HIV Post Exposure Prophylaxis (PEP)

If you have had a high risk exposure to HIV in the last 72 hours read on.

You are a potential candidate for Post Exposure Prophylaxis (PEP) or Emergency HIV Treatment if:

  • You have been exposed to potentially HIV infected body fluids 
  • Your exposure was less than 72 hours ago

Factors that can increase the risk of HIV infection include:

  • Condom Break
  • Presence of Blood (e.g. Menses)
  • Presence of cuts
  • Presence of Ulcers
  • You are not circumcised

International PEP Guidelines

According to the WHO Guidelines on PEP, the following criteria apply: Individuals are eligible for HIV PEP if:

  • exposure occurred within the past 72 hours; and
  • the potentially exposed individual is not infected or not known to be infected with HIV; and
  • mucous membrane or non-intact skin was significantly exposed to a potentially infectious body fluid; and
  • the source is HIV-infected or the HIV status is unknown.

According to the NYHD HIV PEP Guidelines, HIV PEP treatment should be recommended in the following exposures:

  • Receptive and insertive vaginal or anal intercourse
  • Needle sharing
  • Injuries with exposure to blood or other potentially infected fluids from a source known to be HIV-infected or HIV status is unknown (including needlesticks with a hollow-bore needle, human bites, accidents)

According to the same NYHD HIV PEP Guidelines

HIV PEP treatment should be evaluated on a case-by-case basis in the following exposure scenarios:

  • Oral-vaginal contact (receptive and insertive)
  • Oral-anal contact (receptive and insertive)
  • Receptive penile-oral contact with or without ejaculation
  • Insertive penile-oral contact with or without ejaculation

Factors that increase risk:

  • Source person is known to be HIV-infected with high viral load
  • An oral mucosa that is not intact (eg, oral lesions, gingivitis, wounds)
  • Blood exposure — it is important to note that blood exposure can be minimal and therefore not recognized by the exposed person.

If the exposed person reports frank blood exposure, PEP would be indicated These are just guidelines. The ultimate decision on whether to start PEP or not requires a detailed analysis of the risk benefit ratio. You must have this discussion with your doctor in a formal medical consultation.

 

What HIV PEP drugs do we use?

We use the latest Gold Standard PEP Medicines with fewer side effects and better HIV prevention. This is in accordance with the latest International Standards. 

We use a variety of different Anti-Retro Viral medications in various combinations based on a patient’s specific circumstances.

We do not believe in a ‘on-size-fits-all’ approach.

Although different medicines are used, they all have to be taken for 1 month.

What are the HIV PEP side effects?

With the new PEP Drugs we use, side effects are very rare. Fewer than 1 in 100 of our patients actually develop any side effects.

Common (< 1%) side effects include nausea, diarrhoea and feeling very tired.

Rash and fever are uncommon (< 0.1%) side effects.

There is a theory that these drugs can affect the liver and kidneys temporarily so these have to be monitored.

We routinely monitor all patients who take PEP but have never come across anyone develop kidney or liver problems with the medicines.

The new HIV PEP Drugs that we use are much more less side effects than the old medicines. Make sure you know what drugs you are taking before you start on the PEP.

How much does the HIV PEP cost?

The usual costs involved are:

  1. Consultation $60-$80
    1. Depending on the duration of the consultation
  2. Blood tests (Full Blood Count, Liver Function, Kidney Function) $140
    1. These tests are to establish a baseline
    2. We do not need to wait for these results to start the PEP treatment
    3. You may not need these tests if you had them done recently e.g. when you did an executive health screening
  3. Rapid HIV test $50
    1. This is to ascertain that you do not have an established HIV infection
  4. Medication $1800
    1. This is for the entire 1 month of medication
    2. The price is the same regardless of which drug regime we use

Total cost $2193.50 – $2214.90 with GST Maximum

If you do not require the blood tests (e.g. you have done them recently) the cost will be lower.

So what now?

If you think you are at risk of being infected with HIV, come down to see us as soon as possible.

We will have an in depth discussion with you on your risks and whether or not it is recommended that you take PEP.

We are a walk in clinic, you do not need an appointment.

– Source

Questions?

1.) Dr. Tan and Partners @Novena


Men’s Health & Sexual Health Clinic

Dr. Tan Kok Kuan is currently practising in Men’s Health & Sexual Clinic @Novena Medical Centre

Address:
Novena Medial Centre
#08-31, 10 Sinaran Drive
Singapore 307506

Telephone:
+65 6397 2095

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.30 a.m to 5.30 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

2.) Dr. Tan and Partners @Somerset


Men’s Lifestyle Clinic

Address:
Orchard Building
#10-08, 1 Grange Road
Singapore 239693

Telephone:
+65 6262 0762

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
10.00 a.m to 2.00 p.m. and
3.00 p.m. to 7:00 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

3.) Dr. Tan and Partners @Robertson


Men’s Health & Anonymous HIV Testing Clinic

Anonymous HIV Testing in Singapore:
(Don’t require any identification, such as passport, NRIC or contact details during registration. )

Dr Deepa and Dr Jonathon Ti are currently practising at @Robertson Branch

Address:
11 Unity Street
#02-07, Robertson Walk
Singapore 237995

Telephone:
+65 6238 7810

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.00 a.m to 9.00 p.m.

Saturday & Sunday
9.00 p.m. – 2.00 p.m.

4.) Dr. Tan and Partners @Scotts


Men’s Health Clinic

Dr. Justin Sii & Dr. Elaine are currently practising at our Men’s Health Clinic @Scotts Medical Centre

Address:
9 Scotts Road,
#06-06, Scotts Medical Centre
Singapore 228210

Telephone:
+65 6694 2348

Email: doctor@drtanandpartners.com

Operating Hours:
Monday to Friday
8.00 a.m to 5.00 p.m.

Saturday
8.00 a.m. to 12.00 p.m

Sunday & Public Holiday Closed