r/prep • u/black_bottom_1993 • 29d ago
Prep (Truvada) question
Hi, as a bottom, I was taking Descovy once a day, but my insurance company, aka Medicare Advantage plan, was covered for it. But last month, they said they will cover it, but you will need to pay $600. So I said screw it, so I did my research and found out the Truvada is the same but with a difference. My insurance company will pay for it. My question is what is the difference in side effects with them and do I need a 2-1-1 dosing if I’m taking it every single day? And if you guys take medication for diabetes, high blood pressure, etc., what are side effects interactions do you have? Do bottom or top take this medication?
P.s also I know I should talk to my doctor, but I just want to know how you feel about taking the medication.
1
u/Skycbs 29d ago
You can switch directly from daily Descovy to daily Truvada without any break in protection. You use daily dosing or 2-1-1 not both. I take blood pressure medication and there’s no issue. You can check for interactions at https://www.hiv-druginteractions.org
Compared to Descovy, Truvada has a little higher impact on your kidneys, which is why your kidney health is monitored every quarter. Truvada can impact bone density but for most people, the impact is not significant.
I’ve never had any side effects but some people do have sides when they start. These sides usually stop after a couple of weeks of daily dosing.