during its trials trust me they won’t be reporting this info So why do they do that ? Are they really trying to trick gays to get HIV ?
rawwhitebottom Posted September 14, 2019 Report Posted September 14, 2019 Of course not it’s all financially motivated it’s about profit and sales that’s it
koolocboy Posted September 19, 2019 Report Posted September 19, 2019 Based on the mechanisms of action of the two drugs, Truvada offers better protection theorerically. Haven't read the trials of Descovy used as Prep yet. If you don't have any kidney problems, I don't suggest switching to Descovy right away. Wait at least a few years first and see if Descovy is as good as Prep. If there are more incidences of people contracting the virus while they're on Descovy, then that's your answer for which drugs is better.
Moderators viking8x6 Posted September 20, 2019 Moderators Report Posted September 20, 2019 On 9/19/2019 at 5:38 AM, koolocboy said: Based on the mechanisms of action of the two drugs, Truvada offers better protection theorerically. I'm not sure what your intended meaning here is, koolocboy, but the mechanisms of action of the two drugs are identical. The only difference is that the tenofovir in them is a different prodrug form, which affects the absorption and metabolism, but not the mechanism of action. Can you clarify what the theoretical advantage of Truvada is for use as PrEP?
koolocboy Posted September 21, 2019 Report Posted September 21, 2019 On 9/20/2019 at 1:03 PM, viking8x6 said: Can you clarify what the theoretical advantage of Truvada is for use as PrEP? For sure, as you said, the difference between the two drugs are their prodrug forms of tenofovir, tenofovir disoproxil fumarate (TDF in Truvada) vs. tenofovir alafenamide (TAF in Descovy). Both of these prodrugs have no anti-HIV activities and must be metabolized to phosphonate tenofovir (TFV), which is potent against HIV, but also nephrotoxic and bone mineral density reducing. The difference in their metabolisms is what make TDF (Truvada) theoretically better for PreP. TDF is broken down to TFV when it enters the blood stream, while TAF can survive prolonged systemic exposure and get converted to TFV once it enters an infected target cell. Based on this difference, TFV is about 10x more concentrated in the blood if the person takes TDF (Truvada), which is theoretically favorable for someone who doesn’t have HIV, but was exposed and the virus just entered his/her body through blood. And please correct me if I am wrong. I had some trainings in infectious diseases but ID is not my field.
Moderators viking8x6 Posted September 22, 2019 Moderators Report Posted September 22, 2019 (edited) 22 hours ago, koolocboy said: ...TDF is broken down to TFV when it enters the blood stream, while TAF can survive prolonged systemic exposure and get converted to TFV once it enters an infected target cell. Based on this difference, TFV is about 10x more concentrated in the blood if the person takes TDF (Truvada), which is theoretically favorable for someone who doesn’t have HIV, but was exposed and the virus just entered his/her body through blood. Great explanation, and your understanding of the prodrugs is right on target. However, I think there's a flaw in your logic. Because of the mechanism of action of TFV (it inibits reverse transcriptase, the enzyme that translates the HIV RNA into DNA, which takes place *after* the virus has entered the cell and its RNA has started making proteins), it's only going to be effective after it is already in the cell that the HIV virus is infecting. So it really has to be in there already, which means that having TFV floating around in the blood *outside* the cell isn't going to help prevent infection. Just mess up your kidneys. This would be why Gilead developed TAF. I believe this is also the reason that it's necessary to build up the body level of either drug before exposure - it takes time for it to be absorbed and get into the cells where it is needed. Infectious disease isn't my field either, but biochemistry is, or was once, with substantial studies in molecular bio as well. Edited September 22, 2019 by viking8x6 Added last sentence to clarify expertise 2
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