Thanks for sharing your thoughts, Leonard!
This is a safe space and I think it's important to get different perspectives so there's no such thing as wrong...In my opinion.
There are clinical trials underway for the use of TAF/FTC in women, so I anticipate the data will support it as a good option for PrEP in women. The problem with poor uptake in women and communities of color lies with clinicians. Black women are being denied PrEP because providers don't see them as "at-risk" especially educated women. Women overall and women of color are also less likely to approach a male provider about PrEP because stigma still exists when it comes to women and sex. I really think we need to look at the healthcare system and our role in the lack of PrEP uptake in heterosexual, at-risk populations.
I agree with comments on the future of TDF/FTC, who knows? I still think the gold is in LA PrEP devices. I believe that will be a game changer for women and people of color.
Love sharing everyone's perspective.
Michelle O
------------------------------
Michelle Ogle
Bronx NY
------------------------------
Original Message:
Sent: 03-18-2020 04:04
From: Leonard Sowah
Subject: TAF/FTC vs TDF/FTC for PrEP?
The difference in price and the lack of data in women and heterosexual males would likely make TDF/FTC the preferred option for sometime. The difficulties will be among heterosexuals with renal and bone density problems, this is an area where providers will end possibly considering off label use of TAF/FTC. My experience suggests very poor uptake of PrEP among heterosexuals in the developed world where GILEAD hopes to reap its maximal financial benefits. Data on PrEP in heterosexuals is key but has less financial value.
Original Message------
Hello members of the community!
The Pharmacist Committee had an interesting discussion about TAF/FTC vs TDF/FTC for PrEP, taking into consideration the anticipated differences in cost once TDF/FTC is available as generic. Wanted to share a recent article and open the discussion up to the Open Community to hear thoughts of providers across the country.
------------------------------
Agnes Cha
Northwell Health
New Hyde Park NY
------------------------------