PrEP - On demand dosing

[scubascuba3]

I thought I'd post this as it's a recent change and people may not be aware.

 

They now say On demand dosing is for anal sex or straight men having vaginal sex.

 

Previously all literature said for male to vaginal sex a daily dose or holiday PrEP was required, this was also confirmed to me by the Red Cross and the Terence Higgins Trust, apparently this was due to lack of data.

 

Anyway good news for those who don't want to take a daily dose and instead take it when required 2-1-1

 

http://i-base.info/guides/prep/on-demand

Edited May 8, 2020 by scubascuba3

[Puchaiyank]

I'm still trying to figure out how to have sex and not break the social distancing law...

[Why Me]

Good info, thanks. Btw, what is the name of common PreP med here in Bkk? And where to get at a reasonably price and be sure it's genuine?

[scubascuba3]

6 hours ago, Why Me said:

Good info, thanks. Btw, what is the name of common PreP med here in Bkk? And where to get at a reasonably price and be sure it's genuine?

You can get from Thai Red Cross, it works out about 400 baht for 30 tablets, i get 4x30 when i go. The Indian generic TENOF EM is slightly cheaper than the Thai generic TENO EM, i switched to the Indian one. A very slick operation in there

 

https://www.trcarc.org/

 

https://maps.app.goo.gl/uTvD1niXDEwoJqc8A

 

 

 

 

[Why Me]

Thanks much, scubascuba3.

I am near VM and there's a row of pharmacies across from the Rajathevi hospital. I'll check there for the Indian generic. If the price is comparable to the Red Cross that saves me a trip.

[scubascuba3]

45 minutes ago, Why Me said:

Thanks much, scubascuba3.

I am near VM and there's a row of pharmacies across from the Rajathevi hospital. I'll check there for the Indian generic. If the price is comparable to the Red Cross that saves me a trip.

Pharmacies don't sell it

[Why Me]

On 5/9/2020 at 4:37 AM, scubascuba3 said:

You can get from Thai Red Cross, it works out about 400 baht for 30 tablets, i get 4x30 when i go. The Indian generic TENOF EM is slightly cheaper than the Thai generic TENO EM, i switched to the Indian one. A very slick operation in there

Question: At TRC do they want a script etc. or can one just walk in and buy the PrEP and go? Reason to ask is I called the Pulse Clinic and they want kidney/liver function bunch of tests done first.

[scubascuba3]

8 minutes ago, Why Me said:

Question: At TRC do they want a script etc. or can one just walk in and buy the PrEP and go? Reason to ask is I called the Pulse Clinic and they want kidney/liver function bunch of tests done first.

You can't just buy and go you have to go through their tests. Today i was there, because I hadn't been for 4+ months i was treated like a new patient again and had to have the full range of tests and more annoyingly i could only get 1 months worth, next time 4 months.

 

It take 2-4 hours, best to get it done before their pharmacy has lunch 12-1pm, otherwise it's a wasted hour sitting about

Edited May 12, 2020 by scubascuba3

[Why Me]

50 minutes ago, scubascuba3 said:

It take 2-4 hours, best to get it done before their pharmacy has lunch 12-1pm, otherwise it's a wasted hour sitting about

Sucks. Wish we could get it hassle free or online.

[scubascuba3]

3 minutes ago, Why Me said:

Sucks. Wish we could get it hassle free or online.

The tests are important though, specifically the HIV and Creatinine. You don't want to be taking PrEP if you have HIV already or Creatinine level isn't in the range

[Sheryl]

Liver function also.

[scubascuba3]

8 hours ago, Sheryl said:

Liver function also.

Yes. The HIV and Creatinine tests seem to be the every visit tests, yesterday they also included ALT, Hep C and Syphilis, they would have also done Hep B but I've had vaccinations for A&B already

[eastcst84]

Does anyone know if they offer this on demand version at Thai Red Cross?

[scubascuba3]

4 hours ago, eastcst84 said:

Does anyone know if they offer this on demand version at Thai Red Cross?

Yep, it's the same pill, you just take it at different times. I switched back to daily dosing due to slight nausea everytime I took 2 which was every week

[scubascuba3]

I was just reading about HIV in heterosexual men. If we rule out men who have sex with men and don't admit it, men are catching HIV from women, in Norway and western Australia it's predominantly caused by men catching it in South East Asia (Thailand specifically mentioned).

I'm surprised more people don't take PrEP

[eastcst84]

6 hours ago, scubascuba3 said:

Yep, it's the same pill, you just take it at different times. I switched back to daily dosing due to slight nausea everytime I took 2 which was every week

Thanks for the reply, I will go there soon to get on it and I like the idea of not taking it daily so I guess I will try the on demand out first out.

Your nausea must have been very bad I take it with the on demand, wonder why it was so strong compared to your daily dose.

 

Also, is it the same exact pills as the daily and you just double up initially?

Edited March 18, 2021 by eastcst84

[scubascuba3]

32 minutes ago, eastcst84 said:

Thanks for the reply, I will go there soon to get on it and I like the idea of not taking it daily so I guess I will try the on demand out first out.

Your nausea must have been very bad I take it with the on demand, wonder why it was so strong compared to your daily dose.

 

Also, is it the same exact pills as the daily and you just double up initially?

You just have 2 pills to start with, see examples below. The nausea wasn't bad just having it weekly for a day wasn't ideal plus I went back to having sex more often, I switched to 4 pills a week (reduced dosing method) but in Thailand for heterosexual sex the Red Cross say a man should take daily, although i-base says no need

https://i-base.info/guides/prep/real-life-examples-for-on-demand-dosing

 

https://i-base.info/qa/10743

 

 

[eastcst84]

25 minutes ago, scubascuba3 said:

You just have 2 pills to start with, see examples below. The nausea wasn't bad just having it weekly for a day wasn't ideal plus I went back to having sex more often, I switched to 4 pills a week (reduced dosing method) but in Thailand for heterosexual sex the Red Cross say a man should take daily, although i-base says no need

https://i-base.info/guides/prep/real-life-examples-for-on-demand-dosing

 

https://i-base.info/qa/10743

 

 

Interesting, I actually like the idea of your method as well and had no idea it was an option. So, too start to get it into your system, how did that work. So, say you wanted to start today, when could you safely be with someone?

[scubascuba3]

3 hours ago, eastcst84 said:

Interesting, I actually like the idea of your method as well and had no idea it was an option. So, too start to get it into your system, how did that work. So, say you wanted to start today, when could you safely be with someone?

I'm slightly rusty on it but I think it assumes you've been taking PrEP for a while so you have some in your system already. I'm not sure you can kick off straight with 2 pills if you haven't taken before, but I could be wrong on that so double check, use the i-base link above. One of the reason I say that is if you start daily you are meant to have it for 1 week before sex

[eastcst84]

7 hours ago, scubascuba3 said:

I'm slightly rusty on it but I think it assumes you've been taking PrEP for a while so you have some in your system already. I'm not sure you can kick off straight with 2 pills if you haven't taken before, but I could be wrong on that so double check, use the i-base link above. One of the reason I say that is if you start daily you are meant to have it for 1 week before sex

Thanks.