"My partner and I are HIV-negative and have taken a pill every day for more than a year to protect us from any HIV infection from sexual contact with others," said Nicolas Cavalli. The 35-year-old Stadtzürcher calls himself and his partner a so-called PrEPster.
PrEP is the abbreviation for pre-exposure prophylaxis, ie prevention of infection risk. By regularly taking a suitable drug (either the original drug Truvada or Generic) they are equally protected against infection with the HI virus in planned or spontaneous sexual relationships with other men, "as if we were going to use condoms," says Cavalli [1
This is not a statement but scientifically proven. Daniel Koch, Head of the Division of Communicable Diseases at the Federal Public Health Institute (FOPH), writes on request: "As regards PrEP, we follow the recommendation of the Swiss Federal Commission on Sexual Health from 2016, which recommends pre-exposure prophesy Daniel Seiler, CEO of Aids Hilfe Switzerland, says even more specifically: "Aids Aid Switzerland is behind a drug delivery of PrEP as HIV prophylaxis, because that's just what HIV is as safe as condom. "In particular, gay and bisexual men have shown advantages and disadvantages of PrEP through different channels.
" We feel that the interest in PrEP is particularly strong in this population group. "Sails say. It may even be assumed that "drug protection against HIV is currently reducing HIV levels."
Pills against condoms?
But when Nicolas Cavalli first heard of the new prevention method, he was still standing against it. "It's as always: ignorance leads to insecurity, fear and rejection," he says. His partner and he would have decided after prolonged consideration and many discussions about drug-assisted pills treatment to protect against HIV.
"It was not a decision against condoms, but a decision for more security, self-determination and responsibility – also facing each other," said Cavalli. Because in the past he was always tempted to do without a condom. "Something I had regrettable afterwards. "Now he could live out these fantasies without fear. As a result, he was a sexual lover.
Not without medical supervision
" My experience with PrEP is good, "said Cavalli." I only had mild gastrointestinal problems at first but disappeared quickly. "He had no other side effects.
Yet he and his partner were HIV tested every three months. As the effectiveness of PrEP decreases, according to experts, when the medicine is taken irregularly. There are also very rare cases of HIV infection in the world despite the correct intake of PrEP – mainly because of Truvada-resistant HI virus.
Cavalli and his partner also regularly check the kidney and liver values. Or on these bodies have in some cases been observed as a long-term side effect. "In addition, we also do research on other venereal diseases." Incredibly, the fear that PrEP intake could lead to more venereal diseases could not be confirmed in the major clinical PrEP studies.
It was important for him today to educate other people about PrEP, "said Cavalli. In this context, he recommends that you never buy and take PrEP medicines without medical supervision and support.
Great rush on Unispital
Medical advice on PrEP can be obtained from the University Hospital Zurich. Benjamin Hampel, a physician at the Department of Infectious Diseases and Health Care, has been responsible for a so-called PrEP consultation since March last year.