What is the problem of pre-exposure preventive medication by HIV prevention medicine "Turvada" which has an effect of more than 90%?

ByMichael Chen

Although HIV / AIDS continues to increase day by day worldwide, it is known as "incurable disease" because it is difficult to develop natural remedies and development of therapeutic drugs. The prevention of such HIV infection in advance by taking 1 tablet of prophylactic drugs every day is called "PrEP (pre-exposure preventive medicine)",America Disease Control Center(CDC) recommended, CDC will prevent over 90% of HIV for physicians in May 2014 FDA approved drug "ZurvadaI used"PrEP Guidelines" announcedBy doing so, various problems with PrEP are emerging.

This pill could stop 90 percent of HIV cases in the US | The Verge
http://www.theverge.com/2014/5/19/5729694/us-backing-truvada-prevent-spread-hiv

Turvada is a HIV prevention medicine for blue pills that can be prevented by HIV infection more than 90% by taking 1 tablet a day, approved by the FDA in 2012. The annual cost is as high as $ 13,000 (about 131,600 yen), but in the United States it can cover most with insurance. Although it was pointed out that threatening PrVP by Thruvada was not a fundamental solution and the possibility that side effects of side effects that non-infected people take for prevention and venereal risk may be increased, but in May 2014, It is a topic that the government announced "guidelines for PrEP using Turvada" for medical institutions.

Mr. Michael Lucas (42 years old), who is an adult movie director and a gay porn actor, has been doing Prven in Thrubada since about a year ago. While knowing the risk of side effects, he says, "It's better than living with fear of HIV infection." In homosexual negotiations gay communities tend to have a high HIV infection rate, but Mr. Lucas maintains HIV negative.

ByTorbakhopper

For each American paper, pre-exposure medication for prevention by Zurvada "Medication changes AIDS prevention lawAlthough it reports on the wind,Slate expresses as "miracle medicine"The expression that causes misunderstandings such as "treatment medicine" is also used.

ByPelle Sten

Known as gay clinicKaren Road Medical CenterDirector of Jay Laudato, director of Jay Laudato, said, "We understand the effectiveness of Zurvada, but it was finally proved, but the government's announcement says" How to incorporate into life? " I was shocked. " Many of the homeless children who go to the medical center make a living by prostitution, "Should I prescribe Turvada for those in a position like them?" "How do the medical staff explain Should I prescribe? ", The director doubts about simply prescribing Zurvada for PrEP in areas where HIV infections concentrate.

ByKelly Short

Emma Claire, who holds the title of the HIV harm reduction counselor, also has the same opinion as Dr. Laudato, saying, "PrEP is a powerful choice, but it is not a HIV solution," and talked about HIV / AIDS · venereal diseases etc. I insist that it is important to make education the top priority. Mr. Lucas also agreed on the promotion of AIDS education, but "Gay is not polygamy, people who are taking Turvada are the most reliable people," emphasis is placed on the efficacy of Tsurubada.

ByRoel Wijnants

These doubts are born because the effect of PrEP is very limited.AIDS Healthcare FoundationMichael Weinstein also released a statement on the government's decision and criticized, "Government's recommendation of PrEP will lead to the absence of condoms." Although Zurvada is effective against the prevention of HIV infection, it argues that it is necessary to continue wearing condoms because infection risks such as syphilis and gonorrhea remain unchanged. Also, movie director Lorelei Lee who is struggling to obtain insurance compensation for oral contraceptive (pills) also said, "HIV prevention drugs not only raises the risk of venereal disease but also the same moral problem as pills It also happens, "he sent a mail to The Verge in a rage.

ByDarwin Bell

In the argument that it affects the rate of wear on condoms, Mr. Lucas said, "The young generation does not know the time when AIDS was" a disease of death ", the rate of condom wearing has decreased, and every year 50,000 cases HIV infection is occurring.I think that it is not an exaggeration to say that discussions like withholding the use of Zurvada are deadly crime because some gay men do not wear condoms originally. " I will talk to you. Thruvada is not a vaccine but a "prophylactic drug", but recent studies have shown that HIV can be prevented by 99%. Regarding side effects,Gladstone InstituteAccording to Robert Grant of AIDS researcher Robert Grant, "One out of ten people experiences nausea / spasm as a side effect and periodic blood test is required to transform the kidney function with a probability of 1/200 "I am talking.

Thruvada, which can prevent HIV with high probability, can effectively prevent virus infection without a complete recovery method only for HIV, but because it affects condom dressing rate by using, etc., It is not a "dream prophylactic drug". Mr. Lucas says, "We need to explore methods that can make maximum use of Turvada."