&lt;h1&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Q&amp;amp;A: All you need to know about Emergency PEP in 2024&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;HIV PEP must be started within 72 hours of exposure for maximum effectiveness.&amp;nbsp;&lt;br /&gt;The sooner you get medical care, the better.&amp;nbsp;&lt;/span&gt;&lt;/strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Post-exposure prophylaxis (PEP) is a brief regimen of HIV antiretroviral medications aimed at lowering the risk of HIV establishing itself in the body following exposure through high-risk sexual contact.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;If you&#39;re considering HIV PEP after high-risk HIV exposure, contact us at&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;mailto:info.silom@pulse-clinic.com&quot;&gt;info.bkk@pulse-clinic.com&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&amp;nbsp;or any of the following platforms for more information.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;1. What Should I Do?&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;h1&gt;&lt;strong&gt;DONT PANIC!&lt;/strong&gt;&lt;/h1&gt;
&lt;p&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #99ccff; text-decoration: underline;&quot;&gt;As long as you get the emergency pill within 72 hours after exposure, you&#39;re saved.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/emergency%20pep.jpg&quot; width=&quot;939&quot; height=&quot;1329&quot; style=&quot;display: block; margin-left: auto; margin-right: auto;&quot; /&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;2. The Newest Medication That is used for PEP is &lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;BIKTARVY&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Fewer Side Effects, Better Completion Rates:&lt;/strong&gt;&lt;/span&gt;&amp;nbsp;Studies have found that using Biktarvy as an HIV PEP after potential HIV exposure had fewer side effects and higher completion rates than other medications.&amp;nbsp;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;This is excellent news because it means that more people are likely to take the entire course of medication, reducing their risk of getting infected with HIV. &lt;br /&gt;It is an encouraging option for those using Biktarvy for PEP.&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;3. How to Take&amp;nbsp;BIKTARVY as HIV PEP&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You should take &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;one Biktarvy pill every day for 28 days.&lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&#39;s important to take the pill at the same time each day, ensuring there&#39;s a 24-hour gap between each dose. &lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;This routine should start with the first dose and continue until you complete the entire 28-day course.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You can take your Biktarvy with or without food.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;TIPS&lt;/strong&gt;: During your treatment course, if you&#39;re travelling and encounter time zone differences, it&#39;s advisable to set reminders for your medication. &lt;br /&gt;This ensures consistency in taking your doses at the appropriate times, despite changes in time zones.&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;4. What If I Forget One Dose?&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It is important to take your HIV PEP with the correct dose at the same time for 28 days to ensure efficacy&lt;br /&gt;&lt;br /&gt;1. Take the next dose as soon as possible, unless it is time for the next dose&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;2. If it is time for the next dose, skip the missed dose and return to the regular schedule.&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;3. Do not take a double dose to compensate for a forgotten dose.&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;4. If 72 hours or more have elapsed since the last dose, discontinue PEP&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;5. Side Effects of BIKTARVY&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Biktarvy may cause serious side effects, including worsening hepatitis B infection, so it&#39;s crucial to get tested for hepatitis B before starting Biktarvy.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Other potential side effects include immune system changes, kidney issues (even kidney failure), high levels of lactic acid in the blood (a rare but severe condition), severe liver problems (also rare but fatal), and common side effects like diarrhoea, nausea, and headache.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;6. What Should I Do After I Finish Taking BIKTARVY for 28 Days?&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;After four weeks, a follow-up visit is scheduled to repeat a comprehensive blood test, including a full blood count, liver and renal function tests, and an HIV test.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Additionally, it&#39;s advised to undergo follow-up HIV tests at 3 and 6 months following the exposure.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;7. Should I Get &lt;span style=&quot;text-decoration: underline;&quot;&gt;PrEP&lt;/span&gt; to Protect Myself after This?&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Yes, &lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;HIV PrEP reduces the chances of becoming infected with HIV by 99%.&amp;nbsp;&lt;span style=&quot;text-decoration: underline; color: #ffffff;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com/prep&quot;&gt;PrEP (Pre-Exposure Prophylaxis)&lt;/a&gt; &lt;/span&gt;is a risk-reduction treatment against HIV that involves the daily consumption of HIV preventive medication.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;Note: Biktarvy is approved for HIV PEP and long-term HIV treatment only. It is not approved for PrEP use.&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;8. Who Should Start PEP?&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;HIV PEP is advised in the following circumstances:&lt;/span&gt;&lt;/p&gt;
&lt;ol&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;In cases of high-risk sexual encounters, which include any unprotected anal or vaginal intercourse, receptive oral intercourse with ejaculation, includes:&lt;/span&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;A partner confirmed to be HIV-positive or&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;An individual belonging to a high-risk HIV group (such as commercial sex workers, IV drug users, men who have sex with men/bisexual men), or&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;Instances of sexual assault.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;For instances of needle or blade sharing, particularly in cases of needle-stick injuries where exposure to contaminated items is likely.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;Condom broke/Slipped.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;In situations involving exposure to contaminated bodily fluids like blood, semen, or genital fluids, mainly through open wounds, cuts, sores, or ulcers.&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;In these scenarios, HIV PEP is highly recommended as it can effectively prevent the transmission of HIV and AIDS.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;9. What is DoxyPEP?&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;text-decoration: underline; color: #ffffff;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/doxy-pep-doxycycline-for-prevention-of-stis-when-you-have-condomless-sex&quot;&gt;DoxyPEP&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; serves as a post-exposure preventive remedy for syphilis, chlamydia, and gonorrhoea. Similar to a morning-after pill&#39;s function for pregnancy, it&#39;s intended for bacterial STDs.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Administer a single dose following a condomless sexual encounter to significantly minimize the likelihood of contracting bacterial STIs.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;It&#39;s important to note that DoxyPEP does not protect against HIV.&lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;10. How do I take DoxyPEP?&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot; data-preserver-spaces=&quot;true&quot;&gt;The dosing regimen is two 100-mg tablets (total of 200 mg) taken within 72 hours of a condomless sexual encounter, ideally within the first 24 hours.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you have had oral, anal, or vaginal sex consecutively for a few days, take a daily dose of DoxyPEP within 24 hours after each sexual encounter. After your last sexual encounter, take your DoxyPEP within 24 hours, but not later than 72 hours after your last sexual encounter.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;11. Is there anything&amp;nbsp;I should not take DoxyPEP with?&lt;/span&gt;&lt;/strong&gt;&lt;/h3&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take &lt;a href=&quot;https://www.pulse-clinic.com/where-to-buy-doxycycline&quot;&gt;&lt;span style=&quot;text-decoration: underline; color: #ffffff;&quot;&gt;&lt;strong&gt;doxycycline&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt; with a full glass of water or something else to drink so that it does not get stuck when you swallow.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Please inform our medical team if you are taking any other medications or supplements to avoid infections.&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Avoid taking it with Alcohol&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Carbonated drinks&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Dairy products (milk, cheese, etc.)&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Do not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking this medicine.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;If you&#39;re considering PEP after high-risk exposure, contact us at&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;mailto:info.silom@pulse-clinic.com&quot;&gt;info.bkk@pulse-clinic.com&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&amp;nbsp;or any of the following platforms for more information.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;

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