I Have Kideny Problem, Can I take PrEP?
PrEP usually uses TDF-FTC, which is contra-indicated for kidney patients. However, you can take TAF-FTC (TAF-FTC; Tenofovir Alafenamide 25 mg-Emtricitabine 200 mg) which has a safe kidney profile and has been proved in clinical trials as an efficient PrEP therapy. However, it can also have some side effects on its own. TAF-FTC protocol can cause dyslipidemia and weight gain.
In such a case, we recommend, frequent follow up for lipids: HDL, LDL, and triglycerides. Moreover, BMI follows up as well as a metabolic screen is needed.
For more information on kidney safety please check step 2 in our PrEP guide.