Question

A 30-year-old man presents to his GP requesting HIV pre-exposure prophylaxis (PrEP). He has sex with men and reports inconsistent condom use. His baseline HIV test is negative, renal function is normal and hepatitis B serology shows he is non-immune. Which is the most appropriate next step?

Accepted Answer

Start daily tenofovir/emtricitabine and arrange regular monitoring

Answer

Advise condoms only; PrEP is not indicated

Answer

Start PrEP only after he has been completely abstinent for 6 months

Answer

Defer PrEP because he is not immune to hepatitis B

Answer

Start PrEP and no further STI screening is required

Practice question

A 30-year-old man presents to his GP requesting HIV pre-exposure prophylaxis (PrEP). He has sex with men and reports inconsistent condom use. His baseline HIV test is negative, renal function is normal and hepatitis B serology shows he is non-immune. Which is the most appropriate next step?