What risk factors should prompt discussion of #prep?
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Let's talk about #prep baby! One of the most underutilized interventions in #primarycare! (Just ask @askdrfitz!)pic.twitter.com/2tua7nrujF
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All of the above should prompt
#prep conversations! I think@Margaret1473 put it besthttps://twitter.com/Margaret1473/status/1201297065231310848?s=19 …Prikaži ovu nit -
To simplify, here are the CDC recs, plus anyone who shares needles or has partners who do.pic.twitter.com/Z0f8cFUYO1
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Something I know I could do better though, start with open questions before talking about specific risk factors like
@DMalebranchehttps://twitter.com/DMalebranche/status/1217899889235054596?s=19 …Prikaži ovu nit -
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Unknown HIV status is a contraindication for prep, because of fears of increased resistance. Kidney disease is a contraindication to truvada, but descovy may be safe. Active Hep B and liver disease except cirrhosis are no longer contraindications.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752387/ …
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What are the side effects of prep? Short-term: headaches, weight loss and GI distress. These typically resolved in the first few weeks. -For truvada, minor reductions in their bone and kidney health, which were reversible when Truvada was withdrawn.
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Don't forget about costs! There are many programs to help patients pay for
#prep from states, the pharma companies and HHS.Prikaži ovu nit -
To summarize: -Have open convos about sex -Keep risk factors in mind re-test HIV, STIs, BMP, Hep B -Discuss side effects and cost -Schedule follow up Anything to add?
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Too few docs are initiating these conversations, and to confess, most of my
#prep convos have been patient initiated. I need to be better at screening, but I am also happy to say I've learned a lot from my patients. Check@JuliaLMarcus And@DrOniBeehttps://twitter.com/JuliaLMarcus/status/1174768762718961667?s=19 …Prikaži ovu nit -
One thing I've found with all patients but especially marginalized groups: you have to let them teach you. Many in the LGBT community know far more about
#prep than your average doc. This is frustrating but it's also an opportunity to remember teaching goes both ways.Prikaži ovu nit -
I would be remiss to not tag some of my greatest teachers here
@BarnerIDpharmD@idandipacdocPrikaži ovu nit
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