Anyone using 2-1-1 PEP?

[johnnyboyz]

I was at the dr getting regular tested and they recommended using 2-1-1 PEP with truvada since i see sp only occasionally (I'm definitely not one of those weekly guys. Not enough money ) . Granted, i always use condoms, of course. The dr. felt this was good insurance against broken condoms when having sex with sex workers. Any opinions? Anyone actually doing this? I didn't fill the prescription, but cost seems pretty low.

Thanks for your insights/opinions.

 

[AnthonyAnderson]

It's not indicated for people who use condoms consistently. Did you ask about the side effects? Your best insurance against condoms breaking is using enough lube and storing your condoms properly. In 10 years I've only had one break and I noticed it before putting it on. I've also never had an STI (regular tests). In case of breakage, the same drugs (or close analogs) that you refer to can be given after the fact, within 72 hours, to prevent HIV acquisition.

 

[2fast2slow]

out of my many many encounters the condom only broke once or twice, and it was clearly due to misuse on our part. To take an oral medication against something that has such low odds just seems wrong.

This doctor probably qualifies seeing sex workers as "risky behaviour", a common prejudice in the medical community

 

[Giselle Montreal]

I will say the same as @AnthonyAnderson and @2fast2slow. I am a sex worker and I am not taking it, as I use a condom 100% of the time for penetration. Never a condom broke, but it had slipped once or twice, at most. I would rather take the medication post-exposure since it's considered effective. Unless you never use a condom, or rarely, I don't see the necessity.

 

[Fonseca]

if you are not a bbfs regualr you dont need to be doing this.

 

[Hmmm…]

Highest risk is male with male community esp those who do bb anal and drug users. Bbbj and daty have very low but a nonzero chance of transmission. Risk goes from 5/1000 encounters to 0.05/1000 for insertive oral and 0.1 for receiving oral. So the math means 50x lower chance for bbbj compared to the highest risk method but not zero. Technically it takes only one virion for infection.

Here is where the Canadian healthcare system meets its limits. I started trying Yeztugo (lenacapavir) as a 6 month injection and it was entirely covered by insurance , but it’s not available in Canada because it’s like $30,000 per year. Canada is not great for the most expensive and the latest treatments.