PrEP is short for Pre-exposure Prophylaxis. It is a once-per-day pill that reduces the risk of contracting HIV by up to 99%
Your protection begins for receptive anal sex seven days after starting daily PrEP. Before seven days have passed, it is recommended that you take additional HIV protection (such as wearing a condom). For vaginal or drug usage, it is recommended to wait 21 days for maximum protection.
The short answer is it’s up to you! Getting into more detail - if you take PrEP every day, you will get up to 99% protection from HIV. If you stop taking PrEP though, you lose your protection. You should take PrEP for as long as you think you may be exposed to HIV.
Age is not a limitation in Canada for PrEP. As long as you meet the health criteria for PrEP, you are good to go.
Please ensure that you have also booked your free virtual appointment. To book your appointment please click here.
When booking your appointment you are given the choice of phone call or virtual consult.
If you select a phone call, please have your phone on and be expecting a call as your clinician will call you at your scheduled appointment time. Please note that it will come up as “no caller ID” or “private caller”.
If you select a virtual consult, please go to https://app.gofreddie.com/ five minutes prior to your appointment. Simply enter your email on the page, then you will receive an email with a link to your portal where you will have a secure video consultation with your clinician.
All messages from the Freddie care team and your lab requisition will be sent through our secure patient portal to protect your privacy. You will receive an email notifying you of a new message, then click the link to view your message in the patient portal. On the right side bar, click messages to view new notes from the Freddie care team. Lab requisitions will be sent as an attachment within the patient portal secure messaging system.
You can also access your patient portal by going to https://app.gofreddie.com/. Just enter your email, then click on the link that was emailed to you to access the portal.
If you are expecting a message but not seeing any emails from Freddie in your inbox please be sure to check your spam and junk folders.
If you still do not see any emails and are unsure about your next steps please contact firstname.lastname@example.org.
PrEP is recommended for those at a higher risk for HIV, including (but not limited to):
If you’re interested in finding more about if PrEP is right for you, check out our article “Is PrEP right for Me?”
If you take PrEP daily, the presence of the medicine in your bloodstream helps stop HIV from taking hold and spreading in your body. PrEP stops HIV in your bloodstream from replicating, eliminating the virus from your body when the original exposure amount dies.
Daily PrEP use has the ability to reduce the risk of getting HIV by 99%. Daily use is the most studied regimen, and this is what we recommend as well.
Most people in Alberta and Saskatchewan qualify for free provincial coverage of PrEP. In Ontario, people under 24 years old and younger qualify for free provincial coverage. For those in Ontario who are 25 years old and above, PrEP is free or low cost through Freddie's unique financial assistance programs. We will help you find the cheapest option! You can learn more about coverage and how much you will pay here: https://www.gofreddie.com/about-prep/freddies-new-financial-assistance-programs
For people in other provinces, all except Manitoba have released criteria that, if met, enable you to be fully covered for PrEP. Freddie does not serve provinces outside of Alberta, Ontario and Saskatchewan but we have plans to launch in the coming months!
Most people in Alberta, Saskatchewan and those in Ontario who are 24 years old and younger qualify for free PrEP through provincial coverage! However, those who live in Ontario and are 25 years old and above generally need to pay for PrEP.
Freddie's financial assistance programs make PrEP free or low cost for people in Ontario aged 25 and above. There are two programs:
Freddie also provides three months of free PrEP while you wait for your coverage kick in. We're here to support you!
You can read more about Freddie's financial assistance here: https://www.gofreddie.com/about-prep/freddies-new-financial-assistance-programs
Less than 10% of people experience side effects on PrEP. While some people do experience side effects, the vast majority of people don’t experience any at all. Those that do usually only have them for a short amount of time as they get used to the drug.
The fear of side effects shouldn’t hold you back from trying PrEP. Regular check-ups with your physician will ensure that you are doing well while on PrEP, and that any side effects are managed.
Before starting PrEP, you will have to do some lab work. After 30 days of being on PrEP, you will have to do some additional lab work to ensure your body is tolerating PrEP. For most patients, this is just a precaution to be fully sure everything is working well. After that initial checkup, you’ll need to get lab work done every three months. Your Freddie doctor will walk you through the process.
If you forget to take a tablet, make sure to take it as soon as you remember! If it’s less than 12 hours before the next dose, wait until the next dose.
If you’ve forgotten a dose, don’t take a double dose of PrEP, as it will increase the likelihood of a side effect without giving you any additional benefit.
Missing one won’t significantly decrease your protection, however, if you find yourself missing multiple doses, here are some useful tips from our users on how they remember:
“I take mine every day when I brush my teeth”
“I take it with dinner every day”
“I have a daily alarm that let's me know to take it”
Current studies state that you can stop PrEP 2 to 28 days after your last possible HIV exposure. However at this time, we don’t know yet if 2 days post-exposure is really enough, so most experts recommend a full 28 days. People can consider stopping PrEP if they are no longer at a substantial risk of acquiring HIV.
PrEP provides protection for HIV, but not for any other STIs. The choice of whether to wear a condom or not is personal. However, if you are looking for protection against other conditions, it is best to use PrEP and condoms.
Alcohol and other recreational drugs are not known to interact with PrEP. It is safe to take PrEP while on these other substances.
Your PrEP will be packaged in a non-identifiable envelope without any branding or mention of its contents. It will be sent with free 1-2 day shipping.
You should use additional HIV prevention measures for at least 7 days after starting PrEP. While PrEP provides high levels of protection in people who take PrEP regularly, time is needed to build up protective levels of the drug in the blood and other tissues (7 days for anal tissue, 20 days for vaginal tissue). A few ways to lower risk during this period include using condoms for all anal and vaginal intercourse or abstaining from intercourse all together.
You have a choice. You can either have it discreetly shipped to you with 1-2 day free shipping or you can pick it up from the pharmacy of your choice.