Dr. Tan and Partners is one of the few approved Anonymous HIV Testing Centres in Singapore. A detailed write up on our service is available here.

Other STD services: Early STD Screening, Rapid Hepatitis B Blood Test, Swab for Gonorrhea and many more... contact us to make an appointment now!

HIV PEP treatment at our clinic

singapore-hiv-pep-clinics

If you have had a high risk exposure to HIV in the last 72 hours read on.

You are a potential candidate for PEP if:

  • You have been exposed to potentially HIV infected body fluids
  • Your exposure was less than 72 hours ago

Factors that can increase the risk of HIV infection include:

  • Condom Break
  • Presence of Blood (e.g. Menses)
  • Presence of cuts
  • Presence of Ulcers
  • You are not circumcised

International PEP Guidelines

What are the HIV PEP Guidelines? According to the WHO Guidelines on PEP, the following criteria apply: Individuals are eligible for HIV PEP if: • exposure occurred within the past 72 hours; and • the potentially exposed individual is not infected or not known to be infected with HIV; and • mucous membrane or non-intact skin was significantly exposed to a potentially infectious body fluid; and • the source is HIV-infected or the HIV status is unknown. According to the NYHD HIV PEP Guidelines, HIV PEP treatment should be recommended in the following exposures: •Receptive and insertive vaginal or anal intercourseb •Needle sharingb •Injuries with exposure to blood or other potentially infected fluids from a source known to be HIV-infected or HIV status is unknown (including needlesticks with a hollow-bore needle, human bites, accidents) According to the same NYHD HIV PEP Guidelines, HIV PEP treatment should be evaluated on a case-by-case basis in the following exposure scenarios: •Oral-vaginal contact (receptive and insertive) •Oral-anal contact (receptive and insertive) •Receptive penile-oral contact with or without ejaculation •Insertive penile-oral contact with or without ejaculation Factors that increase risk: •Source person is known to be HIV-infected with high viral load •An oral mucosa that is not intact (eg, oral lesions, gingivitis, wounds) •Blood exposure — it is important to note that blood exposure can be minimal and therefore not recognized by the exposed person. If the exposed person reports frank blood exposure, PEP would be indicated These are just guidelines. The ultimate decision on whether to start PEP or not requires a detailed analysis of the risk benefit ratio. You must have this discussion with your doctor in a formal medical consultation.

What HIV PEP drugs do we use?

We use the latest Gold Standard PEP Medicines with fewer side effects and better HIV prevention. This is in accordance with the latest International Standards. 

We use a variety of different Anti-Retro Viral medications in various combinations based on a patient’s specific circumstances.

We do not believe in a ‘on-size-fits-all’ approach.

Although different medicines are used, they all have to be taken for 1 month.

 

What are the HIV PEP side effects?

With the new PEP Drugs we use, side effects are very rare. Fewer than 1 in 100 of our patients actually develop any side effects.

Common (< 1%) side effects include nausea, diarrhoea and feeling very tired.

Rash and fever are uncommon (< 0.1%) side effects.

There is a theory that these drugs can affect the liver and kidneys temporarily so these have to be monitored.

We routinely monitor all patients who take PEP but have never come across anyone develop kidney or liver problems with the medicines.

The new HIV PEP Drugs that we use are much more less side effects than the old medicines. Make sure you know what drugs you are taking before you start on the PEP.

How much does the HIV PEP cost?

The usual costs involved are:

  1. Consultation $60-$80
      1. Depending on the duration of the consultation
  2. Blood tests (Full Blood Count, Liver Function, Kidney Function) $140
      1. These tests are to establish a baseline
      2. We do not need to wait for these results to start the PEP treatment
      3. You may not need these tests if you had them done recently e.g. when you did an executive health screening
  3. Rapid HIV test $50
      1. This is to ascertain that you do not have an established HIV infection
  4. Medication $1800
      1. This is for the entire 1 month of medication
      2. The price is the same regardless of which drug regime we use

 

Total cost $2193.50 – $2214.90 with GST Maximum

If you do not require the blood tests (e.g. you have done them recently) the cost will be lower.

 

So what now?

If you think you are at risk of being infected with HIV, come down to see us as soon as possible.

We will have an in depth discussion with you on your risks and whether or not it is recommended that you take PEP.

We are a walk in clinic, you do not need an appointment.

advise


Need more advice?

Come down to Our Clinics for a discussion with Our Doctors, or call our clinics for more information:

1.) Robertson Walk – Anonymous HIV Clinic  (+65 6238 7810)

2.) Bencoolen Street (+65 6884 4119)

3.) Novena Medical Centre (+65 6397 2095)

4.) Scotts Medical Centre (+65 6694 2348)

5.) Somerset – Orchard Building (+65 6262 0762)

6.) Katong – East Coast Road (+65 6635 2551)

Where to find us – here

Click Here for Contact Details, Address and Opening Times.

Selected clinics are open on Saturday and Sunday.

Doctor’s Schedule here

Email: doctor@drtanandpartners.com

Click Here for Contact Details, Address and Opening Times.

All Our Doctors are Fully Certified and Trained to conduct specialised HIV Testing.

For lady patients who prefer female doctors, we have professional certified female Doctors to attend to your medical needs.


We are Open on Weekends.

Our Andrology and Infection Centre at Novena Medical Center is open.

Call us at 63972095 now to book your appointment.

 

361 Comments

  1. About 2 years ago, I had mutual unprotected oral sex and receptive protected anal sex with another man. I am also a man. I was put on Truvada and Isentress (PEP) for 4 weeks. I have since then been tested for HIV using Abbott Architect 4th Generation Test. I tested up to 6 months after the exposure. The result was negative.

    I am concerned that I may have HIV still though, mainly due to the PEP. I heard and read stories on the internet where people and nurses seroconverted many months and years after the exposure. For instance, if you google “Latent Seroconversion”, which is on website, “The Body”, on google, a registered nurse describes seroconverting after 18 months.

  2. Hi.

    My Friend didn’t use rubber on me despite me telling him to.

    And he has many partners.

    Now I think I’m at risk for hiv.

    I took PREP in January.

    Do I go for PEP? Event happened yesterday before I wrote this

    Do I still need to go for PEP?

    • If you feel you are at risk of HIV, then the best way to minimize that risk at this point is PEP. Please come down to our Robertson Walk clinic tomorrow morning for a consult with our doctors.

  3. Dear Doctor,

    I took PEP within 24 hours of my first exposure. After 7 days into PEP, I had a second exposure with a HIV Positive man (who claims to be undetactable).

    May I know if I need to extend my PEP treatment?

  4. Hi, doctor.

    I had an unprotected sex almost 4 months ago. I was on PEP for 28 days. 5 and 7 weeks after my last dose of PEP I tasted negative(ab/ag). How conclusive is that? After I got tested I had unprotected oral sex with my girlfriend and She developed sore throat and skin rash. I am really worried about her now. I am going to do another test in few days so it will be 3 months after the last dose of PEP. I am still verry worried about everything, this is the first time i’ve done something like this. If my test in few days is negative (4 months after exposure) is that conclusive?

    • Yes, your test now will be conclusive.

      • What about my negative tests 5 and 7 weeks after the last dose of PEP, are they conclusive or at least encouraging?
        Thank you very much.

  5. Azzie

    Hi

    I recently had sex with an anonymous partner of unknown status and the sex included a short 3 minute unprotected anal penetration. Should I start on PEP since it has only been less than 24 hours (will reach 72 hours on Tuesday, 16 May). If so, may I know how we can potentially lower the cost of the treatment? $2,200 is a bit too steep for me now, especially.

    Would appreciate your advice as I am a little nervous regarding this.

    Regards
    A

    • Unprotected anal penetration with an unknown partner would put you at risk of HIV transmission. Please come down to our Robertson Walk clinic to speak to our doctors about PEP. However, unfortunately we cannot lower the cost of treatment.

      • Azzie

        Hi Dr Jonathan

        Thank you very much for your response. I have taken your advice and had since gone to see Dr Tan at the Novena branch.

        Thank you.

        Regards
        Azzie

  6. Had an unprotected sex and it has been already 72 hours, there is no point of taking PEP?

    Please advise.

    Thanks!

    • No, we do not generally recommend any PEP after 72 hours post-exposure.

      • Hi
        I had unprotected sex from Tuesday by 10pm with my fiancee with blisters on my .only to discover a blue antiretroviral drug with him.I rushed to d clinic on Friday around 7pm.was tested hiv negative and was placed on anti retroviral.its like 70hrs after exposure!pls help

        • I am not sure what your question is.. You are on PEP now, so to reduce your risk of contracting HIV please complete the course as advised by your doctor.

  7. Kenny

    Dear Doctor,

    Hello doctor,I had unprotected gay frottage 13 days ago, which some infectious pre-cum from other guy may somehow directly touch my glans and foreskin without my notice. Then I went to see a doctor and ask them for pep treatment.

    Now, I am taking PEP treatment for 12 days and thinking should i discontinue PEP, since my source of exposure (the guy who performed frottage on me) got a negative result from HIV PCR RNA (below 40 copies) and HIV combo test, these two test were done after 10 days from the incident that I mentioned above .

    I would like to ask is it reasonable to discontinue my PEP treatment in accordance with 2 negative result from my source partner (especially the result of HIV PCR RNA test). Doctor who prescribe PEP to me suggested I can stop my PEP because of the test result. However, i will be further assured if I can get your professional advice.

    I look forward to hearing from you. Thank You.

  8. I had unprotected vaginal sex with a lady that is HIV positive and she isn’t on medication, a Dr prescribed PEP for me at 72hours after exposure for 30days which I completed and was tested 2weeks after PEP and the result came out Non reactive. i was advise to come back in 3months for another test by the Dr who prescribed PEP for me which I couldn’t wait that long because of anxiety, 56days after finishing PEP I went for another test which also came out Non reactive. Sorry I don’t know the names of the hiv test all I knw my finger was pricked and blood was drawn,within 20min I got the result. That same day I went to a s pecalist hospital at a building called Human Virology centre for another test in which my blood was drawn intravenous,i was asked to come back after 3hours for my result which also came out non reactive. Can these tests be conclusive or I should wait 3 to 6months after PEP? I will appreciate ‘ur response to my comment. Kindly ignore my previous commment

    • drtan

      There are differing guidelines on when to test for HIV after PEP. You can click HERE for the article.

      • Just read the article but still don’t understand, my questions goes like these: 1. You made mention of 4-6weeks and 3-6month,is it after exposure or after completion PEP?. 2. Are the tests done so far be relied upon?

      • Hello Dr
        Had unprotected sex from Tuesday 10pm he ejaculated inside me twice with bruise.found his anti retroviral drug.rushed to the clinic to get tested on friday prior 69 to 70hrs after exposure the test came out negative.on pep.pls wat re my chances of being infected?

        • HIV transmission is dependent on many factors. If your partner’s viral load is low or undetectable, your risk of contracting the virus is much lower. Starting PEP within 72 hours will decrease your risk even further.

  9. I had sex with a lady who is hiv positive,started pep 72 hour later and completed the regiments.was tested 2weeks after comletion of PEP the result came out negative, repeated test after 54days excluding the 2weeks.just wanna knw how conclusive is the test

  10. Petter Thy

    Please kindly told me the ways that keep our life is long time that during someone have HIV ?

    One more thing do you have medecine to treat this virus is over or not ?

    Awaiting your revert to me back,

    Thank and best regard

    Have a great day

    • Sorry, not sure if I understand your question – but essentially HIV is a very treatable condition with current advances in antiviral medication; there is no cure but as long as it is detected early and treated with medication properly, there is no reason that someone cannot live a fairly normal and healthy life.

    • There are 2 questions i want to ask
      1. I have taking pep for 12 days i see side effect of yellow eyes is it bad me?
      2. Pep need to take only 28 days but why does each bottle come with 30 days?
      Thank you inadvance

      • If you have yellowing of the eyes, please speak to your doctor for a blood test to check your liver function. PEP regimens can vary slightly, but 28 days is generally adequate – however, the bottles come with 30 days of pills so we usually ask our patients to complete the course to avoid confusion. Also helps if a pill is lost down the drain for example.

  11. Hi doctor, I had sex with a sex-worker(girl) on 6/3/2017. I used condom but I found some blood outside the condom(she said this is menstruation) Could tell me what the level of risk?

    • There is no straightforward number I can give with regards to your risk. Menstruation will increase risk of HIV/STD transmission, as would her occupation.

  12. william

    hi dr tan, i m just went through the 4th generation hiv rapid test tdy at your clinic (robertson walk). and it was negative result. means that i need not worry about any of my potential unsafe intercourse for the last few months is it? but how bout those within this few days? i know it need around 10 days to identify the infection by other test. currently i dont have any symptom of it. do I still need to worry about it. is it any risk if condom slip off and contact abit of the body fluid. i m really not sure whether she got any sign of hiv. she seems healthy. thanks!

    • The Combo test is conclusive at 28 days. In other words, if you have had any exposures in the past 28 days that infected you with HIV, the test may not be able to pick it up.

  13. Hi Doc, I was recently prescribed PEP in Singapore (truvada + isentress) at a GP. Out of curiosity, I saw a pic online of the blue pills having “gilead” imprinted on one side and “701” on the other.

    However, the blue truvada pills I’ve received only have “gilead” imprinted on them. Just wanted to clarify if you’ve seen this version of the pills? Also, have you ever heard of the supply chain in Singapore being compromised?

    • Wow. Honestly I have not. In fact, because of your post, I went to double check the stock I have. Indeed there is “Gilead” embossed on one side and “701” on the other.

      In Singapore, Truvada is only available from Gilead. I do not see how it can be compromised unless this Doctor has an alternative, non-official, source. I really hope not because this is really frowned upon by the Ministry.

  14. Hi Doctor,

    I have unprotected sex with Vietnam sex worker and is put under PEP medication after 29 hours.

    1. What is the likeliness of me getting HIV?
    2. After 30-days pep medication, is the 4th gen combo test 95% accurate?

    I have read from other site that window period start after pep medication.

    Thanks.

    • 1. I think this discussion is now a moot point. The fact is whatever the risk, you have been given PEP. The risk assessment should have been done with you by the doctor who gave you the PEP in order to warrant the PEP in the first place.

      2. Well, I personally would say it is even higher than 95%. However, please verify this with your doctor.

  15. deandre

    Is it possible to have ars symptoms after pep.if so what is the possible timeline.

    • Good question. I do not know the answer to that. I however think it is a moot point.

      I guess your situation is you took PEP and now have symptoms and are trying to use this to ascertain if you are infected with HIV or not. I strongly suggest you do not do that. It will only cause you mental anguish. Please just see your doctor for testing.

  16. Dear doc, i’ve just had unprotected sex with a sw from orchard towers. There wasnt any cuts or ulcer present on either of us but there was a bit of a scratch like marks on her pubic area due to shave as told by her. She told me she diesnt have any sickness. I tried to scare her by saying i do, to see her reaction. And she was abit scared when i jokingly said that. She has nvr had unprotected sex with other customers before. If what she say is true. How likely am i to get hiv or std?and also if i want to start taking pep, but unable to pay in full amount as it is too expensive, is there an installment like payment method?

    • Hi,
      There is certainly a risk of STD/HIV transmission from unprotected sex from any unknown partner. Unfortunately, we are not able to provide payment by installment for PEP; however, if you are unable to pay for a full course of PEP at first, you may get half first / pay for half and then come back two weeks later to complete the course. If you have any concerns, best to come down to our clinic for a proper consult and we can discuss your options.

  17. Hi Doctor,

    Yesterday afternoon i had sex with a sex-worker , I had a minor cut
    ( due to blister , which jsut popped out fluid before the meet) on my lip which had less than a drop blood after I shower & use towel to wipe my face , After that worker performed oral on me & had protective sex , but during all time we were kissing each other ( lip saliva too ) , I did not gave her oral but just kissed arounf vaginal area ,

    1.Is there possibiity of HIV exposure ?

    2.If yes , 48 hrs exposure is okay to start PEP course & how much efficient the results will be ?

    3.Side effects ? frequency of medicine – I am married , will my wife come to know about i am taking medicine .

    4.Treatment covered by insurance ?

    Request an early reply

    • 5. Which clinic shall i come for discussion & checkup ?

    • Hi Sidd,

      Yes, there is a risk of HIV exposure, albeit small.
      PEP can be initiated within 72 hours of exposure, and is effective in preventing transmission of HIV.
      Common side effects include gastrointestinal discomfort and loose stools, but these are usual temporary.
      This treatment is unlikely to be covered by insurance. You can check with your insurer directly about your coverage.

      Do start PEP as soon as possible, it is more effective the earlier you begin the course.

  18. while attempting anal sex with a CSW, my condom broke and for about 15-20 seconds I was exposed to rectal fluids. I don’t think I penetrated more than once with the broken condom. I changed the condom after that.

    I am currently on PeP. The medicine given to me is a combination of Efravirenz, Lamivudine and Tenfovir Disproxil Fumarate and I have been told to take it for 30 days (instead of 28, as your website indicates). As per you: 1) What is my level of risk?, 2) Is the medicine the right PeP?, 3) Can I test right after finishing PeP? Please help.

    • 1) There are risk of exposure to HIV and STD with a broken condom . You can read further here .
      2) The PeP combination is not the first line medicines recommended by the US CDC guidelines on nPEP . I am sure your doctor has his reasons for prescribing the medicine.
      I would advise that you check with him.
      3) For more information on when to test for HIV post PEP – click here

      • Hi Doctor, after finishing PeP, I did a CMIA HIV test at day 31 and it was non-reactive. How confident can I be that this test result is accurate?

  19. Hello, help me please….
    TEEVIR is PEP?

  20. Dear Doc,
    I went to a massage parlour recently and got a handjob from the masseuse. Few days later(not sure if it was due to masturbation), there is a painless small red patch on my penis. Could i have gotten anything from the encounter? Please advise.

    • Yes you could. There are certainly infections that can be spread via a hand to genital contact. However, we cannot tell you what is causing your red patch. For that you need to see a doctor. If you wish to see us CLICK HERE for contact info.

  21. Help,
    I had unprotected oral sex with 2 HIV positive men, one is undetectable. I’m now on my 3rd day of PEP (truvada and Tivicay) and noticing white spots on my left tonsil that looks like tonsil stones and my throat is beginning to feel sore. Is this normal? Am i at high risk of being positive? Freaking out here I’m only 19.

    • The symptoms you described can be caused by many other medical conditions.

      Based on your activity described, unprotected oral sex with HIV positive person is considered a low risk activity for acquiring HIV.
      You cannot tell if you have HIV or not based on symptoms .
      Worrying on your symptoms at this point in time does not benefit anyone.

      However, I recommend you getting tested for HIV and STD.
      please visit us for a formal consultation . click here for the location.

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