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PrEP

Award winning clinic for healthcare and business quality standards in 2016 & 2018
  • What is PreP?
  • How to get PreP in Spain?
  • Tests we do in people taking PrEP
What is PreP?

Anti-HIV medication to avoid infection:

PrEP is a regular intake of anti-HIV medication to reduce the possibility of getting infected by the virus during sex. PrEP (pre-exposure prophylaxis), was first thought of as an option when it was shown that people with HIV who receive medication stop being infectious for others. Its efficacy has been proved in many studies and it is a safe choice if monitored.

Interesting data from clinical trials:

(1) Reduction of HIV risk in unprotected sex of around 90%.
(2) High decrease of HIV risk in unprotected anal sex.
(3) Better protection seen in those who took the tablets every day and do not skip doses.
(4) Well tolerated, but kidney function needs monitoring due to side effects of the tablets.
(5) More gonorrhoea, chlamydia and syphilis are seen in people who practice unprotected sex using PrEP, so regular testing is recommended.

How to get PreP in Spain?

It is available in the Spanish public health system:

The use of PrEP has been authorised by the Spanish Medication and Sanitary Products Agency (Agencia del Medicamento y Productos Sanitarios). It can be acquired without any cost. Nevertheless, we are still waiting for more information regarding the exact distribution procedure to follow. You can book an appointment at Sandoval medical centre in Madrid to get all the necessary information. We are sorry to say that we do not have information about other regions yet, but we will give more details as soon as possible.

Tests we do in people taking PrEP

Check that it works:
(1) HIV tests:  every 6 months to check the medication is working
(2) Check compliance: the more uninterrupted your PrEP is, the better it works.

Check that it’s safe:
PrEP can affect the kidneys. This was not seen very often in clinical trials but should be monitored. If you take this drug long term it can reduce your bone density too.
(1) Kidney function tests:  every 6 months to check your kidneys are OK. This is a blood test.
(2) If you take PrEP for 5 years or more we recommend a bone density scan.

Look out for other infections:

Someone taking PrEP is probably going to have more unprotected sex than others. Therefore, it is important to check them for infections such as chlamydia, gonorrhoea and syphilis, which are infections we often have without symptoms. We should also look out for hepatitis C.

(1) Blood tests: syphilis and hepatitis C,  six-month or annual testing.
(2) Gonorrhoea and chlamydia tests: these are the most common infections. The tests are performed according to the frequency of unprotected sex and the type of practice.

Confused by what you’ve read? Three suggestions

How can we help you?



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Caution! It is important to read about the Window Period before doing tests UNLESS YOU HAVE WORRYING SYMPTOMS

Please trust our clinical judgement. Open House has done nearly 72.000 STI tests.

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Where to find us

Calle Atocha 117, Madrid

Metro: L1 Atocha / Antón Martín

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