HIV prevention with postexposure prophylaxis-in-pocket (PIP)

What you need to knowPostexposure prophylaxis-in-pocket (PIP) is an HIV prevention strategy that may be particularly suitable for people who have only a low number of high risk, often unanticipated, HIV exposures per year (such as 0-4 per year)Prescribing postexposure PIP involves proactively providing 28 days of guideline-approved HIV postexposure prophylaxis so that people may self initiate medications after a potential HIV exposureEvaluate HIV risk at follow-up visits as people may change their preferred HIV prevention modality (for example, between postexposure and pre-exposure prophylaxis) as their needs and circumstances evolvePatient 1: A 47 year old man taking HIV pre-exposure prophylaxis presents to a primary care clinic for a routine follow-up visit. He is considering entering a monogamous relationship with a male partner, but is uncertain if he may have “very infrequent” sex with other partners. He is wondering whether to discontinue pre-exposure prophylaxis.Patient 2: A 36 year old woman who…
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