&lt;p style=&quot;text-indent: 0px; margin: 0px; text-align: left;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://cms.pulse-clinic.com/pulseteam/2&quot;&gt;Dr.Deyn Natthakhet Yaemim (Founding Director)&lt;/a&gt;&lt;/strong&gt; &lt;span style=&quot;color: #999999;&quot;&gt;6 June 2016, last updated 24 August 2022&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-indent: 0px; margin: 0px; text-align: center;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h1 style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;PEP (Emergency PEP) -&amp;nbsp;Emergency Solutions to Prevent HIV Transmission&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;table style=&quot;border-collapse: collapse; width: 100%;&quot; border=&quot;1&quot;&gt;
&lt;tbody&gt;
&lt;tr&gt;
&lt;td style=&quot;width: 100%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc; text-decoration: underline;&quot;&gt;Key Points&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;PEP involves taking a 28-day course of anti-HIV drugs, after possible exposure to HIV.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;Doctors will assess your risk of HIV infection before prescribing PEP.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;We recommend the ned medication called KOCITAF&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;PEP is available from sexual health clinics and accident &amp;amp; emergency departments.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;Condom Break? Get PEP in Bangkok at PULSE Clinic!&lt;/strong&gt; If you need emergency PEP after a condom failure, visit PULSE Clinic. We are open 7 days a week, including weekdays and weekends, for your convenience! If you have had a high-risk exposure to HIV in the last 72 hours, it&#39;s crucial to begin HIV PEP (Post-Exposure Prophylaxis) as soon as possible. For optimal effectiveness, start PEP within 24 hours after potential exposure.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The sooner you initiate PEP, the better your chances of preventing HIV infection. Decades of research and experience demonstrate that PEP can significantly reduce the risk of HIV transmission.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Factors that can increase the risk of HIV infection and you are a potential candidate for PEP due to:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul style=&quot;list-style-type: square;&quot;&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The partner is known to be HIV positive AND is not on treatment.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Anal sex with penetration without condom&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Vaginal sex without condom&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Condom break&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Presence of blood&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Presence of cuts or ulcers&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You are not circumcised&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You have been exposed to potentially HIV infected body fluids&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Your exposure was less then 72 hours ago&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Partner of unknown HIV status who belong to higher risk HIV group (e.g. MSM or from africa or S.E.Asia)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;They penetrated you (Their penis, your arse) AND you don&#39;t know for sure whether they have HIV or not.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Missed the 72-Hour Window for HIV PEP? Seek Medical Advice!&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you cannot access HIV PEP (Post-Exposure Prophylaxis) within 72 hours, even if it&#39;s been 5-7 days since potential exposure, it&#39;s still essential to consult a healthcare professional about your options. You may be eligible for a 3-drug combination of antiretroviral medications to begin early treatment, which can help minimize damage to your immune system in case you have contracted HIV. &lt;strong&gt;Taking prompt action can be crucial for your health.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;a href=&quot;https://www.pulse-clinic.com/booking&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Booking%20an%20appointment%20at%20PULSE%20CLINIC.png&quot; width=&quot;300&quot; height=&quot;36&quot; style=&quot;display: block; margin-left: auto; margin-right: auto;&quot; /&gt;&lt;/a&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;For more information about getting HIV treatment at PULSE Clinic, contact us at &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;info.bkk@pulse-clinic.com&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt; or chat with us via one of the following platforms:&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&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;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&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;&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; &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;span style=&quot;text-decoration: underline;&quot;&gt;&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;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;How Does PEP Work to Prevent HIV?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;After potential exposure to HIV, it takes a few days for the virus to establish itself in the body. Once established, HIV can remain for life. However, starting PEP (Post-Exposure Prophylaxis) promptly can be crucial. Anti-HIV medications in PEP prevent the existing virus from replicating, allowing it to die out before it can multiply.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;These PEP drugs support the body&#39;s immune system in halting the replication of HIV within infected cells. As a result, the initially infected cells can die off naturally within a short time, preventing further HIV production.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;How Effective is PEP in HIV Prevention?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;PEP is not a &amp;lsquo;cure&amp;rsquo; for HIV. While PEP may prevent HIV from entering cells in the body and stop someone from becoming infected, it isn&amp;rsquo;t 100% effective. However, there have been very few reports of HIV infection after using PEP.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;iframe src=&quot;//www.youtube.com/embed/vVXzGpfyiFQ&quot; width=&quot;560&quot; height=&quot;314&quot; allowfullscreen=&quot;allowfullscreen&quot;&gt;&lt;/iframe&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;But if the HIV is already in the body, isn&#39;t it too late?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Not if you act quickly! After exposure, HIV can enter the bloodstream but takes time to establish itself permanently in the body. If a person exposed to HIV seeks PEP (Post-Exposure Prophylaxis) within 72 hours, they have a strong chance of preventing the virus from becoming established.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;So, if I take PEP I won&#39;t become HIV positive?&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Research indicates that taking PEP makes infection with HIV a lot less likely. But PEP doesn&amp;rsquo;t work every time. Some people who take it still end up with HIV afterwards. When people taking PEP have acquired HIV, it can fail because:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Some people might not starting PEP quickly enough&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;text-indent: 0px;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The person doesn&amp;rsquo;t or isn&amp;rsquo;t able to take PEP as prescribed (every day for a month)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Missing doses of PEP or not finishing the 28-day course&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;text-indent: 0px;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Some anti-HIV drugs don&amp;rsquo;t work against some strains of HIV (HIV drug resistant, although this is rare)*&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;text-indent: 0px;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The initial viral load (the amount of HIV) in the body was too great for the drugs to be effective**&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Having unprotected sex or sharing needles, with further exposure to HIV, while taking PEP.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;However, the sooner PEP treatment is begun after exposure to the virus, the more likely it is to work.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;-qt-paragraph-type: empty; -qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;What to Expect When Receiving Emergency PEP at PULSE Clinic?&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ol&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Consultation&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Rapid screening for HIV, Hepatitis B virus with result in 15 minutes, accuracy 99.9%&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Kidney function tests&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;PEP Medications&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Test or treatment for possible sexually transmitted infections&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Which HIV PEP Medications Are Available at Our Clinic?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;We use the latest gold standard PEP medicines with fewer side effects and better HIV prevention which will be taken for 28 days.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;For adults:&lt;/strong&gt; Tenofovir combined with either Tenofovir (TDF) and emtricitabine (FTC) as preferred backbone drugs and these are also the preferred drugs for treating HIV.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The recommended third drug, which is also recommended by WHO and CDC as a preferred drug for HIV treatment, will be chosen by your doctor.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;There are some of our clients who do not understand when our doctors try to explain about HIV drug resistant. If you are unlucky and being exposed to such HIV, the classic PEP medications are not able to help you. That&#39;s why American CDC suggested on their PEP treatment guidelines that we should use a higher class of drugs that is less likely to be resisted by the HIV drug resistant type. These higher class medications are available at our clinics and they are costly. Much more expensive than the classic PEP medications generally used in low income countries. When our doctors prescribe this higher class PEP medications it is because they evaluate that your risk is very high and they are trying to keep the standard as high as American Center of Disease Control Guidelines for PEP treatment.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-paragraph-type: empty; -qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Additional Steps Should You Take After Possible HIV Exposure?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Your doctor may recommend treatment as prevention for potential gonorrhea, chlamydia, or syphilis following unprotected sex or a sexual incident. We suggest the &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/thailand-pcr-28-stds-promotion-std-test-bangkok-pattaya-phuket-hatyai-chiangmai&quot;&gt;PCR multiplex test&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;, which detects 28 infection that cause STD, available at PULSE Clinic.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;You Might not Need PEP If...&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You are confident that your partner is HIV-negative.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Your partner is HIV-positive and on successful treatment, maintaining an &#39;undetectable viral load.&#39;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Human bites.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact with another person&amp;rsquo;s semen in your eye.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;

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