PrEP in Europe (Geneva speciifcally)

  • gwuinsf

    Posts: 525

    Apr 14, 2015 2:21 PM GMT
    I'm currently interviewing for a job in Geneva, Switzerland. I'm trying to research all the ways that my life will be impacted by such a move to decide if this is something I really want to do.

    I'm curious how widespread PrEP is in Europe. Will I have difficulties finding a doctor that will be knowledgeable about PrEP? Switzerland rates very high in healthcare and Geneva is the HQ for WHO, but I also don't want to assume anything. I haven't found a lot of good info online with respect to Switzerland and most of the local LGBT websites are in French.

    Also it's important to me that my doctor specialize in gay men's health. So if anyone has any tips or referrals specifically for Geneva (I see there are a few members from there), please send them my way.
  • Posted by a hidden member.
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    Apr 15, 2015 6:52 PM GMT
    The US is the only country that uses PrEP. Eventually they will.


    The HIV Prevention Manifesto:
    we need PrEP now!




    http://www.prepineurope.org/
  • gwuinsf

    Posts: 525

    Apr 16, 2015 5:23 AM GMT
    So will I have a hard time getting my Swiss health insurance to cover it, ya think? I think I can find a doc that'd prescribe it....

    Haven't checked out that link yet, but I will
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    Apr 16, 2015 7:40 PM GMT
    gwuinsf saidSo will I have a hard time getting my Swiss health insurance to cover it, ya think? I think I can find a doc that'd prescribe it....

    Haven't checked out that link yet, but I will


    I don't think it's even available. At least not yet.
  • Destinharbor

    Posts: 4433

    Apr 16, 2015 8:22 PM GMT
    I wonder why it would not be available in Europe. Or slow being introduced. Usually it's the US that is slow to approve meds. Maybe it's the pricing negotiations between the manufacturer and Euro price controls. The stuff is exorbitantly expensive, I hear.
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    Apr 16, 2015 8:49 PM GMT
    Destinharbor saidI wonder why it would not be available in Europe. Or slow being introduced. Usually it's the US that is slow to approve meds. Maybe it's the pricing negotiations between the manufacturer and Euro price controls. The stuff is exorbitantly expensive, I hear.


    it's covered by most insurance plans.
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    Apr 16, 2015 9:08 PM GMT
    As far as I know, it's only available in the USA. It's not legal yet in European countries.
  • gwuinsf

    Posts: 525

    Apr 16, 2015 9:13 PM GMT
    Isugemi saidAs far as I know, it's only available in the USA. It's not legal yet in European countries.


    This is my concern. I've found that it's approved for use in treating HIV but not as PrEP. I've found a HIV doctor in Geneva and was going to email him and ask. I'd like to know before I go so that I discuss possible alternatives with my US doc. I understand that there's a study that has found taking Truvada before and after also is effective. That would allow me to ration.
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    Apr 16, 2015 9:23 PM GMT
    gwuinsf said
    Isugemi saidAs far as I know, it's only available in the USA. It's not legal yet in European countries.


    This is my concern. I've found that it's approved for use in treating HIV but not as PrEP. I've found a HIV doctor in Geneva and was going to email him and ask. I'd like to know before I go so that I discuss possible alternatives with my US doc. I understand that there's a study that has found taking Truvada before and after also is effective. That would allow me to ration.


    Exactly. In France they are really talking about legalizing it lately. But they still don't know if health insurance should pay for it, as it's super expensive (500 euros a month). The solution would be for you to buy it in the US and bring it to Europe
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    Apr 16, 2015 9:48 PM GMT
    gwuinsf said
    Isugemi saidAs far as I know, it's only available in the USA. It's not legal yet in European countries.


    This is my concern. I've found that it's approved for use in treating HIV but not as PrEP. I've found a HIV doctor in Geneva and was going to email him and ask. I'd like to know before I go so that I discuss possible alternatives with my US doc. I understand that there's a study that has found taking Truvada before and after also is effective. That would allow me to ration.


    That's a French study of "PrEP on Demand". However it is NOT approved here or there.

    http://www.hivplusmag.com/research/2014/11/05/prep-demand-study-halted-because-it-was-so-successful

    "Only two weeks ago, a British study known as PROUD was also ceased because efficacy surpassed what was originally anticipated by researchers. Participants there who had been taking a placebo were called back to clinics and offered Truvada. Presently, the United States is the only country in which Truvada has been approved for the purposes of pre-exposure prophylaxis, although that is likely to change in light of the these new study results."

    As for other considerations:

    "These studies demolish several assertions made by critics of PrEP," said Gus Cairns of AIDSMap. "Firstly, that condoms work better than PrEP. They don't. Secondly, that people won't adhere to PrEP. They will. And thirdly, that there will be a public health disaster if people switch condoms for PrEP. There won't be. Condoms will remain an important part of HIV prevention and probably the method used by the majority of gay men for some time to come and there will always be men who prefer rubber to pills, as there are women to the contraceptive pill."

    If you could stock up and use PrEP on Demand, you may get enough to get by with. It makes sense, they have been using a "morning after" post exposure PEP for years.
  • gwuinsf

    Posts: 525

    Apr 17, 2015 3:01 AM GMT
    Thanks for all the info. I'm gonna talk to my doctor at my next quarterly. I will prob be coming back to the U.S. enough that I might be able to get a resupply. It's surprising to me that WHO and UNAIDS are based in Geneva, and they advocate it's use, yet it's not approved there.

    I hope it does change soon.

    The U.S. ahead of Europe on something! Shocking!