Testing in patients prescribed preexposure prophylaxis for HIV prevention
PrEP medications | Emtricitabine/tenofovir disoproxil fumarate | Emtricitabine/tenofovir alafenamide | Cabotegravir |
---|---|---|---|
Initial testing | |||
Human immunodeficiency virus (HIV) antigen/antibody | X | X | X |
HIV RNA | X | X | X |
Creatinine/estimated creatinine clearance | X | X | X |
Rapid plasma reagin syphilis screening | X | X | X |
Gonorrhea/chlamydia nucleic acid amplification testinga | X | X | X |
Hepatitis A virus specific immunoglobulin G | X | X | X |
Hepatitis B surface antigen | X | X | X |
Hepatitis B surface antibody | X | X | X |
Hepatitis B core antigen | X | X | X |
Hepatitis C virus-specific immunoglobulin G | X | X | X |
Pregnancy testb | X | X | |
One month | |||
HIV antigen/antibody | X | X | X |
HIV RNA | X | ||
Every 2 months | |||
HIV antigen/antibody | X | ||
Rapid plasma reagin syphilis screeningc | Not applicable | Not applicable | X |
Gonorrhea/chlamydia nucleic acid amplification testinga,c,d | X | ||
Pregnancy testb | X | ||
Every 3 months | |||
HIV antigen/antibody | X | X | |
Creatininee | X | X | |
Rapid plasma reagin syphilis screening | X | X | Not applicable |
Gonorrhea/chlamydia nucleic acid amplification testinga,d | X | X | |
Pregnancy testb | X | ||
Annually | |||
Creatininee | X | X | X |
Hepatitis C virus-specific immunoglobulin Gf | X | X | X |
Lipid panel | X |
↵a3-site testing of self-collected urine or vaginal specimen, pharyngeal swab, and rectal swab.
↵bUrine pregnancy testing if childbearing potential.
↵cTesting intervals may be extended to every 4 months.
↵dGonorrhea testing semiannually and chlamydia testing at least yearly for cisgender women.
↵eRenal function testing may be performed semiannually.
↵fHepatitis C virus immunoglobulin G may be tested more regularly and as requested.
Based on information from references 2,6,14,22–25.