• PrEP must be used consistently to be effective, as the level of protection has been shown to be closely related to levels of medication adherence.
• PrEP should … be provided as part of a comprehensive package of prevention services, including counseling regarding risk reduction and the importance of adherence to daily doses of PrEP medication, ready access to condoms, and diagnosis and treatment of sexually transmitted infections.
• Individuals using PrEP must receive initial and regular HIV testing to confirm they do not have HIV infection, and be monitored for potential side effects.
CNN: Side effects can include
nausea, vomiting, dizziness, loss of appetite and diarrhea, liver and kidney toxicity and loss of bone density.
Two initial reactions:
Is there really still such a significant risk from protected sex (i.e., with a condom) that it is worth those additional side effects and a $1200 monthly bill to further reduce risk?
Do condoms make sex so unenjoyable that anyone would rather put up with that gift basket of side effects than don the latex?