Nipple biting and PEP...side effects?

[Chad_Ids]

Hi,

I visited a happy massage parlor last night and i accidently bit the escort's nipple. I immediately stopped and examined the wound -- she said there was a bit of blood (to me the wound seemed like there was little to no blood -- she wiped it off). I was worried HIV could be transmitted through mucous membranes or any unknown abrasions in my mouth so I went to the clinic to get tested and prescribed PEP this morning.

1) Is there enough risk to warrant PEP?
2) Is the regimen I'm on, Truvada + Edurant, considered safe (i have a small aneurysm in my brain)
3) What activities should i avoid on PEP? (Alcohol etc)

Thanks,

C

[Chad_Ids]

Thank you for your reply. One last question: what should be my testing regime post-PEP? Would a CMIA test at 12 weeks post exposure (~8 weeks post pep) be conclusive? Does PEP still warrant 6 months post pep tests?  

[malbat]

Any FDA approved antibody test 12 weeks post PEP is conclusive. Collect your NEGATIVE result and move on.

[Chad_Ids]

Hi,

Thanks all for your replies. One more thing -- what if my lips had minor wounds from peeling off dry skin? Would that increase the risk?

C

[malbat]

Doesn't matter. You had no risk no risk. Wounds or no wounds.

[malbat]

Believe Rubywitch's assessment would not change. She's a hundred pct  correct. No one has been infected through any oral exposure. You are not going to be the first one.

Pep is actually medication for HIV. Rarely but people do show some side effects and risk liver and kidney damage. As I said it is used as HIV medication, depend on type of medication given. Pep is expensive and if it it subsidised, you are using up resources which is meant for people who have had REAL exposure.
Now I assume you next question is whether to stop PEP. To start and to stop PEP, is a major decision which a doctor an a patient take after a personal face to face evaluation. Best you speak to him. We can't advise on that.

[Chad_Ids]

Hi,

Thanks for your reply. Would your answer change if I told you that I had a dry mouth that day and that I had just brushed my teeth an hour or two before the incident?

I know I sound paranoid -- I am. The doctor did not recommend PEP but prescribed it so I have peace of mind.

Also, does a course of PEP have any long lasting side effects? Do the potential costs outweigh the (apparently slim) benefits?

Thank you -- I really appreciate your time and effort and the work that all of you do here.

C

[RubyWitch]

You NEVER had a risk and you have absolutely NO NEED to be on PEP! Whoever the doctor was that put you on PEP needs to seriously go back to medical school.
Even if you had gotten a little of her blood in your mouth, human saliva contains enzymes and bacteria which render the virus inactive. (Unable to infect)
Some more advice...........FIND A NEW DOCTOR!
  

[Chad_Ids]

Does anybody have insight?