QUICK LINK: CMAJ: Canadian guideline on HIV pre-exposure prophylaxis (PrEP) and nonoccupational postexposure prophylaxis (PEP) Read Online | Download PDF
PrEP & PEP Prescribing Guidelines for Canadian Doctors
For Licensed Doctors Practicing in Canada: A guideline for prescribing PrEP and nPEP to prevent HIV infection was published by the CMAJ in November 2017, Volume 189, Issue 47.
“PrEP: Pre-Exposure Prophylaxis
PEP: Post-Exposure Prophylaxis”
*In general, the term 'PEP' is used more commonly and effectively, has the same meaning as nPEP. The terms 'nPEP' and 'PEP' are used as distinct terms primarily in clinical or research contexts.
The Canadian Guideline on HIV PrEP and nPEP has been developed for Canadian doctors and other clinicians working in primary care, infectious diseases, emergency medicine, nursing, pharmacy and related disciplines. The guideline outlines the following:
who PrEP & nPEP/PEP should be prescribed to (indications)
the medications and doses that should be prescribed (regimens)
practical advice, including follow-up, monitoring and testing recommendations
The PrEP and PEP Guidelines were developed by the Biomedical HIV Prevention Working Group of the CIHR Canadian HIV Trials Network. It was co-authored by Dr. Darrell Tan, Director of the University of Toronto Clinical Research Unit on HIV Prevention and co-leader of the CIHR Canadian HIV Trials Network Biomedical Prevention Working Group.
Dr. Darrell Tan talks about PrEP and PEP.
Doctors Can Help reduce new HIV infections
There is an increasing need for access to PrEP and PEP in our communities. Ontario saw an 18% increase in the number of new HIV infections between 2013 and 2017 according to OHESI, the Ontario HIV Epidemiology Surveillance Initiative.
The good news is that the Canadian Guideline on HIV PrEP and nPEP clearly explains how and when to prescribe PrEP and nPEP to all primary care practitioners in Canada, and, as a result, family doctors can now play an important role in reducing the number of new HIV infections.
Questions about PrEP and PEP prescription medications or how to prescribe? Get in touch with us at The Village Pharmacy anytime or contact . We’re happy to be a resource for you.
Links to Guidelines, Info about PrEP and PEP, and info on public health goals for HIV testing and treatment targets in Canada
LINKS TO PREP & NPEP GUIDELINES FOR CANADIAN PHYSICIANS:
CMAJ: Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis Read Online | Download PDF
Webinar about the Canadian guideline on PrEP and PEP Watch Now
Pocket PEP, St. Michael’s Hospital. Download PDF
PrEP and nPEP guidelines - The Globe & Mail
Take the Online Course - How to Prescribe PrEP (1 Mainpro M1 Credit)
UNAIDS 90-90-90 Targets
Canada has committed to meet UNAIDS global targets for HIV Testing and Treatment by 2020. There is still some work to be done in Canada on HIV diagnosis and treatment. As a family doctor, you can help by providing increased access to HIV testing, treatment and biomedical prophylaxis for your clients.
UNAIDS has set even more ambitious targets of 95-95-95 by 2030, along with a 60% decrease in the number of new HIV infections, as part of the UNAIDS Fast Track Cities Initiative. Watch the short video here (45 seconds).
‘Toronto To Zero’ is working to join the UNAIDS Fast Track Cities Initiative to end the AIDS Epidemic by 2030.
More info…
HIV Testing & Treatment Guidelines - for Doctors