Episode 13 - HIV Pre-exposure Prophylaxis (PrEP)

In this episode of Everyday Medicine, Christopher Chiu is joined by clinical pharmacist Lindsey Lee, who provides an in-depth overview of PrEP (Pre-Exposure Prophylaxis), its effectiveness in preventing HIV, the populations that should be considered for PrEP, and the disparities in its usage. They discuss various PrEP medications, including oral options like Truvada and Descovy, and the injectable Apretude, addressing their indications, side effects, and monitoring requirements. Lee also talks about prescribing practices, counseling patients, and ensuring adherence to PrEP regimens, as well as resources for patients who face financial barriers to accessing PrEP. The episode highlights the importance of primary care physicians in managing and discussing PrEP with eligible patients. 00:00 Introduction to Everyday Medicine 00:53 Guest Introduction: Pharmacist Lindsey Lee 01:10 Understanding PrEP Therapy 01:34 Who Should Consider PrEP? 04:30 Oral Medications for PrEP 06:34 Injectable PrEP: Apretude 08:06 Baseline Labs and Monitoring 10:04 Counseling Patients on PrEP 15:11 Intermittent PrEP: The 2-1-1 Method 18:04 Affordability and Assistance Programs 19:03 Conclusion and Final Thoughts

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