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Emtricitabine/Tenofovir (Generic Truvada) PrEP Treatment

Please note: Brand received may vary

PrEP is the better-known term for pre-exposure prophylaxis, and it’s used to prevent human immunodeficiency virus (HIV).

Truvada is probably the best known brand of PrEP medication worldwide, but all versions contain the same two antiretroviral drugs: emtricitabine and tenofovir, which are incredibly effective at preventing HIV.

Pre-exposure prophylaxis is only for HIV-negative people. If you aren’t sure of your HIV status, it’s important to get testing before you buy PrEP online. It’s also important to know that PrEP won’t protect you against other STIs such as chlamydia, gonorrhoea and genital warts etc.

Doctor4U is proud to be the first UK-based and MHRA-regulated online prescribers listed on www.iwantprepnow.co.uk, and we’re passionate about making PrEP medication accessible for all that need it.

PrEP PIL

Last PIL Review Date: 14/06/2019

Please note: Brand received may vary. This item will expire on November 2019.

Prices starts from £49.99 for 30 tablets.

£ 49.99 InStock
In stock
SKU
Generic Truvada
PLEASE CLICK HERE TO ANSWER SOME QUESTIONS ABOUT YOUR SYMPTOMS
Please note all the answers are reviewed by a doctor to assess eligibility
1
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  • liver conditions
  • kidney conditions
  • immunodeficiency conditions (e.g. HIV) nervous system abnormalities
  • any serious medical condition which may require immediate hospitalisation
3
  • Thrush
  • unintentional weight loss
  • chest pain
  • blood in your urine
  • pain when urinating
  • blood in your stools
  • urinary tract infections (UTI)
  • night sweats
  • fever
4
  • liver conditions
  • kidney conditions
  • heart disease 'Long QT' interval (an electrical anomaly of the heart that can lead to heart rhythm disturbances sometimes caused by other medicines you might be on)
  • acute Porphyria (a rare hereditary blood disease)
  • any serious medical conditions which may require immediate hospitalisation
5
  • Aminoglycosides (for bacterial infection)
  • Amphotericin B (for fungal infection)
  • Foscarnet (for viral infection)
  • Ganciclovir (for viral infection)
  • Pentamidine (for infections)
  • Vancomycin (for bacterial infection)
  • Interleukin-2 (to treat cancer)
  • Cidofovir (for viral infection)
  • Non-steroidal anti-inflammatory drugs (NSAIDs, to relieve bone or muscle pains) 
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Note: You must not be HIV positive for this treatment as it is a preventative medication. 

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You are at risk if you have partner(s) known to have HIV-1, or you engage in sexual activity within a high prevalence area or social network and one or more of the following:

  • Inconsistent or no condom use,
  • Diagnosis of HIV-1
  • Exchange of sex for commodities (such as money, shelter, food, or drugs),
  • Sexualised drug use,
  • Alcohol dependence, 
  • Incarceration.
8

If you need to take a test please either visit your GP or sexual health clinic.

9
  • You’re HIV negative and have had condomless sex in the past 3 months and think you will again in the next three months, and you are: cis or transgender MSM or transgender woman.
  • You’re HIV negative and expect to have sex without condoms with an HIV positive partner/s with a detectable viral load.
  • You don’t meet the first two descriptions and you might be having heterosexual sex, but you’ve been clinically assessed as being at a similar high risk of becoming HIV positive.
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This would usually be the case in patients suffering from problems with their kidneys. If you are unsure please visit your GP to carry out a blood test before ordering. 

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  • You will read the Patient Information Leaflet supplied with your medication
  • You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication, or if your medical conditions change during treatment
  • The treatment is solely for your own use
  • You are over the age of 18 and you have entered your own information for our identity verification checks
  • You have answered all the above questions accurately and truthfully
  • You understand our doctors take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
  • You will inform your own GP of this purchase if appropriate
  • You are happy for your consultation to be reviewed by a European doctor company, and as such it is not subject to CQC Registration or inspection in England. (Please note all of our medicines are dispensed from a fully licensed and regulated UK Pharmacy).
  • You have read our privacy policy, cookie policy, patient agreement, data sharing agreement and Terms & Conditions
Other Treatments Include
Online consulting and prescribing service
Dispensing of prescriptions and supply of medicine
Secure SSL Encryption

Dr. Diana Gall GMC No. 7685129

Dr Diana Gall graduated from medical school in 2005 and has since undertaken further intensive training in many different areas of medicine. Dr Driana has reached consultant level and has practiced medicine all over Europe.

Shamir Patel GPHC No. 2049338

Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

How does PrEP work?

PrEP contains the two antiretroviral drugs, emtricitabine and tenofovir, which are also used to treat those that already have HIV. However, in PrEP, the dosages are different.

The two medicines work together in the body to fight off HIV before it has chance to establish in your cells and multiply. This essentially kills the virus and allows you to stay HIV-negative.

Someone that may have contracted HIV without PrEP will stay HIV-negative whilst taking PrEP over 90% of the time, making it an extremely successful method of prevention, especially if you have a lot of unprotected sex with people of an unknown HIV status.

PrEP medication can’t treat HIV – it can only prevent it. If you think you may already have HIV, please visit your nearest sexual health clinic for testing, as effective treatments are available.

What’s the difference between PrEP and Truvada?

PrEP is the name of the treatment in general, whilst Truvada is a brand of PrEP medication. Generic versions of Truvada are available, and are usually just referred to as PrEP.

There’s no real difference between generic PrEP and the branded version, Truvada. Both types contain the same amounts of the same drugs, and will work in an identical way in your body. Whilst other ingredients might vary, such as colourings for example, the mechanism and effectiveness of the medicines are exactly the same

The main difference between Truvada and generic PrEP medication is the price. Generic PrEP can be bought from £49.99 for 30 pills, whilst the same amount of branded Truvada costs much, much more.

What does PrEP cost?

Doctor4U is passionate about making PrEP accessible for those that need it, especially when places on the impact trial are so limited. At the moment, the cost of PrEP from us is as follows:

• 30 tablets - £49.99 • 60 tablets - £89.99 • 90 tablets - £139.99 • 180 tablets - £259.99

We’re currently the only UK-based and MHRA-regulated online prescribing service that can offer these prices.

PrEP is unfortunately fairly difficult to access through the NHS in England, as many of those in need are being turned away from the nation’s impact trial on the basis that there aren’t any spaces left. This isn’t as much of an issue in Scotland, Wales, and Northern Ireland who are offering PrEP medication in uncapped trials to anyone that needs it.

Unfortunately, if you haven’t managed to secure a place on the impact trial in England, your only other option is to source a private prescription. Whilst we’ve done what we can to make the drug accessible, we understand that there will still be people that aren’t in the position to fund their own prescriptions each month. Luckily, the Terrence Higgins Trust (THT) who partner with www.iwantprepnow.co.uk have the Mags Portman PrEP Access Fund, which if you’re eligible for, can provide you with up to three months’ worth of PrEP at a time. To see if you’re eligible, click here to visit the Mags Portman Access to PrEP page on the THT website.

Recommended dosage

There are actually several ways to take PrEP, it just depends on your lifestyle and how often you have sex as to which method is most suitable for you. However, the most common Truvada dosage is to take one tablet per day. This method is the most studied and is over 90% effective at preventing HIV. If you have sex regularly, either with people that have HIV, or of an unknown HIV status, this is most likely to be the best method for you. In this case, 30 tablets should last you a month, on average.

Other ways to take PrEP include:

The on-demand method.

Many people choose this method if they don’t have sex regularly. If you’re expecting to have sex on a certain day, it’s recommended for you to take 2 tablets 2-24 hours before intercourse, another tablet 24 hours after the first dose, and one more tablet 24 hours after that. We’ve marked an example on this calendar to show you:

The Ts & Ss method:

This method is usually recommended if you only have sex a couple of times a month. Rather than taking Truvada every day, the idea is that you only take 4 tablets a week. To make it easy to remember, it’s been dubbed the Ts and Ss method with the suggestion of only taking it on days beginning with T or S, so Tuesday, Thursday, Saturday and Sunday.

The Holiday Method:

The holiday method is for those that don’t usually have unprotected sex with people that have a positive or unknown HIV status, but suspect that they might do over a certain period, i.e holidays or festivals. It’s recommended that you start taking one tablet of PrEP medication per day starting 7 days before your holiday (or, time period where you expect to be having unprotected sex). You should continue taking one tablet each day during this time, and for 7 days afterwards. We’ve created an example to explain it:

How is it taken?

It’s recommended that you swallow PrEP with a glass of water, and take it with food wherever possible.

If you find it difficult to swallow pills, you can crush the tablets between two spoons, and mix the powder into 100ml of water, making sure to drink it immediately.

If you forget a dose, and its more than 12 hours until your next dose is due, you can take the missed dose. If your next tablet is due in less than 12 hours, skip the forgotten one and take the next dose as normal. Don’t take two tablets to make up for a forgotten one.

If you vomit within an hour of taking your tablet, you will need to take another one as soon as you’re able to in order to stay protected. If you vomit after an hour, you shouldn’t need to take another dose.

Does Truvada protect you straight away?

No. Clinical trials have shown that PrEP takes between 4-7 days to reach its full potential in your system, so it’s a good idea to use barrier methods until then to make sure you’re protected against HIV.

Side effects of PrEP

Most people that take PrEP for HIV prevention don’t usually notice any side effects. However, a small amount of people do.

Side effects are symptoms that are caused by taking a medicine, and some of the most common side effects of Truvada and generic PrEP include:

  • Nausea
  • Vomiting
  • Abdominal pain
  • Diarrhoea
  • Headache
  • Dizziness
  • Depression
  • Joint pain
  • Sleep disturbances
  • Strange dreams
  • Back pain
  • Itching
  • Rash

If you do experience some side effects, they may begin to improve after your body has gotten sued to the PrEP medication. However, if the symptoms are too much for you to cope with, you should make an appointment to see your doctor to discuss other options. Whilst there aren’t any other drugs that can prevent HIV, your GP will be able to suggest other methods of protection such as condoms and diaphragms.

If you notice signs of a severe allergic reaction (anaphylaxis) such as swelling of the throat, tongue, and face, difficulty breathing, and wheezing, you should call 999 as soon as possible.

With most people, the benefits of Truvada outweigh the side effects.

Do I need a prescription for PrEP?

Yes. Truvada and generic versions of PrEP medication are prescription-only medicines (POMs). This means that you’ll need a prescription from a GMC-registered doctor or prescriber in order to obtain it.

As PrEP isn’t routinely available on the NHS, it’s unlikely that your own GP would be able to help you with a prescription. However, there are alternative options for you to access it.

Doctor4U is able to provide you with a prescription for generic Truvada once you’ve completed a consultation for PrEP on our website. One of our GMC-registered prescribing doctors will review your answers, and if they feel that the medication is safe for you, they’ll approve your request and generate an electronic prescription. This is completely safe and legal, and the fact that we’re regulated by the MHRA and regularly inspected should hopefully put your mind at ease.

If you want to buy PrEP online through Doctor4U, it’s just like visiting a private doctor, with the difference of being able to complete a consultation 24/7 at a time that suits you.

How is my order shipped to me?

When an order is ready for shipping, it is collected and delivered by either the Royal Mail or DPD depending on your preference (or possibly your location or the item you ordered). Each order is assigned a tracking number, which will be emailed to you at the time of dispatch. Your medicine will be sent in plain and discreet packaging that’s eco-friendly. We do not include any branding on our packaging nor any labels which inform readers what type of product is contained within.

Dosage Instructions
No
Take ONE tablet daily as preventative for HIV risk. This should not be used as a substitute for safe sex practice. Should be used in conjunction with barrier methods
Active ingredients: Emtricitabine, Tenofovir Disoproxil Phosphate
Emtricitabine/Tenofovir (Generic Truvada) PrEP Treatment Dosage Quantity Cost Including Consultation
Emtricitabine/Tenofovir 200/45mg 30 Tablets £49.99
Emtricitabine/Tenofovir 200/45mg 60 Tablets £89.99
Emtricitabine/Tenofovir 200/45mg 90 Tablets £139.99
Emtricitabine/Tenofovir 200/45mg 180 Tablets £259.99
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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

Active ingredients: Emtricitabine, Tenofovir Disoproxil Phosphate
Dear Sirs, I wonder, why one of the dosage is recommended for anal and vaginal sex, and one of the dosages is just for anal sex? Also, can I drink alcohol while taking Truvada/PrEP on demand? - Sebastian

My opinion would be that by having both vaginal and anal sex you get the chance to acquire HIV more quickly, then secondly by having anal sex, this can lead more often to local injuries of mucosis, meaning that the virus can penetrate much more quickly compared to other methods. About alcohol consumption, it doesn’t have a direct input on treatment effectiveness, just for chronic users, because their liver is already damaged at some point. If you are unsure about anything I suggest you speak to you GP - Answered By: Dr Diana Gall - GMC 7685129 On 20/08/2019