Furthermore some medical examinations have to be done. They check if your body can tolerate PrEP, if you are already infected with HIV or if there are other sexually transmitted infections that need to be treated. You can have some of these examinations done in these counselling centres, or by these doctors, among others.
If it turns out that PrEP is the right method for you to protect yourself against HIV and all the tests are OK in this sense, you can have your doctor prescribe it.
All important information about PrEP and the most important answers to your questions can be found here. If you have further questions, please contact us.
Where can I get PrEP?
Since 01 September 2019, the PrEP is a cash benefit. Consultation and examinations are carried out by contract physicians who have a licence from the relevant Association of Statutory Health Insurance Physicians and who prescribe the PrEP.
Holders of a valid “Berlin-Pass” receive the PrEP, the necessary preliminary and accompanying examinations as well as the adherence consultations (advice on how to keep to the regular intake) free of charge at Checkpoint BLN. More information here.
Until 31 August 2019, emtricitabin/tenofovirdisoproxil was available from Hexal through certain pharmacies in Berlin and six other German cities for a price of approximately €40/month. To get it, you needed a prescription from your doctor. In these pharmacies you can get the “40€-PrEP”.
Another possibility is to buy the original preparation Truvada ® for about 860 €/month in the pharmacy against presentation of a prescription.
At the beginning of December 2017, Ratiopharm drastically reduced the price of its generic drug, which now costs around €70 per month. The generic drug is theoretically available in all pharmacies nationwide, as it is, unlike the 40€-PrEP, independent of discount contracts.
“Some PrEP users are already taking a different path: They are having friends in England order cheap generics with the same active ingredients from trusted suppliers abroad – for around 60 € per monthly ration instead of over 800 €. In most cases, this is the generic drug Tenvir-EM (Tenofovirdisoproxil/ Emtricitabine) from the Indian manufacturer Cipla (Fig. 2). In England, it is possible to have up to three monthly packages (i.e. a total of 90 tablets) legally sent home in this way – this is not allowed in Germany. However, it is allowed to transport three monthly rations of PrEP tablets for personal use from one EU country to another to Germany. As long as there is no hard brexite, this import route is open.
The self-imported generics were reviewed by a working group from Imperial College London and the results were presented by Nnenka Nwokolo at the HIV Drug Therapy Congress in Glasgow in October 2016.
The distribution channel is clear. Almost everyone orders via the “IwantPrEPnow” website […]. There they receive information on PrEP and are forwarded to preselected dealers.
The tenofovir and emtricitabine concentrations measured in the blood of PrEP generics users corresponded in all cases to the values expected from the original preparation.
PrEP, condoms and protection through therapy protect you reliably against HIV and can be combined with each other.
Choose what suits you best. More information here.
You’re thinking about PrEP? Get detailed information here and get advice.
During the blowing, infection with HIV is unlikely. Even if someone squirts in your mouth, the risk is very low. Injuries to the mucous membrane caused by deep blowing (deepthroat) or nasal drugs increase the risk of infection. Other sexually transmitted infections (STIs) such as gonorrhea, chlamydia and hepatitis A and B can be transmitted by blowing. If this happens, you can get treatment from your doctor. Remember that some infections can be asymptomatic.
Get tested several times a year for HIV, Hep C and other sexually transmitted infections (STI). Swabs of the tail in your ass and throat will help you find anything that doesn’t belong there. Vaccinations against hepatitis A and B are possible.