PrEP & PEP

How It Works

Pre-Exposure Prophylaxis (PrEP) is a highly effective daily medication (such as Truvada® or Descovy®) taken by people who do not have HIV to prevent getting the virus from sex or injection drug use.

• High Efficacy: When taken as prescribed, PrEP reduces the risk of getting HIV from sex by about 99%.
• Who It's For: Recommended for anyone sexually active wanting an added layer of protection, particularly those with multiple partners or inconsistent condom use.
• Routine Care: Requires regular medical visits (typically every 3 months) for HIV testing, STI screening, and kidney function monitoring.

What EURA Handles

• Initial evaluation and PrEP prescription
• Prior authorizations with your insurance
• Lab orders through Quest Diagnostics
• Quarterly follow-up visits and lab review
• Patient assistance programs if uninsured
• STI screening at every visit

Time-Sensitive Emergency Response

Post-Exposure Prophylaxis (PEP) is an emergency medical response for individuals who believe they may have been exposed to HIV within the last 72 hours.

• Time is critical. PEP must be started within 72 hours of a potential exposure to be effective.
• The Regimen: PEP involves taking a combination of antiretroviral medicines daily for 28 days.
• When to Use It: After a condom breaks, sexual assault, or sharing needles. It is for emergency situations, not regular use.

After PEP

Completing a PEP course is a good time to discuss whether ongoing PrEP is right for you. EURA provides a seamless transition from PEP to PrEP when appropriate.

• HIV test at start, 4–6 weeks, and 3 months after
• Counseling on ongoing prevention strategies
• PrEP initiation discussion after completing PEP
• Follow-up STI screening included

What It Is

Doxy-PEP is the use of doxycycline — a common antibiotic — taken within 72 hours of unprotected sex to reduce the risk of certain bacterial sexually transmitted infections, specifically chlamydia, gonorrhea, and syphilis. It is not an HIV prevention medication and does not replace PrEP.

• How it works: A single 200mg dose of doxycycline is taken as soon as possible, and no later than 72 hours after a potential exposure.
• Effectiveness: Studies show Doxy-PEP reduces the risk of chlamydia and syphilis by approximately 70–80%, and has shown some benefit against gonorrhea, though resistance is an ongoing concern.
• Who it's for: Current CDC guidance supports its use in gay, bisexual, and other men who have sex with men (MSM), and transgender women with recent bacterial STI history or high ongoing risk.

Important Considerations

• Doxy-PEP is not recommended for every patient — eligibility is assessed individually based on sexual health history and risk profile.
• It does not replace regular STI screening. Routine testing every 3 months is still recommended for patients on Doxy-PEP.
• As with any antibiotic, responsible use is important to minimize the risk of antibiotic resistance over time.
• Doxy-PEP does not protect against HIV, herpes, or HPV.

Stigma-Free

We foster an open, honest environment where you can discuss your sexual health without fear of judgment. Every visit is confidential and affirming.

Accessible & Inclusive

Through our telehealth platform, getting your PrEP prescription and lab orders is convenient and discreet. We proudly serve the LGBTQ+ community and are knowledgeable about the specific health needs of diverse populations.