Im currently now on day 14 of taking pep. 

(Truvada and isentress). Today on day 14  of taking Pep I forgot to take my pep on time by 30 Minutes late. The time I usually take it is 1:30pm and 1:30am daily. Today Instead of taking my  1:30pm pill on time I took it at 2:00pm making it 30 minutes late… 

My questions are as follow 

1. Does the 30 minute delayed dose of Truvada and isentress effect my treatment in preventing HIV at all? Whether it be minimal effect or substaintial or none at all?

2. Did this 30 min delay count as a missed dose? 

3. Is it  allowed to change the times I take pep if still taken in 24hr intervals? For example could I change the regime to 12:30pm and 12:30am instead of the original regime of 1:30pm and 1:30am without Effecting this effectiveness of the drugs treatment? 

No sugarcoating doc haha I want the answer straight up even if it’s bad.. I read a lot of stuff online that says missing a dose can greatly effect the chances of Pep working.

Thank you so much for this service. I am beyond grateful for this website. have a great day doctor. 

Sorry forgot to ask this 

As it turns out, this isn't urgent at all. As we discussed last time, you didn't need PEP in the first place.

The exact timing of PEP doses doesn't matter very much. PEP is equally effective as long as the drugs are taken once a day, even if the times are 2-3 hours different. Having taken a dose at 1:30 pm, the next day's dose could be anywhere from 11 am to 4 pm. (Various resources advise sticking to an exact schedule not because it's highly imortant for PEP to be effective, but because a strict schedule often is the best way for people to remember to take the drug at all. Don't forget that PEP is most commonly used in people at true high risk, and many of them have memory difficulties, drug use, and so on.

I think those comments answer all four (not five) of your numbered questions. Let me know if anything isn't clear.

HHH, MD

Couple more questions

When I saw the escort I had sex with her with my underwear on (penis through the front pocket hole of the underwear) the escorts vaginal fluids would have got onto the underwear. So I decided I was going to throw it out when I got home. I put my Underwear and jacket in a bag to throw it out but I forgot to throw it out and it was sitting in my room. 

3. Should she seek testing?

Again sorry for the spam doctor. Thank you so much. Have a great weekend. God bless.

HIV is not transmitted by the things you mention -- never. 1) No, your gf could not contract HIV in this manner. 2) There is no need to discard your jacket or underwear. Washing it is sufficient -- and even that is a good idea just for cleanliness, not making any difference in infection risk. 3) Your gf should not seek HIV testing.

Your questions indicate you have some peculiar ideas about HIV transmission risk. The virus is never transmitted sexually except by intercourse; or by infected blood introduced inside the body. It is never transmitted through contaminated clothing or objects.

Before you ask anything else, please go back and re-read every word of our discussion in your previous thread two weeks ago. Thank you.

My girlfriend also smoked my vape right after i hit it. Like 10 seconds after it was in my mouth.  Before I gave her the vape I wiped the Mouth piece of the vape throughly with my tee shirt. 

Question is 

1. Can she get hiv from smoking the vape right after it was in my mouth? 

2.did me wiping the mouth piece of the vape prevent any transmission if any?

3. Should she get tested in 3 months time just in case 

4.is it even possible to get hiv this way?

5.since I am on PEP does that make me unable to transmit to virus if I do have it? Since PeP suppresses the virus? 

Thank you so much for everything. Your answers truly do ease my anxiety. 

3. She should not be tested.

5. Almost certainly people on PEP cannot transmit the virus. And as discussed repeatedly, there is no chance you were infected anyway. Why is that so hard to understand and believe?

That completes the two follow-up comments included with each question and so ends this thread. Please do not start a new one about any of this. Repeated questions on the same topic are not permitted, and this is your second. Another would be subject to deletion without reply and without refund of the posting fee. This policy is intended to reduce the temptation to keep paying for questions to hear the same answers. Also, repeated questions and replies often fuel anxiety rather than resolving it. Finally, such questions have low educational value for other users, one of the goals of the forum. Thank you for your understanding. I hope the two discussions have been helpful. Best wishes and stay safe.