HIV PrEP (Pre-exposure prophylaxis) involves HIV negative people taking pills containing the drugs tenofovir & emtricitabine. Taken correctly, it is very effective at preventing HIV infection.

There are 3 ways to get PrEP

  • The PrEP Impact study offers NHS funded PrEP to people at very high risk of HIV.
  • You can buy PrEP online for your own use.
  • You can buy branded Truvada medicine from our Saturday PrEP clinic.

 

For more information about PrEP and how to take it visit our YouTube PrEP playlist here.

There’s also a really helpful leaflet on the ‘i-Base’ website.

 

PrEP Impact Trial

The NHS is funding free PrEP through the PrEP Impact Study. Everyone on the trial will get NHS funded PrEP until at least October 2020.  We are now open and recruiting to the study Only those at very high risk of catching HIV are eligible to join. The official study website contains information about the study, the patient information leaflet and details of who can join.

The Prepster website has this really useful summary of the key issues you need to consider and a summary of who can join. We recommend you take a look.

If you are interested in joining please book a time slot at Dean Street Express.  At that visit we’ll check if you are eligible to join. If you are, we’ll arrange a time for you to come back and complete the paperwork.

 

 

References

  1. McCormack S, Dunn D. Pragmatic Open-Label Randomised Trial of Preexposure Prophylaxis: The PROUD Study. CROI 2015; Seattle, Washington, 2015.
  2. Molina J, Capitant C, Spire B, Pialoux G, Chidiac C, Charreau I, et al., editors. On demand PrEP with oral TDF-FTC in MSM: results of the ANRS Ipergay trial. Conference on Retroviruses and Opportunistic Infections;

prep-couple-image-56-dean-street

Do I need PrEP?

Consider PrEP, if you are HIV negative and at high risk of catching it.

For example

  • You are a gay man and having condomless anal sex.
  • You have recently had a rectal STI (Gonorrhoea or Chlamydia in your anus).
  • You have recently had Syphilis.
  • You have recently used PEP (post exposure prophylaxis).
  • You have an HIV positive partner who is not on treatment.

PrEP is not recommended if you

  • Are already HIV positive.
  • Your only partner(s) is HIV positive on treatment with an undetectable viral load test.

Prep Clinic at 56 Dean Street

How to take PrEP

There are different ways you can take PrEP. You can take it every day for continuous protection. Alternatively, if you can predict your risk in advance you can use the ‘event based’ option.

Before you start it’s important to work out which is right for you. You may find our YouTube PrEP playlist helpful. There’s also useful information in the HIV i.Base PrEP leaflet.

The advice is based on the results of 2 European studies. The 2 studies looked at different ways of taking the treatment. Both of the studies showed an 86% reduction in catching HIV.

PROUD Study 1 – People took a Truvada pill every day. No one taking the Truvada correctly caught HIV in this study.

IPERGAY Study 2  – Take 2 Truvada pills between 2-24 hours BEFORE sex. Then take one Truvada pill every day until 2 days have passed after the last condomless sex. This regimen is not recommended for vaginal sex.

We can help you choose the right treatment plan and give personalised advice.

References

    1. McCormack S, Dunn D. Pragmatic Open-Label Randomised Trial of Preexposure Prophylaxis: The PROUD Study. CROI 2015; Seattle, Washington, 2015.
    2. Molina J, Capitant C, Spire B, Pialoux G, Chidiac C, Charreau I, et al., editors. On demand PrEP with oral TDF-FTC in MSM: results of the ANRS Ipergay trial. Conference on Retroviruses and Opportunistic Infections;

Buy PrEP from 56 Dean Street

Our Saturday PrEP Clinic

You’ll need to phone to book an appointment in our monthly Saturday PrEP Clinic. Call our appointments line on 020 3315 6699 (Mon-Fri). Thirty tablets of branded Truvada cost £400. You can pay cash or card  (VISA/Mastercard only).

Your first visit

The team will help you choose which treatment plan to follow. We’ll check your medical history and run kidney, Hepatitis B and HIV blood tests. We can arrange a sexual health screen at our Dean Street Express clinic. We’ll dispense 30 tablets at the first visit.

Follow up visits

We’ll make sure everything is going OK. We’ll check a sample of your urine and run an HIV test. We can arrange a sexual health screen at our Dean Street Express clinic. Once a year we’ll run a blood test to check your kidneys. If you decide to continue we can sell you up to 4 month’s supply each visit.

56 Dean Street PrEP Clinic
First Saturday of each month 11am-3pm
3rd floor, 56 Dean Street
Soho
London W1D 6AQ.

Got a question? Email us.   caw-tr.prepdeanstreet@nhs.net

Buy PrEP online

You can buy ‘generic’ PrEP online for your own use. (e.g. Tenvir–EM & Ricovir-EM). Thirty tablets of branded Tenvir-EM typically cost between £35-45. It’s important to buy a pill that contains both tenofovir and emtricitabine.

We have tested the drug levels of people buying PrEP drugs from the online suppliers listed on the ‘I want PrEP now’ website. All samples were shown to contain the correct medicines.

Thinking about starting PrEP?

It’s important you check your medical history, run kidney, Hepatitis B and HIV blood tests before starting. We can do this for you. We’ll also offer a full sexual health screen. Book a routine appointment at 56 Dean Street.  If you need advice we can help you choose which treatment plan to follow.

If you’re already taking PrEP.

It’s important to have regular monitoring. We can do this for you at Dean Street Express. Let us know that you’re on PrEP when you arrive. Every 3 months we’ll recommend a urine test to check your kidneys and a sexual health screen including an HIV test. Once a year we’ll run a blood test to check your kidneys.

 

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