PEP questions & answers

Straight answers about HIV PEP: timing, how well it works, side effects, alcohol, travelling home during the course and follow-up testing.

Questions

What people ask us most

Can’t find your question? Send it to us. A doctor will answer, in confidence.

How soon do I need to start PEP?

As soon as possible: ideally within 2 hours, and no later than 72 hours after the exposure. After 72 hours PEP is no longer recommended, but you should still get tested and talk to a doctor.

How well does PEP work?

Started early and taken every day for the full 28 days, PEP greatly lowers the chance of HIV infection. It is not 100% guaranteed, which is why follow-up HIV tests are part of the plan.

Does PEP have side effects?

Modern PEP medicines are usually well tolerated. Some people have mild nausea, headache or tiredness in the first few days, which normally settles. Your doctor will tell you what to expect and what to do.

I fly home before the 28 days are over. Can I still start PEP here?

Yes. You start PEP in Phuket, take the rest of the course with you and keep taking it at home. We give you a letter for your own doctor with the medicine names and your follow-up plan.

Can I drink alcohol while taking PEP?

Alcohol doesn’t stop PEP from working, but heavy drinking makes it easier to miss or vomit a dose. Take your tablets at the same time every day and set a phone reminder.

Will anyone find out that I came?

No. Your visit is confidential and we don’t share your information with anyone (your hotel, employer or family included) without your permission.

During and after PEP

Testing, doses and what comes next

Do I need an HIV test before starting PEP?

Yes. A quick baseline HIV test is done at your visit to check you don’t already have HIV, which would need different treatment. It doesn’t delay your first dose.

What if I miss a dose?

Take it as soon as you remember, unless it’s almost time for the next one. Never take a double dose. If you miss more than one dose, message us for advice.

When should I test for HIV after PEP?

Your doctor gives you a personal plan. Typically you test about 6 weeks and again 3 months after the exposure, and you can do these tests at home or with us.

Is PEP the same as PrEP?

No. PEP is taken for 28 days after a possible exposure. PrEP is taken before sex to prevent HIV if you have an ongoing risk. Many people move straight from PEP to PrEP. Ask us if that suits you.

Should I use condoms while taking PEP?

Yes. Until your follow-up tests confirm you are HIV-negative, use condoms to protect your partners.

Should I also be tested for other infections?

Often, yes. The same exposure can carry a risk of other sexually transmitted infections or hepatitis B. Your doctor will advise which tests make sense and when.

Don’t wait until tomorrow. The sooner PEP starts, the better it works.

Send one message now. A doctor will tell you whether you need PEP and when to come in.