How to prepare for a video visit about Post-Exposure Prophylaxis (PEP) Evaluation

Audience: adult

If you think you have been exposed to HIV or another bloodborne infection, a video visit for Post-Exposure Prophylaxis (PEP) evaluation can help you quickly understand your options. PEP is a treatment started within 72 hours after possible exposure to reduce the chance of infection. During the video visit, a healthcare provider will ask about your exposure, medical history, and any symptoms. They may guide you on testing and prescribe medications if needed. Preparing for your visit by gathering details about the exposure and your health can make the consultation smoother. Remember, PEP is most effective when started as soon as possible. Telemedicine can provide timely advice but is not a substitute for emergency or in-person care if you have serious symptoms or ongoing risks.

Red flags — go in person / ER

• Developing high fever, chills, or severe rash after exposure — seek emergency care immediately.
• Difficulty breathing, chest pain, or swelling during or after PEP treatment — get urgent medical attention.
• Severe allergic reaction signs such as swelling of face, lips, or throat, or difficulty swallowing — call emergency services right away.

What telemedicine can do

• Initial evaluation for possible HIV or bloodborne infection exposure.
• Providing education about PEP and its use.
• Prescribing PEP medications when appropriate and safe to do so.
• Guidance on follow-up testing and prevention strategies.

What telemedicine cannot do

• Management of severe allergic reactions or medical emergencies.
• Physical examination requiring in-person assessment.
• Immediate care beyond 72 hours post-exposure when PEP may be less effective.
• Treatment of infections requiring laboratory testing or procedures not available remotely.

What is Post-Exposure Prophylaxis (PEP)?

PEP is a short course of medicines taken after possible exposure to HIV or other infections to help prevent infection. It typically lasts 28 days and should start within 72 hours of exposure. PEP is not a vaccine but an emergency treatment to lower risk after events like unprotected sex, needle sharing, or a needlestick injury.

What to Expect During Your Video Visit

Your healthcare provider will ask about how and when you might have been exposed, your medical history, and any symptoms you have. They may discuss testing options for HIV and other infections. If PEP is appropriate, they will explain how to take the medications and possible side effects. They will also advise on follow-up care and prevention.

How to Prepare for Your Video Visit

Gather details about the exposure, such as the date, type of contact, and any protective measures used. Have a list of your current medicines and allergies ready. Ensure you have a private, quiet space with a good internet connection. Write down any questions or concerns you want to discuss.

After Your Video Visit: What to Do Next

If prescribed PEP, start the medication promptly as directed. Schedule follow-up testing as advised, usually at 4 to 6 weeks and again at 3 months after exposure. Watch for side effects from medications and report any concerns to your healthcare provider. Continue to practice safer behaviors to reduce future risk.

When to Seek Immediate In-Person Care

If you develop symptoms such as high fever, severe rash, difficulty breathing, chest pain, or severe allergic reactions after starting PEP, seek emergency care immediately. Also, if you have ongoing exposure risks or cannot access PEP within 72 hours, visit a healthcare facility promptly.

How to prepare for your tele-visit

• Note the exact date and time of possible exposure.
• Write down details about the type of exposure (e.g., sexual contact, needle injury).
• List any current medications, allergies, and medical conditions.
• Find a private, quiet space with reliable internet for the video visit.
• Prepare questions or concerns to discuss with your provider.
• Have identification and health insurance information ready if applicable.

After your tele-visit

• Begin PEP medication promptly if prescribed, following instructions carefully.
• Schedule and attend follow-up HIV and other infection testing as recommended.
• Monitor for side effects or symptoms and report them to your healthcare provider.
• Maintain safer practices to reduce future exposure risks.
• Keep all follow-up appointments and communicate any new symptoms or concerns.

FAQs

How soon should I start PEP after exposure?

PEP should be started as soon as possible, ideally within 2 hours, and no later than 72 hours after possible exposure to HIV. The sooner you start, the more effective it is.

Can I get PEP through a telemedicine visit?

Yes, many healthcare providers can evaluate your exposure risk and prescribe PEP through a video visit if you meet the criteria and it is safe to do so. However, some situations may require in-person care.

What are common side effects of PEP medications?

Side effects may include nausea, fatigue, diarrhea, or headache. These are usually mild and go away after treatment. Contact your provider if side effects are severe or persistent.

Do I still need to get tested after finishing PEP?

Yes, follow-up testing is important to confirm that you have not contracted HIV or other infections. Testing is typically done at 4 to 6 weeks and again at 3 months after exposure.

Is PEP effective for all types of exposures?

PEP is effective primarily for preventing HIV infection after certain exposures. It does not protect against all infections or replace other prevention methods like condoms or pre-exposure prophylaxis (PrEP).

Sources

1. Post-Exposure Prophylaxis (PEP) — Centers for Disease Control and Prevention (CDC).
2. Post-Exposure Prophylaxis (PEP) for HIV — MedlinePlus, U.S. National Library of Medicine.
3. HIV Post-Exposure Prophylaxis (PEP) — Mayo Clinic.
4. HIV Post-Exposure Prophylaxis (PEP) — HIVinfo, National Institutes of Health.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have a medical emergency or severe symptoms, seek immediate in-person care. Always follow the advice of your healthcare provider.