How To Start PrEP In Melbourne Australia

PrEP is an exciting new HIV prevention tool shown to be 99% effective in blocking HIV infection when taken every day. Learn today how you can take control of your HIV risk and status.

Melbourne PrEP Doctor Dr George Forgan-Smith

PrEP is a new medication can that help you take control of your HIV status.

As with all prescribed medications it's very important to talk with your doctor before starting this medication..

As part of the assesment for PrEP your doctor will want to organise a comprehensive sexual health screening as well as checks of your kidney function.

If you have had any potential exposures to HIV around the time you want to start PrEP your doctor may need to prescribe a different medication PEP or Post Exposure Prophylaxis. He or she may wish to organise additional HIV tests to be 100% sure you are HIV negative before staring Truvada the medication of PrEP.

Before you start PrEP it's important you have a clear understanding of it's it's risks and benefits. You can learn more about this by visiting the web page:

Important Information Before Starting Truvada PrEP

PrEP or Truvada is a combination of two drugs, emtricitabine and tenofovir. Both of these drugs work in a way that blocks the ability for HIV to replicate within the cell. The way that they work is it’s almost like putting in a broken cartridge into a photocopier, and it means that every time that HIV tries to use the body’s mechanism to make a copy of itself, it falters and is not able to progress. This means that HIV is stuck within the cell and the body’s immune system will come along, recognise that something’s happening within that cell and kill it.

PrEP is not just for gay men, it’s for all people who are at potential risk of HIV infection. This includes men who have sex with men, trans men, trans women, as well as female heterosexuals. For women or owners of cervixes, we recommend that people are taking Truvada for at least 21 days before they will have levels that offer the best protection against HIV.

It’s important that you talk to your doctor to make sure that you are getting the correct information when it comes to the dosage of PrEP, and how long you need to be taking it before you are offered full protection against HIV.

People who are interested in PrEP are my number one priority to get started on PrEP. However, there are a number of groups of people who could benefit from PrEP but may not yet be aware it's available.

In Australia HIV is a disease mainly within the gay community. In men who are having sex with men. In particular, HIV is highest risk for people who are having condomless anal sex, whether they be the top or the inserted partner, or the bottom or the receptive partner. Both of these positions are a risk for development of HIV. So both of these groups of people should be considering whether or not they want to go onto PrEP.

The main groups of people that we are targeting for PrEP are, people in serodiscordant relationships, somebody who’s got an HIV positive partner when that person is HIV negative. Somebody who’s unreliably able to use condoms on a consistent basis, and somebody who has recently had a diagnosis of either rectal gonorrhoea, rectal chlamydia or syphilis. These are all risk factors, putting the person at a higher risk of developing and exposure to eventual infection perhaps, of HIV. This is a group of people that I definitely want to be talking to about PrEP.

Dr George Forgan-Smith

Collins Street Medical