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Oral exposure with HIV person and PEP
Dear Doctors,
last sunday i had sex with a guy that told me later he is positive and not on medicine : the exposure was safe sex, using condoms for anal but without condoms for Oral sex ( the guy did not cum in my mouth however i think he had some precum that i spit ..
I went 30 hrs after my exposure to the hospital and they gave me PEP (1 combivir and 2 kaletra twice per day) coming back to my country after 3 days i forgot the pills that i bought in switzerland and the doctor here suggested i take 1 atripla pill instead every night !!!
do you think this is feasible ( what is your assessment to the situation?!
Thank you
last sunday i had sex with a guy that told me later he is positive and not on medicine : the exposure was safe sex, using condoms for anal but without condoms for Oral sex ( the guy did not cum in my mouth however i think he had some precum that i spit ..
I went 30 hrs after my exposure to the hospital and they gave me PEP (1 combivir and 2 kaletra twice per day) coming back to my country after 3 days i forgot the pills that i bought in switzerland and the doctor here suggested i take 1 atripla pill instead every night !!!
do you think this is feasible ( what is your assessment to the situation?!
Thank you
Thank you Doctor, Have a great day!
MEDICAL PROFESSIONAL
There won't be any significant interaction for just a single dose. Don't worry about it.
Hello Doctor, you are right and i completely agree with you ... i know my risk was very minimal and both doctors explained that for me ... but they both said better be safe than sorry ...
i have no doubts about the PEP that the current doctor gave ... the only concern i have is that it's written that i should not take Atripla with Combivir nor kaletra ... (obviously the doctor dismissed that ... but i don't think many people are stupid like me and forget their PEP ) so do u think it will still work and give the same results?! and would the drugs have any chemical interaction effect? i'm due to take Atripla in 3 hours ...
i have no doubts about the PEP that the current doctor gave ... the only concern i have is that it's written that i should not take Atripla with Combivir nor kaletra ... (obviously the doctor dismissed that ... but i don't think many people are stupid like me and forget their PEP ) so do u think it will still work and give the same results?! and would the drugs have any chemical interaction effect? i'm due to take Atripla in 3 hours ...
MEDICAL PROFESSIONAL
Patience, patience! We answer questions within 24 hours -- insisting on a reply after only an hour is just a tad unrealistic, don't you think?
MEDICAL PROFESSIONAL
Welcome to the forum.
I agree with the advice you had on the community forum. This was a very low risk exposure, despite your partner's HIV infection. The average chance of transmission by fellatio, for the oral partner if the penile partner has HIV, has been calculated at 1 chance in 10,000. That's equivalent to giving oral to infected men once daily for 27 years before infection might be likely.
Therefore, I would not have recommended PEP. But that's a judgment call; I'm not faulting the doc who prescribed it, especially if you presented with great anxiety.
As for the specific PEP drugs, I have no advice. All the recommneded regimens are considered equally effective. If you have continued concerns about the one your current doctor has recommended, you should discuss it with his or her office. In any case, your chance of infection is so low to start with that the specific drug regimen probably makes no measurable difference.
I hope this has been helpful. Best wishes-- HHH, MD
I agree with the advice you had on the community forum. This was a very low risk exposure, despite your partner's HIV infection. The average chance of transmission by fellatio, for the oral partner if the penile partner has HIV, has been calculated at 1 chance in 10,000. That's equivalent to giving oral to infected men once daily for 27 years before infection might be likely.
Therefore, I would not have recommended PEP. But that's a judgment call; I'm not faulting the doc who prescribed it, especially if you presented with great anxiety.
As for the specific PEP drugs, I have no advice. All the recommneded regimens are considered equally effective. If you have continued concerns about the one your current doctor has recommended, you should discuss it with his or her office. In any case, your chance of infection is so low to start with that the specific drug regimen probably makes no measurable difference.
I hope this has been helpful. Best wishes-- HHH, MD
Dr, i can see you are active online , would you please give me your opinion on the problem i have?!
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