What is pre-exposure prophylaxis (PrEP)?
PrEP is a new HIV prevention method that involves HIV negative people taking anti-HIV medications daily to help prevent HIV
infection. Several studies have shown that PrEP can reduce the risk of becoming HIV-infected when taken as part of a package of prevention services. One of these studies showed that PrEP was safe and effective for HIV prevention in gay and bi men and transwomen in San Francisco and other parts of the world.
What’s in the pill?
Truvada contains two medications, tenofovir and emtricitibine. Truvada is commonly used to treat HIV positive individuals in combination with other anti-HIV medications. Truvada was approved by the Food and Drug Administration (FDA) in July 2012 for the prevention of HIV-infection in HIV-negative men and women.
Is it safe?
From what we know so far, Truvada for PrEP is safe and well tolerated.
About 1 in 10 people in the PrEP studies reported that they had headache, stomach pain, or weight loss when they first started taking Truvada. In most people, these side effects improved or went away after they’d been taking the Truvada for a few weeks.
A small number of people had a slight decrease in kidney function that normalized when they stopped the medication. Small losses of bone density (thickness) have been seen in people taking Truvada. These changes have not been associated with an increase in fractures in these studies.
Is PrEP being offered at San Francisco City Clinic?
PrEP is not currently being offered at San Francisco City Clinic. We completed enrollment for our PrEP demonstration project
in November 2013. We are working on setting up a PrEP program at the clinic, and will update this site with more information as soon as it is
available. City Clinic DOES offer post-exposure prophylaxis (PEP).
Where I can get PrEP?
Ask your doctor about PrEP!
- Truvada for PrEP is covered by many private insurance plans.
- Truvada for PrEP is covered by Healthy San Francisco. If you are enrolled in Healthy San Francisco, talk to your doctor about prescribing it to you.
- If you are currently uninsured and are a San Francisco resident, you may be eligible for Healthy San Francisco. For more information about how to enroll: http://www.healthysanfrancisco.org.
- California residents may be eligible for insurance through the new insurance marketplace established by the Patient Protection and Affordable Care Act. Visit the Covered California website for more info: http://www.coveredca.com.
- If you are currently uninsured, you may be eligible to get Truvada for PrEP through a patient assistance program. More information is available at: http://www.truvada.com/truvada-patient-assistance. Bring this form to your doctor: https://start.truvada.com/Content/pdf/Medication_Assistance_Program.pdf.
We will be updating this site with more information about where and how to access PrEP in San Francisco as more information becomes available.
For more information about PrEP: