If you have had unprotected sex (including whether the condom has tore or slipped during sex); or if you inject drugs shared with someone you know to be HIV-positive, or are from a group with HIV risk behavior, such as homosexuals or African immigrants, then you should look for a CTA or a COAS that promotes lectures for you to know what is PEP.
This is called Post Exposure Prophylaxis, or PEP, in an acronym in English, considering that Brazilians do not respect their own language and when they use it is banal, vulgar or eschatological.
The professional organization of the sexual health of the UK medical guidelines that recommend the circumstances in which PEP should be used.
PEP has been used for many years for health workers who have had exposure to HIV; for example, after accidentally perforating with needles used in people who were HIV-positive or at risk of HIV infection.
PEP is not a "cure" for HIV. PEP can prevent the transmission of HIV by preventing it from entering the cells of the body and thus preventing you from becoming infected with HIV. PEP is not 100% effective. However, there have been very few reports of HIV infection after the use of PEP.
Distribution of PEP
To have the best chance of being effective, you need to start PEP as soon as possible after possible exposure to the HIV virus, ideally at two hours and certainly within a maximum of seventy-two hours.
Drug used to PEP
PEP usually consists of three anti-HIV drugs, of two different classes, usually two from Inhibitors Reverse Transcriptease Apart from amplification of the protease inhibitor.
PEP should be taken for a month, and it is important that you take all doses at the right time and in the right way.
Where to get PEP
Go to a health center, an emergency room, one LOVES a UBS one CTA browse dial AIDS.
If they operate a system and the appointments are fully reserved, explain that it is an emergency and that you need to be seen. If your local sexual health clinic is not open (for example, it's weekend), go to the emergency department, which will contact an HIV specialist who is able to prescribe PEP.
Guidelines for prescribing PEP
There are guidelines regulating how PEP should be considered in terms of application and everything is fairly subjective. The guidelines take into account the kind of sex you had, and also what is known about "the source partner", for example, if that person has HIV or may have HIV.
In the United Kingdom, the guidelines have been updated in 2011 to take into account the viral load of the person with HIV, if known. If someone with HIV is being treated for HIV and who suppresses their viral load to a very low level (referred to as an "undetectable viral load," since it is below the detection limit in standard tests), then it is it is very unlikely that HIV can be transmitted during sex and PEP would not be advisable.
When you go to get PEP, you will be asked about the type of sex (or any other activity) you had, to assess how high the risk of becoming infected. You will need to have an HIV test to check that you are no longer HIV-positive. You will also need to agree to be tested again when you have completed the PEP period.
The earlier the PEP is accessed the better the prognosis. Guidelines should be provided within 72 hours of possible exposure to HIV.
PEP is considered emergency treatment. You should be able to get it for free regardless of your immigration status or social position. THIS IS DUE TO YOU AND YOU, IF NEED FOR, CALL THE POLICE TO BE ATTENDED.
Despite these guidelines, some people who had possible exposure to HIV, including homosexuals, had difficulty achieving PEP. Under these circumstances, you can find this information from the National STD / AIDS Prevention Program and Stained Hepatitis: www.aids.gov.br
Ministry of Health
Secretariat of Health Surveillance
National STD / AIDS
Dial Aids For Vidda clarifies doubts population
Onde fazer o teste anti-aids? Como fazer sexo seguro? Essas são as principais dúvidas de quem procura o Disque Aids Pela Vidda – um plantão telefônico mantido pela organização não-governamental Grupo Pela Vidda, do Rio de Janeiro. O objetivo do serviço é esclarecer dúvidas e orientar a população para os riscos de contaminação e formas de prevenção da aids. Segundo Wilian Amaral, vice-presidente do Grupo Pela Vidda, o número de ligações para o Disque Aids costuma crescer depois do carnaval. Pensando nisso, a ONG fez uma parceria com o metrô do Rio de Janeiro e conseguiu colocar cartazes nas estações com o telefone do serviço.
DI: "There has been an increase ...
DF: ... transmission of HIV ".
The Dial Aids For Vidda existed since 1990 and meets on average 600 people a month. For those who live in Rio de Janeiro, it is available by calling 2518 2221, 12 of the 18h. Those who live in other states can send your questions by e-mail email@example.com.
Brasilia, Daniela Brito
When PEP is recommended?
- Receptive anal sex:PEP is recommended if you have had receptive anal sex (when you are passive) with someone who is known to be HIV positive or that looks can be "an African immigrant (Translator's note: it is impossible not to see the xenophobic line of this text ) or a gay man.
- Anal insertion sex:PEP is recommended if you have had anal sex inserts (when you are the 'active') with someone who is known to be HIV positive unless they have an undetectable viral load.
- Vaginal sex:PEP is recommended if you have had vaginal sex with someone who is known to be HIV positive, unless they have an undetectable viral load.
- Share injection equipment:PEP is recommended if you have shared equipment with someone who is known to be HIV positive, unless they have an undetectable viral load.
In other circumstances, including oral sex on a man who is known to be HIV positive, ejaculated in her mouth, PEP would be considered if there are other factors involved that could increase the risk of transmission. These factors include the presence of other sexually transmitted diseases and sexual abuse.
Talk to a health professional for more details. Or search for more guidelines on the site National STD / AIDS and Viral Hepatitis
Treatment HIV May cause effects side which tend to be worse when you take them for the first time, and if you are taking PEP you may experience some unpleasant side effects such as feeling sick, vomiting, having diarrhea, tiredness, and generally feeling unwell. Note from the editor (this should be an important time for you to evaluate how valid intercourse is valid without a condom, if you performed it on your own free will, it should serve as a model for the formation of a new paradigm in the treatment that society gives people living with HIV or AIDS (a month is enough for you to know "what is the life of an AIDÉTICO" made with all the tones and shades that we, the HIV positive people pass through and you will see, that, being at the gates of become one of us, your vision will change radically)
If you have been exposed to an HIV strain, which is resistante for some anti-HIV drugs, then it is possible that PEP does not work.
If you are already HIV positive but do not know, there is a chance of developing resistance to the drug when you take PEP if you do not take the dose correctly. This could limit your treatment options in the future and so follow the treatment you are given, whatever it hurts, whatever.
Other things to consider
PEP is not 100% effective, so it would be good sense not to rely on access to PEP if you are having unprotected sex or using injecting drugs and sharing equipment. Condoms, when used properly, are an effective way to prevent the spread of HIV and most other sexually transmitted infections. PEP will not prevent you from becoming infected indefinitely while you are having unprotected sex, so it is wise to use condoms while living this period.
If you are a woman and are not using other forms of contraception, then if you have had unprotected sex you may also want to consider emergency contraception. You can buy emergency contraception pills at pharmacies, and it is usually also available from GPs, and sexual health clinics. However, it is important that your doctor or pharmacist know if you are on HIV treatment, as some antiretrovirals may interfere with how the emergency contraceptive pill works, and you may need to have an increased dose. As PEP, you need to take the pill within 72 hours after sex, and preferably much earlier, with up to 2 hours after exposure.
A very effective alternative emergency contraception method is to have an intra-uterine device (IUD) installed. Talk to your doctor about the best option for you.
Michael Carter, Greta Hughson
Translator's Note. This text is 2012 and continues today. As much as possible I adapted to our reality, and remember, in Brazil, abortion is not permitted and being pregnant and HIV positive is not the abortion legalization factor and therefore you will need to have double the responsibility it will be in your hands to prevent her child is born HIV positive. Unfortunately I could not get the full review of the text and I'm exhausted. If you found any error or inconsistency in the text, I ask you to tell me about it in the following form, you can also use as a field for comment. I want to add that in April 2016, given the precariousness of SUS in the state of Rio de Janeiro did something I never imagined it could come to do: Based on descriptions of the person who was with eyes like a egg yolk I advised the person to stop the PEP because it was the third day of PEP and she was well. Not survive a month of the three in one and I chose to run the risk of being hated for life by a live person, than to carry the stigma of default based on "ethical principles", have led this person to death .
I remember that in the past, lost a "girlfriend" who was a girl of programs for trying to dissuade her from living like this and it broke, definitely me. I sought support for a friend, Magda and she told me: "Ethical principles? !!!! Fuck now with its ethical principles ".
She was right, at that time, today, no more. Times have changed; I carried for a long time the burden of not knowing if I had really taken the right decision. Luckily she received a non-reagent and will soon debut as a writer on this site.