Adelaide Sexual Health Centre
137 East Terrace, Adelaide SA 5000
Adelaide Sexual Health Centre provides free, confidential, specialist sexual health services. Get advice, testing and treatment for all sexually transmitted infections.
Pre-Exposure Prophylaxis (PrEP) medications (co-formulated tenofovir disoproxil and emtricitabine), when used with optimal adherence, are highly effective at preventing HIV transmission.
PrEP medications are registered in Australia with the Therapeutic Goods Association and listed on the Pharmaceutical Benefits Scheme (PBS) as a General Schedule item (Streamed Authority) meaning all general practitioners, other medical specialists and authorised nurse practitioners can prescribe PrEP for HIV prevention. No specialist training is required to prescribe PrEP, however, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) provide resources and training guidance for clinicians who are new to prescribing PrEP.
The ASHM 2019 PrEP Guidelines recommend daily PrEP for all people at risk of HIV infection, including men who have sex with men (MSM), heterosexual men and women, transgender people, and people who inject drugs. In addition, these guidelines also recommend that on-demand PrEP should be offered as an alternative option to cis-gender MSM.
There are three ways to access HIV PrEP in Australia:
South Australian health practitioners should refer to the ASHM HIV Pre-exposure Prophylaxis Clinical Guidelines. The ASHM HIV PrEP Guidelines outline behavioural risk and suitability criteria for men who have sex with men (MSM); heterosexual men and women; trans and gender diverse people; and people who inject drugs.
In addition to assisting clinicians in assessing the suitability of patients for PrEP, the ASHM HIV PrEP Guidelines provide guidance on commencing and monitoring patients on PrEP including management of side-effects and toxicity, use of PrEP in pregnancy and in chronic hepatitis B infection; daily and on-demand (also known as event-based) PrEP dosing; and discontinuing PrEP.
The ASHM HIV PrEP Guidelines provide a recommended appointment schedule of testing and ongoing monitoring for health practitioners managing individuals accessing PrEP for HIV.
A two-page Decision Making in PrEP: Prescribing Pathway for PrEP in Australia tool summarises the eligibility criteria and recommended assessment for primary care providers in Australia who wish to prescribe PrEP and as well as patient education and monitoring requirements.
To contact a clinician with experience in prescribing PrEP in South Australia, please contact the Adelaide Sexual Health Centre.
To view a list of prescribing doctors and nurse practitioners, visit the South Australian HIV Pre-Exposure Prophylaxis Prescribers List on the SHINE SA website.
Co-formulated tenofovir and emtricitabine for use as HIV pre-exposure prophylaxis (PrEP) by people at risk of HIV infection is now recommended as standard care in clinical guidelines in Australia. As PrEP is now listed as a Schedule 85 (s85) drug, any doctor can write a script for PrEP which can be taken to any pharmacy for dispensing.
Adelaide Sexual Health Centre (ASHC) are currently seeking General Practitioners interested in offering their patients PrEP and receiving referrals. Please call (08) 7117 2800.
To list your clinic online go to either of the following websites:
For information on PrEP for HIV training courses, visit the ASHM website.