{
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            "text": "UK guide to PrEP",
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            "bbox": {
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            "text": "PrEP and sexually transmitted infections (STIs)",
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            "text": "PrEP does not protect against other STIs. Condoms can help prevent many of these though."
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            "text": "Although STIs are mostly easy to treat, symptoms can sometimes be unpleasant and sometimes serious. This is why regular STI testing is recommended."
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            "text": "The HPV vaccine reduces the risk of genital warts and cervical and anal cancers. Please ask your clinic or GP about this. Your clinic should also provide vaccines for hepatitis A and B if needed, and for mpox."
        },
        {
            "id": "p7.6",
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            "type": "heading",
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            "text": "Does PrEP interact with other medicines?",
            "attrs": {
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            "text": "PrEP only interacts with a few other medicines.",
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        {
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            "bbox": {
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            "text": "But if you routinely take other prescribed or over-the-counter meds, always tell your doctor (including your GP) that you are taking PrEP. Any pharmacist can also check for drug interactions."
        },
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            "text": "Tenofovir (TD) should also be used with caution if you regularly take other drugs that affect the kidneys. These include some non-steroidal anti-inflammatory drugs (NSAIDs), especially diclofenac, ibuprofen and naproxen."
        },
        {
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            "text": "Routinely taking these drugs with PrEP can cause kidney problems. Avoid these meds when taking PrEP and please let your doctor know if you regularly need to take them."
        },
        {
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            "text": "TAF can interact with TB meds, anti-epileptics, St John's Wort and others. These interactions are not a problem with TD."
        },
        {
            "id": "p7.12",
            "order": 12,
            "type": "text",
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            "text": "PrEP is very safe for trans and non-binary people taking hormone therapy (see p10)."
        },
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            "text": "See: www.hiv-druginteractions.org/checker"
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            },
            "text": "February 2024",
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            "text": "7",
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