Aa
Risk of HIV infection and taking Truvada at daytime
Dear doctors and others kind to answer my question.
A couple of weeks ago I visited Siem Reap in Cambodia and ended up having unprotected vaginal sex with a prostitute. Two days later the same thing happened with another prostitute, only this time in Bangkok. Luck had it I made it into the hospital in Bangkok when around 65 hours after the first exposure in Cambodia had happened. The doctor subscribed me with a PEP cure (Aluvia + Truvada). I have been experiencing severe itching and redness in my face after the daily dose of Truvada, which I tried to take Zyrtec for, which helped a little, albeit not much.
Since I was able to visit the hospital in Bangkok just in time for the 72 hour limit, and the time at the hospital was around noon back in UK, I started taking Truvada+Aluvia at once, meaning that I am now taking Truvada + Aluvia around noon and Aluvia around midnight. I believe that the side effects of the noon doses of Truvada + Aluvia are far worse than the side effects from Aluvia alone. Therefore, I would like to switch so that I take Truvada before bedtime (as most others).
Some questions:
1. What are the chances of me having acquired HIV?
2. How can I change from taking Truvada in the noon to taking Truvada at midnight? For instance, should I do two doses of Truvada in one 24 hour period or should I do no doses in one 24 hour period to get it right?
3. When the doctors prescribed the medication I ended up taking 4x the recommended dose of Aluvia. This was due to me having received four cans of Aluvia,not realizing that each can was meant to last 1 week. This means that I will have 3 x 4 = 12 pills of Aluvia less than recommended, i.e. I will go withouth Aluvia for the last 1.5 days of my 28 day PEP. Should I do anything about this?
4. Is there anything I can do to avoid the blushing / itching / redness in my face?
Thank you very much for your kind answers. I know this was a stupid mistake on my part. Being back in the UK, it does feels like the doctors in Burmungrad hospital in Bangkok were more knowledgeable about the subject than here.
Best regards,
Male (23)
A couple of weeks ago I visited Siem Reap in Cambodia and ended up having unprotected vaginal sex with a prostitute. Two days later the same thing happened with another prostitute, only this time in Bangkok. Luck had it I made it into the hospital in Bangkok when around 65 hours after the first exposure in Cambodia had happened. The doctor subscribed me with a PEP cure (Aluvia + Truvada). I have been experiencing severe itching and redness in my face after the daily dose of Truvada, which I tried to take Zyrtec for, which helped a little, albeit not much.
Since I was able to visit the hospital in Bangkok just in time for the 72 hour limit, and the time at the hospital was around noon back in UK, I started taking Truvada+Aluvia at once, meaning that I am now taking Truvada + Aluvia around noon and Aluvia around midnight. I believe that the side effects of the noon doses of Truvada + Aluvia are far worse than the side effects from Aluvia alone. Therefore, I would like to switch so that I take Truvada before bedtime (as most others).
Some questions:
1. What are the chances of me having acquired HIV?
2. How can I change from taking Truvada in the noon to taking Truvada at midnight? For instance, should I do two doses of Truvada in one 24 hour period or should I do no doses in one 24 hour period to get it right?
3. When the doctors prescribed the medication I ended up taking 4x the recommended dose of Aluvia. This was due to me having received four cans of Aluvia,not realizing that each can was meant to last 1 week. This means that I will have 3 x 4 = 12 pills of Aluvia less than recommended, i.e. I will go withouth Aluvia for the last 1.5 days of my 28 day PEP. Should I do anything about this?
4. Is there anything I can do to avoid the blushing / itching / redness in my face?
Thank you very much for your kind answers. I know this was a stupid mistake on my part. Being back in the UK, it does feels like the doctors in Burmungrad hospital in Bangkok were more knowledgeable about the subject than here.
Best regards,
Male (23)
Well, I am actually not from central London, but approx 90 minutes drive east of London. It is hard to get time of work and family (I live at home for the moment) to drive into London and back... i dont want anyone to be suspicious
but you are right, of course, I should try and seek and find a doctor there even if I have to make up an excuse for going there!
but you are right, of course, I should try and seek and find a doctor there even if I have to make up an excuse for going there!
Thank you for the swift reply, but since he is in Bangkok and I am in London, it is really difficult to get hold of him...
Have an Answer?
You are reading content posted in the HIV Prevention Community
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
