PEP
Emergency HIV prevention after a possible exposure. It must be started within 72 hours.
In short
PEP is emergency HIV prevention that must be started within 72 hours of a possible exposure, so it's time-critical. Go to a sexual health clinic or A&E straight away. A GP can advise on follow-up and ongoing prevention like PrEP.
Overview
What is pep?
PEP (post-exposure prophylaxis) is a 28-day course of anti-HIV medication taken after a possible exposure to HIV to stop an infection taking hold. It must be started as soon as possible, and within 72 hours, so it's an emergency. It's accessed through sexual health clinics or A&E, not a routine appointment.
Symptoms
Common symptoms
- Not applicable, PEP is emergency medication taken after a possible HIV exposure
When to act
When to see a doctor
If you may have been exposed to HIV in the last 72 hours, don't wait, go to a sexual health clinic now, or A&E if none is open. Use a GP consultation for follow-up testing and ongoing prevention (including PrEP) afterwards.
When to seek urgent help
Seek urgent help if
- Any possible HIV exposure in the last 72 hours, do not wait, go to a sexual health clinic now, or A&E if one isn't open
- The sooner PEP is started the better; after 72 hours it is no longer effective
- A sexual assault, where sexual health services and specialist support can also help
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Urgent advice if you may have been exposed to HIV in the last 72 hours
- Clear direction to the fastest place to get PEP (sexual health clinic, or A&E out of hours)
- Explanation of what PEP is and how it's taken (a 28-day course)
- Advice on follow-up HIV and STI testing
- A conversation about ongoing prevention, including PrEP, afterwards
- Support without judgement
What we don't do
- Provision of emergency PEP, start it urgently at a sexual health clinic or A&E
- Specialist HIV care (NHS HIV services)
Pricing
What it costs
PEP is time-critical and provided urgently and free by NHS sexual health services or A&E, please go there first if you may have been exposed in the last 72 hours. A private online consultation (from £79) is useful for follow-up testing and ongoing prevention advice.
FAQ
Common questions about pep
What is PEP and how fast do I need it?
Where do I get PEP?
How effective is PEP?
What's the difference between PEP and PrEP?
Need urgent advice about PEP?
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