Originally Posted by
Miclop
I take as they recommend, 2 x 100mg tablets within 72 hours of a BBFS session.
My usual routine is to take it straight after the session.
If I'm overseas and planning a lot of possible BBFS sessions, then I take one 2 tablet dose just before I arrive, and then top up every 3 days with 2 tablets.
This is what Google AI says...
AI Overview
The doxy-PEP approach involves taking an oral dose of the antibiotic doxycycline (200mg) within 72 hours (three days) after condomless sex to prevent bacterial sexually transmitted infections (STIs), specifically syphilis, chlamydia, and to a lesser extent, gonorrhea. It is taken with food and water, and is most effective when taken as soon as possible after exposure. Doxy-PEP is not a replacement for conventional STI prevention and is generally recommended for people at high risk for STIs, such as gay and bisexual men and transgender women.
How it works:
Timing: Take the 200mg dose within 72 hours of sexual contact.
Administration: Take the tablets with food and a full glass of water.
Dosage: A single dose is sufficient.
Who it's for:
Doxy-PEP is a prevention tool, not a cure, and does not protect against viral infections like HIV or herpes.
It is primarily recommended for individuals at higher risk for bacterial STIs, such as gay and bisexual men, and transgender women.
The decision to use doxy-PEP should be made in consultation with a healthcare provider through a process of shared decision-making.
Benefits:
Reduces risk: Studies show doxy-PEP can significantly reduce the incidence of syphilis and chlamydia, and to a lesser degree, gonorrhea.
Empowerment: It provides individuals with a sense of control over their sexual health.
Risks and Considerations:
Antimicrobial Resistance: A major concern is the potential for increased antimicrobial resistance, where bacteria become resistant to antibiotics, making infections harder to treat.
Microbiome Disruption: Doxycycline can affect beneficial bacteria in the body.
Not for All STIs: Doxy-PEP is ineffective against viral infections like HIV.
Side Effects: Some people may experience mild side effects, such as gastrointestinal upset or increased sensitivity to the sun.
Need for Monitoring: Regular screening for HIV, chlamydia, gonorrhea, and syphilis is crucial for individuals using doxy-PEP.