Central Michigan District Health Department
Pre-Exposure
Prophylaxis (PrEP)
What is PrEP?
PrEP (pre-exposure prophylaxis) is a medication that reduces your chances of getting HIV from sex and/or injection drug use.
How effective is it?
When taken as prescribed, PrEP is highly effective for preventing HIV, reduces the risk of getting HIV from sex by about 99%, and reduces the risk of getting HIV from injection drug use by up to 74%.
How long does it take to work?
PrEP takes about 7-21 days to reach the level of protection, depending on injection drug use and/or types of sexual encounters. PrEP is safe, but some people experience side effects like diarrhea, nausea, headache, fatigue, and stomach pain. These side effects usually go away over time.
Who is eligible for PrEP?
You may qualify if any of the following apply:
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Test HIV negative
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Have unprotected vaginal or anal sex with a partner of unknown HIV status
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Have a partner who is living with HIV (especially if partner's HIV viral load is detectable or unknown)
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Had a recent STI infection
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Are an IV drug user
What methods of PrEP are available?
PrEP is available in pills (Truvada or Descovy) or injections (Apretude).
Is PrEP expensive?
Most insurance plans and Medicaid programs cover PrEP medication. If you don't have insurance or you have a high deductible, there are programs available that provide co-pay assistance or PrEP for free.
What is the process to receive PrEP at CMDHD?
At your first appointment, we will test for HIV, STIs, and hepatitis B & C, as well as run a metabolic panel. We will follow up in 30 days to check in on your progress with PrEP. Then you will see us every 3 months to check in on progress and get an HIV test. STI testing is optional every 3 months and recommended every 6 months.
Meet Our Providers
Amanda Fetterolf, MSN, FNP-C
Clare, Osceola, and Roscommon Counties
Jamie Stevenson, MSN, FNP-C
Arenac and Gladwin Counties
Shannon Adams, MSN, FNP-C
Isabella County