Is injectable PrEP available for everyone and is it as effective?

Yes, injectable PrEP is an extremely effective option and is increasingly accessible in Quebec. Here are the details to answer these two excellent questions.

A superior effectiveness

Yes, clinical studies demonstrate that injectable PrEP offers superior protection against HIV compared to oral PrEP.

One of the clear advantages of the bimonthly injection is that it completely eliminates the risk of missing a daily pill. Since consistent adherence is the most important factor for ensuring the effectiveness of oral PrEP, the injectable method provides continuous and stable protection. It can therefore be considered one of the most reliable HIV prevention methods available today.

Who can get it and is it covered in Quebec?

Injectable PrEP, like oral PrEP, is intended for people who are at substantial risk of contracting HIV and who have a negative screening test.

Regarding coverage, injectable PrEP is covered by RAMQ (the public plan) and all private insurance plans in Quebec. As with oral PrEP, the final cost to you depends on your specific coverage, and financial support programs from the manufacturer are available to help reduce or completely eliminate this cost. This is why many people say they receive PrEP "for free."

Is it the right option for you?

Despite its effectiveness, injectable PrEP is not automatically suitable for everyone. It is a very personal choice. Here are a few points to consider:

• The appointment schedule: Are you comfortable with the idea of a clinic or pharmacy appointment every two months to receive your injection?
• Fear of needles: Although the injection is quick, it is still an intramuscular injection. This is an important factor for some people.
• Your lifestyle: If you travel very frequently or for long periods, the logistics of a fixed appointment can be more complex than carrying pills with you.
• The nature of the treatment: The medication stays in the body for a long time. This means that a side effect (like tenderness at the injection site) can also last longer than if one were to simply stop taking a pill.

In summary, injectable PrEP is a major advancement that simplifies life for many people. A frank discussion with one of our pharmacists is the best way to weigh the pros and cons and to determine if this option fits your reality.