Hey fellas, I have seen mentioned on another post Truvada (or Artipla) and I am wondering the best place to buy it in Bangkok? Is it available at any pharmacy or do we need to see a doctor or go to a clinic first? Just looking for that extra little bit of protection
Could anyone verify that chula Phesaj still sells Truvada/ Teno Em without the pesky need of a prescription?
Still available at chula bhesaj. Teno-em 750b
Weirdly the guy did not want to sell me some
Generic cialis.
There is no harm in taking Truvada on and off. In fact, PrEP on demand is recommended if you’re sexually active only during travel or on holiday. Taken as prescribed Truvada gives almost 100 percent protection against HIV.Originally Posted by bruce_nyc
However, it’s imperative that you are HIV negative, and Truvada and its generics don’t protect against other STIs such as syphilis and gonorrhoea. Frequent testing is needed.
Can anyone advise if PrEP is available anywhere in Pattaya? I tried to Google it but it just mentioned one health clinic for sex workers
I would caution doing a self PrEP program yourself. In the US, you need medical monitoring. First, you have to make sure you are HIV- before starting to take it. That means taking both the normal antibodies oral test as well as the blood test to check your RNA count. Second, it takes time for Truvada to become effective (here in the US it is recommended you take it for 21 days). I know there are studies for short term use, but that still means loading up with Truvada a few days before and continuing using it for a few days afterwards. You should also be tested for the other std that Truvada does not protect.
Finally, the most important reason why you should have constant medical monitoring is because Truvada affects your kidneys. You have to check your kidneys are operating within the safety limits on an ongoing basis.
As a doc, who can go anonymous.
I strongly dissagree.
You can just as well have medical supervision for paracetemol.
If you are not an idiot, Truvada poses no risk.
The decreases in kidney function are minimal, the risk of resistant hiv is minimal as well.
Common antibiotics produce more sideeffects.
I think a whole industry prefers making money on all kids of consultations and tests.
If anyone wonders why I do not prescribe it dor myself, that would be illegal in my country since only specialised dodctors from std clinics can prescribe it.
A handy link below that answers many of the usual questions that can pop up around the taking of Prep / Truvada .
https://men.prepfact.../the-questions/
I disagree with Kertom. Truvada is ok only if you KNOW you are HIV-. You can't assume you are - because of some test you did in the past. You have to know you are HIV- at the moment you start the program and that is only possible if you run both the antibodies and RNA test. I also disagree with his view about the effect on kidneys. Each individual is different. You have to have a benchmark as to your kidney functions. Here in the US, PrEP is covered by most health insurance policies. Trust me, they would be more than happy to save money by not doing all the tests if they didn't need to.
I see what you are saying and it all seems valid on paper.
However, one does not need a test to know you are hiv neg, if someone took a test last year and did not have anal sex or shared needles, you are hiv neg. Being hiv neg is important, however what do you think that the expected outcome is if you are not? Because of the way hiv operates chances of building resistance is really low compared to a bacteria. Your gp NEVER does extensive testing when perscribing a first line antibiotic.
Because of the image of hiv the health industry is super duper conservative in anything that has to do with it, this image is an old cow they can milk for money.
About kidneys, many OTC meds can decrease your kidney function long term. Usually this is noticed after the first symptoms appear, people stop and regain their health. Prep studies show only minor effects and hence the same thing can be said for prep.
Think about the people who don’t like to see doctors, making them go for testing will end up in them just not going and not getting prep. In the fight against the virus that is worse.
Someone named Silom Pulse. That one is about 4000 baht (testing+ first time prep), after that more testing and follow up and they sell Teno EM for more money than Chula Bhesaj. I have it on rumors they but their Teno EM at CB and then sell it for more money. In my opinion Silom Pulse is expensive and unnecessary.
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