Re post question from 2 days ago

[johnnyttt]

Hi dr I'm not sure you gonna gimme an answer on this but I'll go ahead anyway,and if you choose not to I'll understand,well on my last post I told you I had started pep,I got the pep from San Fran general hospital on Xmas day,reason I went there is because they were the only place open,well they gave me a prescription for a couple days supply,told me to take 2 keletra twice daily and one truvada once daily,so yesterday. Went to my follow up at San Francisco city clinic,which is a great place for the price you pay 10 bucks,for testing council ing ,and the people ther I thought to be very helpful,they asked me what I had been subscribed by the general and when I told them they said they should not have given me the keletra apparently one truvada is plenty daily,I did as I was told but now I'm wondering if you have any insight you could share with me thanks in aDvance

[Edward W Hook, MD]

Good advice, for those with or without insurance.   EWH

[johnnyttt]

Would also like to add anybody living in the San Fran co are without insurance,bE sure to check out the San Fran clinic it really is an amazing place and only 10 dollars per visit this donation include all lab work,it's a blessing in toms like these especially with American health care costs

[johnnyttt]

Thais for the feed back dr I'll be sure to keep you posted

[Edward W Hook, MD]

You did not need to start a new question but could have just followed up your earlier post.  We typically allow several follow-up posts after the original question for purposes of clarification.  I'll go on and answer your question here but no further new questions- just continue the thread. if it gets too long, we'll let you know that we are going to stop answering and that the thread has ended.

You are receiving care from one of the most knowledgeable places you could have gone- the folks at the SF City clinic are experts in HIV prevention.  The doctors who provided you with your initial PEP provided you with more medication than is typically recommended for PEP and the Truvada (which is a combination of two anti-HIV medications) is one of the regimens most widely recommended for PEP.  

Please note that the ER doctors probably don't do this all the time and from a prevention perspective it is better to initially over treat than under treat.  That said, from here on out, I would just take the Truvada.  EWH