Anonymous
Two weeks ago, while in France, I started a timely PEP regimen.  The French doctor also prescribed that I get a blood test for creatinine after 15 days.  I have since left France and I am wondering how critical it is to get this test at this time as it is difficult to get a Dr.’s appointment during the holidays.  Please also note that I have been previously on PEP and the regimen did not cause any liver or kidney damage.  
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about how important it is to have a creatinine test following 15 days of starting PEP. According to the CDC, PEP does not have any notable side effects other than nausea (1). According to the National Kidney Foundation (2), if you have HIV, your chances of getting kidney disease are greater if you:
  • Have a high viral load (a large amount of HIV in the blood).
  • Have a low CD4 count (a low number of the blood cells that help fight disease such as HIV)
  • Are African American, Hispanic American, Asian, Pacific Islander or American Indian
  • Have diabetes, high blood pressure or Hepatitis C
  • Have a family member who has kidney disease
  • Are 65 or older
  • Have used medications over the course of many years that damage the kidneys (such as NSAIDs and other pain killers).
Recommendation: If one or more of these qualifications are relevant to you, and/or you are concerned about your kidney health while on PEP treatment, then I would advise you to seek consultation of a healthcare professional for further steps.

Regards,

AIDS Vancouver Helpline/Online, Shirley

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Additional Resources: 

(1)  PEP
(2)  HIV and Chronic Kidney Disease: What You Need to Know
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