Pre-Exposure Prophylaxis = PrEP
To prevent HIV infection BEFORE being exposed.
Studies have shown that
taking a single pill every day helps reduce new HIV infections. This preventive medicine was approved by the US Food and Drug
Administration (FDA) in July, 2012. It is most effective if used with condoms or clean needles. The medicine has possible
side effects and people who take it should have periodic test of their kidney functions and other systems.
Family Health Care responded to the needs of the community, particularly
those with HIV+ sexual partners who are sero-negative for HIV and are therefore at risk for acquiring infection with HIV.
PrEP is recommended by the CDC as an effective means of preventing new HIV infections. The medication- Truvada is taken
daily and allows discordant couples to have more routine relationships and plan pregnancies.
only one medication currently approved by the FDA and recommended by the CDC to help prevent HIV infection. While this use
has been approved and recommended by some, there remain controversies. Some insurers cover the prescriptions, many do not.
Few physicians or other prescribers are providing prescriptions for Truvada for this purpose. Family Health Care is one of
the first medical practices in the country to establish a clinic for the purpose of prescribing PrEP.
make an appointment to see if PrEP is right for you, call 913-PACE100 (913-722-3100).
Providers- Click here to learn about starting a PrEP clinic.
Risk reduction of > 97% with daily Truvada
Serodiscordant Heterosexual Couples : 90% on drug (overall 75%)
(13 of 1576 on Truvada became infected vs 52 of 1578 on placebo)
Men and Transgender Women who have sex with men: 92% on treatment (overall
(48 of 1251 on Truvada became infected vs 83 of 1248
PrEP Care Clinic at Family Health Care- News Release (click here)
Buzzfeed report on PrEP CARE Clinic
Channel 9 Reports on PrEP CARE Clinic
KC Business Journal Reports on PrEP CARE Clinic
KC Star Reports on PrEP CARE Clinic
Channel 41 News on the PrEP CARE Clinic
PrEP CARE Information Sheet
Click here to view the CDC PrEP guidelines
CDC PrEP Information
If you answer yes to any of these these questions, you should consider the protection from HIV of taking daily Truvada:
- Do you currently have a sexually transmitted infection (STI), such as syphilis or gonorrhea?
- Do you ever have sex without condoms?
- Do you have many sexual partners
or do you exchange sex for food, money, or shelter?
- Do you use recreational drugs or have an alcohol problem?
- Are you currently or have you ever
been in prison?
- Do you have any sexual partners whose HIV status is not known and who would answer “yes” to any
of the above questions?
Consider if this medicine will work for you.
1- Are you willing to take a pill every day?
Are you willing to have lab testing requiring blood draws completed regularly?
3- Do you qualify for medication assistance or have resources to buy Truvada for yourself?
The Partnership for Prescription Assistance (PPA) program is designed to help uninsured Americans get the prescription medicines
they need at no or low cost. Click here...
Gileads U.S. Medication Assistance Program provides assistance to eligible, HIV-negative people in the United States who need
financial assistance to pay for TRUVADA for PrEP. Click here for a faxable form to apply.
CDC's PrEP Guide
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administrations (FDA) MedWatch
Adverse Event Reporting program online by clicking here- or by phone (1-800-332-1088).
Family Health Care's PrEP Care Clinic offers
preventive services package for people who are at risk for HIV and other infections. This is different from treatment of HIV
because it includes giving medicine to prevent the infection. It is similar to using birth control pills to prevent pregnancy,
in that the medicine needs to be taken every day whether there is exposure on that day or not.
Some insurance companies pay for this medication, but not
all. Our clinic is not able to absorb the costs of the testing or the medicine. But, we are willing to provide these services
and access to the medicine at more affordable charges. FHC will also provide receipts that may be passed to insurance companies
for repayment. Uninsured and low-income people may apply for additionally reduced fees.
The costs of the
physical and laboratory evaluation for the first visit is about $300. Visits are required every three months to help ensure
the safety of continueing the medicine. The follow-up visits will be charged at about $140 (including laboratory,
etc.) Other preventives are recommended such as Hepatitis B vaccinations. In addition, information and techniques for preventing
other sexually transmitted and blood-borne diseases will be provided.
who are uninsured may qualify for reduced cost services. Please bring your last year's tax form for reduced fee consideration.
Truvada Medication Information Sheet for Patients
From the CDC:
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention - Division of HIV/AIDS Prevention
Brand name: Truvada (tru va duh)
name: tenofovir disoproxil fumarate and emtricitabine
Why is this medication prescribed?
Truvada is one of several
medications that are currently used to treat human immunodeficiency virus (HIV) and hepatitis B virus infection.
Truvada is now being used to prevent HIV
sometimes prescribed to some people who do not have HIV infection (for example, those who do not always use condoms
or who have a sex partner that has HIV infection) to help reduce their chances of getting HIV infection
When you take Truvada to prevent HIV infection, doctors
refer to this use as “pre-exposure prophylaxis” or “PrEP”.
How does Truvada (PrEP) help prevent HIV infection?
HIV is a virus that attacks your body’s immune cells (the cells that work to fight infections).
The 2 medications
that make up Truvada (tenofovir and emtricitabine) block important pathways that viruses use to set up infection.
If you take Truvada as PrEP daily,
the presence of the medication in your bloodstream can sometimes stop the virus from establishing itself and slow
the spread of HIV in your body.
itself, PrEP with Truvada does not work all the time so youshould also use condoms during sex for the most protection
from HIV infection.
this medicine be used?
You must take one
tablet of Truvada by mouth every day .
the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do
not stop taking Truvada without talking to your doctor. When your supply of Truvada starts to run low, contact your doctor
or pharmacist to get more.
may be at higher risk of becoming infected with HIV if you miss doses or stop taking Truvada than if you take it every
What special precautions should
Before taking Truvada (tenofovir and emtricitabine) you
must do the following:
Tell your doctor and
pharmacist if you are allergic to tenofovir, emtricitabine, or any other medications.
Tell your doctor and pharmacist about all prescription and nonprescription
medications, (vitamins, nutritional supplements, and herbal products) you are taking. Your doctor may need to change
the doses of your medications or monitor you carefully for side effects.
Tell your doctor if you have or have ever had kidney or liver disease.
Tell your doctor if you become pregnant or if you are breastfeeding
special dietary instructions should I follow?
your normal diet unless your doctor tells you otherwise.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose,
skip the missed dose and continue your regular dosing schedule.
Do not take a double dose to make up for a missed one.
What side effects can this medication cause?
may experience the following side effects while taking Truvada:
loss of appetite
These side effects usually fade during the first month of taking Truvada for PrEP. Tell your doctor
if any of these symptoms are severe or do not go away.
Truvada may cause other
side effects. Some side effects can be serious. Call your doctor immediately if you have any unusual problems while taking
this medication or if you have any of the following:
or chills especially with
throat, cough, rash or other signs of infection
How should I store Truvada in my home?
You should keep Truvada in the container it came in, tightly closed, and out of reach of
You must store it
at room temperature and away from excessive heat and moisture.
Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about
the proper disposal of your medication.
I do in case of emergency/overdose?
case of overdose, call your local poison control center at 1-800-222-1222. If the person has collapsed or is not breathing,
call local emergency services at 911.
other information should I know?
Do not let
anyone else take your medication.
your pharmacist if you have any questions about refilling your prescription.
Write a list of all of your prescription and over-the-counter medicines,
as well as any vitamins, minerals, or other dietary supplements that you take.
your medication list with you each time you visit a doctor or if you are admitted to a hospital. Keep it with you
always in case of emergencies.
PrEP CARE Clinic: It is recommended that clients discuss
this and all medications with their personal provider.
CARE Clinic has the limited purpose of a focused examination and if appropriate, provision of PrEP medication. Family
Health Care staff provides services for the PrEP CARE Clinic clients which are limited to evaluation and
review of physical, laboratory and historic data that pertains to the use of Pre-Exposure Prophylaxis of HIV and other preventive
measures. If any significant medical condition is uncovered during the course of the directed evaluation for use of
Truvada to prevent HIV infection, the patient will be advised of the condition and recommended follow-up with their primary
care provider. No other illnesses will be treated through the PrEP CARE Clinic which is for prophylaxis (prevention)
only. Patients who prefer to change to Family Health Care for their primary care may make this request at the visit.