Curious if other practitioners have suggestions on practical steps with prescribing On Demand PrEP?
The majority of patients I see on PrEP take it daily and we do 90d refills with expectation that they return every 90d for testing. If they have not come back for labs the refill request serves as a trigger to reach out to them and get testing done.
Do we still expect them to do every 90d testing with On Demand PrEP?
What quantity of tablets do you typically prescribe for patient using PrEP on demand? I would image patients with a 90d supply who are not taking it daily might not return for testing for q90d if they have plenty of pills left.
Any practical recommendations for monitoring and supporting those choosing On Demand PrEP would be appreciated.
Best,
Jarrett
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Jarrett Sell, MD FAAFP AAHIVS
Penn State Health /Alder Health
Harrisburg PA
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