What is PrEP?
Pre-exposure prophylaxis (PrEP) is a highly effective strategy for preventing HIV infection. To maximize its protective benefits, it's crucial to understand the correct methods of taking PrEP. This guide provides detailed instructions on daily PrEP usage and event-based dosing, ensuring you have the information needed to use PrEP effectively.
For GAY Men and Men who have sex with men (MSM), PrEP can be taken in 2 ways:
1. Daily PrEP (Most Recommended)
This is the most effective and widely recommended method.
- How to start: Take 1 pill daily, at the same time each day.
- How it works: After 7 days of daily use, PrEP reaches its full protective levels for anal sex.
- Stopping PrEP: If you stop taking PrEP, continue for at least 2 days after your last sexual exposure to ensure protection.
2. Event-Based PrEP (2-1-1 Method)
This is an alternative for MSM who have infrequent sex and do not want to take PrEP daily. It is not recommended for vaginal sex or people who inject drugs.
How to take:
- 2 pills at least 2 to 24 hours before sex
- 1 pill after 24 hours
- 1 more pill after another 24 hours
If you keep having sex: Continue taking 1 pill every 24 hours until 2 days after your last sexual encounter.
Which Method is Best?
- Daily PrEP is the best choice if you have frequent sex or multiple partners.
- Event-based PrEP can be an option if sex is less frequent, and you can plan.
Key Points for MSM Using PrEP
- Works best when taken consistently
- Requires regular HIV testing (every 3 months)
- Does not protect against STIs—Always use condoms for extra protection, this is the best way to protect yourself.
- If you’re considering PrEP, talk to a healthcare provider to determine the best, If PrEP actually right for you!
PrEP Access Across Asia: A Patchwork of Progress
| Country | Public PrEP Program | Cost/Availability | LGBTQ+ Inclusion |
|---|---|---|---|
| Thailand | Yes (since 2021) | Free in many clinics | Strong NGO support |
| Philippines | Expanding slowly | Low-cost in pilot areas | Growing awareness |
| Taiwan | Yes | Subsidized | Good access in urban centers |
| India | Limited availability | Pilot trials only | High stigma remains |
| Japan | Private only | Expensive | Almost no public discussion |
| Malaysia | Limited NGO access | Costly and stigmatized | Criminalization concerns |
| Indonesia | Highly restricted | Mostly donor-funded | Strong stigma |
Despite World Health Organization (WHO) support, many countries still lack:
- Government subsidies or programs
- LGBTQ+ friendly clinics
- Public education about PrEP safety and effectiveness
Always consult with a healthcare provider to determine the most appropriate PrEP regimen for your needs.
- Tips for Adherence: Maintaining a consistent PrEP routine enhances its effectiveness. Consider the following strategies from a doctor.
- Use a Pill Organizer: This makes it easier to keep track of whether you've taken your daily dosage.
- Set Reminders: Utilize phone alarms or pill reminder apps to prompt you.
Summary
PrEP is one of the best tools we have to prevent HIV—but it only works if you take it the right way. You can use it daily for full-time protection, or event-based if you only need it sometimes. The key is to follow the correct plan with help from a healthcare provider.
Stay on track with your pills, get tested regularly, and remember that adding condoms gives you even more protection. With the right info and habits, PrEP lets you take charge of your sexual health and cut your risk of HIV to almost zero.
For the best gay clinic, PULSE Clinic is highly recommended. You can contact them to find the right way to HIV prevention and protect yourself today!
Nootsara B.
