Unfortunately i find myself here again. 

Early this morning i was snorting cocaine and got a nose bleed.

About a couple hours later I initially decided to meet up with a trans escort who when asked if they had any std's or HIV said they were "healthy"--i dont know when last time they were tested or if they are on Prep or what. 

When getting to the apt. The individual had 2 lines of cocaine out. They snorted 1 line, then i used the same bill snorted the line in the same nostril i had the nose bleed earlier in the night. 

I immediately came to my sense and left having flashbacks to my last post.

I understand this question is not sexual in nature, but as you cover HIV and HEP C i thought id ask.

Is this exposure something i should get on PEP for for HIV....I am at 12 hour mark as of writing this.

In other word should i be concerned this is a transmissible event?

Thanks

Correct, our expertise is more in sexual than non-sexual HIV risks. That said, I would put shared coke snorting devices (straws, paper money, etc) as one of those HIV transmission routes that seems theoretically possible and that's all. Once listed by a source or two, others picked it up and it continues to be listed in absence of any data at all. I am unaware of even a single case of HIV or other blood borne infection actually documented to have been acquired in this fashion. I'm not saying it can't occur, but I really doubt it is a significant risk for any blood borne infection. Maybe if an HIV infected snort-sharer had an overt bloody nose? But I wouldn't consider previous nosebleed (now resolved) in an exposed person to be a risk to that person.

What about PEP? In absence of any known cases, I certainly would not take it if somehow I were in your situation. In fact, I wouldn't even be tested for HIV or hap B or C. Of course you're free to consult a doctor or clinic in person. If PEP is advised, before you decide remember an often-forgotten downside:  if PEP fails, it prolongs the time to conclusive HIV testing to at least 6 weeks and some experts estimate 3 months from the last dose of drug. That means up to 4 months from now before you know for sure -- as opposed to 4-6 weeks without PEP.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Also, I reached out to my PCP and he had similar opinion as yours