The accident happened last Saturday at around 21:40+ when I was having a tryst with a gorgeous Chinito for the first time and I noticed that something went wrong. I told him that the condom broke and Mr. Chinito told me not to worry and claimed that he's safe because he got tested last month and the result was negative. I want to believe him but I need tangible evidence and he was not able to provide one. I immediately sent a message to Test_MNL asking for the availability of Post Exposure Prophylaxis (PEP). I am aware that time is of the essence and I need to take the medication 48 hours after exposure.
Test_MNL informed me that PEP is available but I need to pay 1,500.00 PhP because the medication were imported from Bangkok and not part of the government's program. I of course immediately agreed to pay the price because my health is more important than money. Test_MNL advised me to visit loveyourself Anglo for HIV testing and counseling.
It was a restless night.
Fast forward Sunday, I went to Mandaluyong with "butterflies flying inside my tummy". I arrived at the community center at exactly 13:00 and looked for Kahel for instructions and he gave me the form to fill-up and lined up for the blood extraction. I was expecting not to line up because I was informed that CBS is available but that's life :).
More than 30 minutes of waiting for the extraction and another 30 minutes for the result. - waiting for the result was excruciating because I'm aware of the process. I was planning for possible scenarios that might happen If it turned out reactive, I'll do my baseline this Monday and immediately take ARV or do whatever the advice of the MD. If it's non reactive, I will take PEP asap.
I was uber observant and once I noticed that the results envelopes were available, I immediately went to the reception and asked if I can get my result but they are strictly following the protocols (which is very good) and did not release my result instead, they went to Kahel and inform him about my concern. When Kahel told me that there's nothing worry about, I feel like a ton was lifted on my shoulder and I immediately asked about the next step.
The next step is the PEP counseling and checking of vital signs. I was referred to the on duty doctor due to my 150/100 mmHg blood pressure (the first time that I got BP reading and I'm blaming the apparatus that was used and the stressful situation because I've been checking my VS for quite sometime and it's always within normal limits.). The doctor gave his go signal that I can start with my PEP.
Kahel talked to me about the possible short term side effects of the medications such as dizziness, headache, vivid dreams, fatigue and rashes; and long term side effects like muscle wasting and lipodystrophy. The only thing that concerns me is the lipodystrophy because I don't want to gain weight but since this is just a temporary medication (I need to take the meds for a month) my fears were lessened.
Kahel gave me 15 tablets to be taken everyday for 15 days, 2 hours after meal or 2 hours before bed time. He reiterated that for the meds to be effective, I need to be compliant and to message him if there are side effects of the drugs and I need to be tested again after 15 days (that's on November 5).
I planned to take the meds at 20:40 everyday after considering work, gym, evening classes and patient care.
Day 1
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I was feeling good, I almost forgot that I took my initial dose until
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I started to get light headed but not dizzy. It's like the feeling of being drunk but not totally drunk. This started until the end of the concert.
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After the concert, I just wanna go home and sleep but my friends decided to have a meal before going home and talk about the concert.
Got home at around 2 AM, washed my face and slept until 7:00 AM because I've work.
I woke up feeling light headed and tired but it's bearable. Had heavy breakfast and took my isotretenoin (I was not able to ask the drug interaction between efavirenz and isotretinoin but both might cause problem to liver - I did not stop taking isotretinoin because whatever happens I want to die beautiful)
The light headed feeling persisted until I finished work at around 16:00. I went home immediately, had dinner and slept for a little bit before going to the gym.
I feel tired put I persevered because I want to avoid the side effect of losing muscles and lipodystrophy (again, I want to die beautiful) and I also want to see my crush - sadly he's not there but there are still cute guys to secretly ogle :)
Gym experience is not that good because I'm so tired but it was bearable.
Got home at around 19:45, took my second dose at 20:40 and slept at around 22:00 still feeling tired and light headed.
That's it for day 1.
eskay