PrEP or pre-exposure prophylaxis involves HIV negative people taking Truvada (a drug currently used to treat people with HIV) as a method of helping to prevent HIV infection. Recent research has shown that if taken correctly, Truvada is highly effective at preventing HIV infection.

Unfortunately, the cost of PrEP medicines is not currently covered by the NHS. However we can provide free advice and monitoring in any of our routine sexual health appointments. You can also buy Truvada direct from our dedicated Saturday PrEP clinic.

‘Generic’ PrEP (e.g. Tenvir-EM) is also available online more cheaply. Click the buttons below for more information about PrEP.

Alternatively check out our YouTube PrEP playlist here.

Tell me about PrEP

PrEP is short for pre-exposure prophylaxis. It’s a pill that is proven to help protect people from catching HIV. The same medicine has been used for many years to treat people with HIV. The treatment needs to be started before sex. Studies have looked at 2 different ways to take PrEP. Both have been shown to reduce the risk of catching HIV by at least 86%.1,2

PrEP  contains 2 drugs – tenofovir and emtricitabine. In Europe the pill’s brand name is Truvada. In other parts of the world ‘generic’ versions are available (e.g. Tenvir-EM).

The NHS doesn’t currently provide free PrEP. However, you can buy it from our special PrEP clinic at NHS list price. It is also legal to buy PrEP more cheaply online. Either way we’re here to provide advice and safety monitoring free of charge.

For more detailed information about PrEP, there’s a really helpful leaflet on the ‘i-Base’ website. http://i-base.info/uk-guide-to-prep/

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 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 are using ‘chems’ during sex (e.g. Crystal meth, Mephedrone, G).
  • You are having condomless anal sex.

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

Our advice around PrEP 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 more detailed advice.  You may also find this leaflet on the ‘i-Base’ website helpful.  http://i-base.info/uk-guide-to-prep/

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 dedicated 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
Saturday 11am-3pm
3rd floor, 56 Dean Street
Soho
London W1D 6AQ.

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

Buy PrEP online

It is legal to buy ‘generic’ PrEP online for your own use. (e.g. Tenvir–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.

Drug level testing

We are no longer testing PrEP drug levels routinely. We recommend that people only take generic versions of PrEP that have been approved by the US Food and Drug Administration (FDA).

www.iwantprepnow.co.uk has a list of FDA approved PrEP drugs.

If you are taking a preparation not in this list, please make an appointment at the clinic to discuss whether you need a drug level test.

Thinking about starting PrEP?

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

If you’re already taking PrEP.

It’s important to have regular monitoring. Book a routine appointment at 56 Dean Street. 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

 

.