Prep frequency

[PozBearWI]

21 minutes ago, hntnhole said:

I'm no doctor, but why bother in the first place if you're not planning on the recommended dosage?  Same goes for Pep.  

Of course it won't be as effective.  

Effective truly depends on what half the recommended dosage is accomplished?  One of two pills daily or two pills every other day?  And of course factor in potential exposures.  Many will follow an On Demand PrEP; which BTW, at least in the US, is not recommended by the CDC.  But if one is only exposed on Saturday, seven days of either Truvada or Discovy is more than is needed and in particular with Truvada, that might be the healthier option.  

 The point I think is to discuss and understand dosing and discuss with your HIV doc.  (Few GP's that I've met have much understanding on HIV at all, which I find confounding but all too common.).  There are options which can be equally safe and effective.  

That said, if you don't want to be involved in those details; you don't wanna think about it;  better to comply with dosing as the downside of improper use is worse than the infection you're trying to prevent.  

[UnsureAboutThis]

Thanks for all the information. I'm probably just going to stay off prep entirely and play selectively. I really want to have some fun with a poz guy because everyone says it's such a different experience because of the risk factor. I'm weighing the risk against the desire and I am willing to take the risk for the experience. I'm hoping that after I try it a couple of times that I'll be ready to move on but I guess I'll cross that bridge when I come to it. It might be months or years before I find an unmedicated poz guy to play with so this might all be a moot point. 

[drscorpio]

Have you spoken to the doctor who prescribed PrEP to you about your options? He may have suggestions for you. 

If you are getting fucked without PrEP, you are risking contracting HIV.  You should accept that fact before you go on. 

It's totally fine if you decide that is what you want. Just don't kid yourself about what you are doing. 

[chibtm2breed]

15 hours ago, UnsureAboutThis said:

I'm thinking that I may try the 2-1-1 method. I can put up with side effects for a few  days when I know I'm going to have risky sex. It's not just the diarrhea, headaches, rash, sleep disturbances that prep induces in me, it also throws my kidney values way off.  So with all of this in mind, I'm thinking of just going without prep and taking a couple of poz loads just for the experience. I know the risk factor is low with that so I think that's probably my best bet.

I see you are in the US, when I was on prep insurance, should cover Discovey which is easier on the Kidneys and bones. It should be covered if there is documentation that Truvada/generic causes kidney issues. Other side effects might be similar.  One of the meds TDF is switched for TAF which is supposed to be easier on your kidneys.

[PozBearWI]

Let's not forget about TasP guys.  Twenty years ago, before PrEP and during the many partner studies it became clear that Treatment as Prevention was highly effective.  Look for your sex mates amongst poz guys on meds.