PrEP and PEPSE

 

IMPACT trial update

Unfortunately due to the COVID-19 pandemic, our clinic has had to temporarily pause the IMPACT trial at the Ambrose King Centre and the Sir Lugwig Guttmann Centre.

We understand that this is difficult news for our patients but we are unable to safely continue to manage patients in the current climate.

Our follow up appointments are temporarily suspended and we are unable to recruit any new patients.

If you currently are using PrEP, we would recommend that if it is safe to do so, you switch to event based dosing/stop PrEP as the country is currently supposed to be in social isolation, which should limit the need for PrEP in most cases.

Please be advised that event based PrEP is not suitable for all patients, depending on the type of sex you are having, so please read the guidance carefully.

For details and examples of how to use event based dosing please see http://i-base.info/prep

For details on how to access home testing kits please see https://www.shl.uk/If you need advice regarding your sexual health, please see our website for up to date advice about which services we are still able to manage.

We do not have enough staff to continue monitoring the IMPACT telephone, so it is unlikely that we will respond if you call or text on that number.

We thank you for your understanding at this difficult time and will update this website depending upon government advice and when our clinicians become available again to facilitate appointments.

 

What is PrEP?

Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV medicines daily to lower their chances of getting infected.

You can take a pill on an ongoing basis before sex and continued after sex. It’s taken by someone who doesn’t have HIV, to prevent them from getting HIV. The PrEP pill is an antiretroviral drug – the same type of pill taken by someone who already has HIV to treat HIV.

Currently we can’t prescribe PrEP on the NHS in England, but we can offer advice, monitoring, blood tests and sexual health care for people taking PrEP. This can be done at our specialist centres: The Ambrose King Centre, and the Sir Ludwigg Guttman Centre (SLG). 

COVID-19 update: This service has been temporarily suspended – please see above.

What is PEPSE?

PEPSE stands for post-exposure HIV prophylaxis after sexual exposure. It is a four week course of HIV medication you can take after unprotected sex or a condom accident, to reduce the chance of becoming HIV positive.

We can provide PEPSE at our specialist centres: the Ambrose King Centre and the Sir Ludwigg Guttman Centre (SLG). If our sexual health centres are shut, you can access PEPSE at your nearest emergency department

COVID-19 update: We are still able to provide PEPSE if necessary. Please call for a telephone appointment or if necessary attend A&E for PEPSE.

Information for people taking PrEP and PEPSE

IMPACT trial update

Unfortunately due to the COVID-19 pandemic, our clinic has had to temporarily pause the IMPACT trial at the Ambrose King Centre and the Sir Lugwig Guttmann Centre.

We understand that this is difficult news for our patients but we are unable to safely continue to manage patients in the current climate.

Our follow up appointments are temporarily suspended and we are unable to recruit any new patients.

If you currently are using PrEP, we would recommend that if it is safe to do so, you switch to event based dosing/stop PrEP as the country is currently supposed to be in social isolation, which should limit the need for PrEP in most cases.

Please be advised that event based PrEP is not suitable for all patients, depending on the type of sex you are having, so please read the guidance carefully.

For details and examples of how to use event based dosing please see http://i-base.info/prep

For details on how to access home testing kits please see https://www.shl.uk/If you need advice regarding your sexual health, please see our website for up to date advice about which services we are still able to manage.

We do not have enough staff to continue monitoring the IMPACT telephone, so it is unlikely that we will respond if you call or text on that number.

We thank you for your understanding at this difficult time and will update this website depending upon government advice and when our clinicians become available again to facilitate appointments.

I am already taking PrEP

If you are already taking PrEP, national guidelines suggest you should have STI testing every 3 months.

Please see above for virtual testing recommendations during the COVID-19 pandemic

I think I need PEPSE – what should I do?

If you think you might need PEPSE, you should contact a sexual health centre or go to your nearest emergency department (open 24 hours a day). At the Ambrose King Centre, you will have a telephone consultation by a clinician who will assess the risk of HIV transmission. Your clinician will decide whether to prescribe PEPSE and advise you accordingly.

Does PEPSE work?

Research shows that PEPSE makes infection with HIV less likely. However, PEPSE doesn’t work every time – some people who take it still become HIV positive. It can fail because the anti-HIV drugs are not active against a particular strain, or it can fail because the drugs are not taken properly.