I Want PrEP Now, How Do I Get PrEP Now?

First, you will need to take a look at the check-list below:

1. Do you have a PrEP prescription?

• If so, bring it to us and you can purchase the medication. 

2. If not, do you have recent health check-up results (within the last 3 months)?

• If you do, you can get a 12-month supply at PULSE.
• If not, get tested at PULSE and receive a 12-month supply of PrEP. 
• You can also opt for fewer bottles and have the rest delivered to your door.

Here’s what to expect on your first visit:

1. Consultation
2. Rapid tests for HIV, Hepatitis B, and syphilis (results in 15 minutes)**
3. Kidney function tests
4. PrEP prescription and dispensing at the clinic***

*The entire process takes about 30 minutes if you arrive on time.

**Results available in 15 minutes.

***Up to a 12-month supply (for annual visits).

As the first licensed private clinic to offer PrEP and related services since 2015, we’ve assisted over 15,000 people from 130 countries. Book your appointment now and receive expert advice before starting PrEP.

Please email us at info.bkk@pulse-clinic.com or chat with us on your preferred platform if you wish to get affordable and quality care and treatment

+66 65 237 1936   @PULSEClinic   PulseClinic

First Visit

Our team will assist you in selecting the right treatment plan. We’ll review your medical history, assess your sexual risk, and conduct an HIV test, kidney function test, Hepatitis B, and liver function blood tests. 

A sexual health screening can be arranged at any of our PULSE CLINICS (Bangkok, Phuket, Hong Kong, Kuala Lumpur, Singapore). During your first visit, we can dispense up to 12 bottles of PrEP, including options like Truvada, Teno-Em, Ricovir-Em, Tenof-Em, Descovy, Taficita, or Tafero-Em.

The entire PrEP process at PULSE CLINIC takes about 30 minutes and includes a medical certificate for traveling with PrEP medications internationally.

Your PrEP appointment covers consultation, risk evaluation, rapid HIV and syphilis tests, and metabolic tests (kidney function, liver function, and Hepatitis B vaccine level). Once you book your PrEP appointment, there’s no need to schedule separate tests for HIV or other conditions.

• Ensure you get tested for HIV, kidney function, and Hepatitis B before starting PrEP
• Avoid high-risk activities (like unprotected sex or needle sharing) 14-21 days before your HIV test.

PrEP Refill (Follow Up Visit)

Regular monitoring is crucial to ensure everything is going well. We’ll check your HIV status and conduct syphilis tests. Every six months, we’ll perform blood tests to assess your kidney and liver function with a doctor and counselor. If your labs are pre-ordered, you can use our PULSExpress service to expedite the process.

If you choose to continue, we can provide up to a 12-month supply of PrEP each visit for personal use.

• Ensure you are HIV-negative and have normal kidney function before continuing PrEP.
• Take PrEP daily and do not share it with others who haven’t been tested.
• Make sure you don't have other SEXUALLY TRANSMITTED INFECTIONS.
• Avoid other sexually transmitted infections, and seek proper treatment for STDs.
• Inform your sexual partners to get tested and treated as well.

I can't visit PULSE Clinic. How can I get PrEP from PULSE?

PULSE CLINIC now has 11 branches open 7 days a week across Thailand, Hong Kong, Malaysia, and Singapore. If you can’t visit us in person, you can still purchase PrEP online from our licensed clinics.

• Before ordering, ensure we have your prescription and lab results.
• Send us a copy of your passport, lab results from your doctor or your labs, or a prescription from your doctor. After reviewing your documents, we can provide a 3 to 6-month supply each time.

What is PrEP?

PrEP is a preventive medication for HIV-negative individuals designed to reduce the risk of HIV infection.

Since 2013, PrEP typically involves taking a daily pill containing tenofovir disoproxil fumarate and emtricitabine, either as a daily dose or on-demand, under medical supervision. The original PrEP, available in various brands like TRUVADA, TENO-EM, TENOF-EM, TAVIN-EM, and RICOVIR-EM, can be chosen based on availability and cost.

In 2019, a new form of PrEP was approved, featuring tenofovir alafenamide and emtricitabine, which is taken as a DAILY DOSE ONLY and also under a doctor's supervision. This newer PrEP has fewer side effects and is safer for kidneys and bone marrow. It comes in brands such as DESCOVY, TAFERO-EM, TAFICITA, and generic Tenofovir Alafenamide/Emtricitabine.

When taken correctly, PrEP can reduce the risk of HIV transmission through sex by up to 99%, allowing you to enjoy intimacy with your partners while minimizing your risk of HIV.

How does PrEP protect me from HIV?

PrEP is up to 99% effective in protecting against HIV through sex when taken correctly. When combined with condom use and DOXYPEP, you can be confident that your risk of contracting an STD or STI is extremely low.

To ensure PrEP works, you must be HIV-negative before starting. Your initial consultation will include an HIV test to confirm your status before a prescription is provided.

PrEP is used for prevention, not treatment, so you don’t need to take it for life. You can use it as long as you feel additional protection is needed, whether for weeks, months, years or during specific periods of higher risk.

For people who inject drugs, PrEP can reduce the risk of HIV by up to 70%.

How does PrEP protect me from HIV?

PrEP is up to 99% effective in protecting against HIV through sex when taken correctly. When combined with condom use and DOXYPEP, you can be confident that your risk of contracting an STD or STI is extremely low.

To ensure PrEP works, you must be HIV-negative before starting. Your initial consultation will include an HIV test to confirm your status before a prescription is provided.

PrEP is used for prevention, not treatment, so you don’t need to take it for life. You can use it as long as you feel additional protection is needed, whether for weeks, months, years or during specific periods of higher risk.

For people who inject drugs, PrEP can reduce the risk of HIV by up to 70%.

How to Take PrEP

The frequency of your sexual activity and whether you plan your sexual encounters in advance will determine the best PrEP regimen for you. According to the 2013 U.S. Clinical Practice Guidelines and Thailand's 2014 HIV Prevention Guidelines, daily oral PrEP is recommended to effectively reduce the risk of HIV infection in adults. Our advice is informed by two European studies that evaluated different PrEP dosing methods, both showing an 86% reduction in HIV risk.

PROUD Study (Daily Dose):

Participants took one Truvada pill daily. No participants who adhered to this regimen contracted HIV, which is the officially recommended method.

IPERGAY Study (On Demand):

This involves taking 2 Truvada pills between 2-24 hours before sex, followed by one pill daily for 2 days after the last unprotected sex. This approach is not recommended for vaginal sex and may be less reliable for individuals who don’t plan their sexual activity well, as missing doses is common.

Using the ‘2-1-1’ dosing regimen—two pills 2 to 24 hours before sex, one pill 24 hours after the first, and a final pill 24 hours later—has been shown to offer protection against HIV comparable to daily PrEP. 

If you are considering PrEP On Demand, it’s crucial not to miss any doses. If you think you might forget doses, discuss with your doctor or counselor about switching to daily PrEP. On-Demand, PrEP is effective only for anal sex, and daily PrEP is a better option for those engaged in activities like chemsex or who need consistent protection.

Concerned that the Medication You Purchased Might Be Fake?

We can perform a blood test to verify that the medication in your system is authentic. To do this, you should take a pill within 24 hours before the test. Therapeutic Drug Monitoring (TDM) is a field within clinical chemistry and pharmacology that focuses on measuring medication levels in the blood.