Worried about HIV exposure? Check if you are eligible for PEP. You have 72 hours to act.

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Reviewed by Jude Ozioko, Pharmacist (PCN 024035)

Question 18%

First, who are we helping?

Your answers reach our care team in one WhatsApp message, so you never have to repeat yourself.

In a hurry? Chat with us on WhatsApp

How can we help today?

Choose the one that fits best.

What happened?

Pick the closest match.

When did it happen?

PEP must start within 72 hours. The sooner it starts, the better it works.

Or choose roughly

Do you know your HIV status?

This tells us whether you need a test first. Your answer stays private.

When was your last negative HIV test?

A test only reflects exposures from several weeks before it, so a recent test tells us much more than an old one.

Or choose roughly

Do you know the other person’s HIV status?

Or the person whose blood or needle it was.

Are they on treatment with an undetectable viral load?

Undetectable means the virus is too low to measure. At that level, HIV is not passed on through sex.

Are you taking any HIV medicine right now?

This tells us whether you were already protected.

How long had you been taking daily PrEP when this happened?

Daily PrEP reaches full protection after about 7 days for anal sex, and about 21 days for vaginal sex and blood exposure.

In the 7 days before it happened, how many pills did you miss?

Be honest. This decides whether you need PEP.

Did you take 2 pills between 2 and 24 hours before the sex?

On-demand PrEP means 2 pills 2 to 24 hours before sex, then 1 pill 24 hours later and 1 more 24 hours after that. It is only recommended for anal sex.

When was your last lenacapavir injection?

If your very first injection was less than a week ago, choose I am not sure.

When was your last CAB-LA injection?

If you are still on your two starter injections and the second one is late, choose I am not sure.

Could this kind of exposure happen again?

For example, a regular partner whose status you do not know, or condoms that are not always used.

In the last 72 hours, did you have sex without a condom or any other possible exposure?

If yes, you may need PEP first. PrEP cannot stop an infection that has already happened.

In the last 4 weeks, have you had a flu-like illness?

Fever, rash, sore throat, swollen glands, or night sweats can sometimes be a sign of very early HIV.

What describes your situation?

Tick all that apply. There are no wrong answers.

Which PrEP option appeals to you?

You can change your mind later.

Which PrEP are you on?

In the last 72 hours, did you have sex without a condom while you had missed doses, run out, or were late for an injection?

Is your next injection overdue?

Lenacapavir is due every 6 months and CAB-LA every 2 months. A late injection may need an HIV test and a short restart.

What do you need?

When did you start PEP?

Have you missed any doses?

Which PEP medicine are you taking?

How many days of pills do you have left?

When was your last possible exposure?

This decides which test and when.

In the last 4 weeks, have you had a flu-like illness?

Fever, rash, sore throat, swollen glands, or night sweats can sometimes be a sign of very early HIV.

How would you like to test?

Does any of this apply to you?

Tick all that apply. It helps us choose the safest medicine for you.

Almost done.

Both fields are optional, but they save time when we reply.

Street, house number and a landmark help our rider find you fast. It goes only into your WhatsApp message.

⚠️ PEP needed now

You need PEP. Start as soon as possible.

Your exposure carries a real HIV risk and you are still inside the 72 hour window. PEP works best the earlier it starts, ideally within hours. Send your answers and we will arrange it right away.

⏱️ Quick review needed

Message us right now.

Some of your answers need a closer look before we can say for sure what you need. Timing matters, so message us now and we will give you a clear answer quickly.

🛡️ Likely protected

Your PrEP has most likely protected you.

Based on your answers, your PrEP was working when this happened, so PEP is usually not needed. Keep taking your PrEP exactly as prescribed, and send your answers so we can confirm.

Very low risk

Undetectable means untransmittable.

When a person living with HIV takes treatment and keeps an undetectable viral load, HIV is not passed on through sex. PEP is usually not needed. If you are unsure how recent their result is, message us and we will help you decide. Read about U=U

Low risk

PEP is usually not needed.

If the other person tested HIV-negative and you saw the result, your risk is very low. One caution: a test can miss an infection picked up in the few weeks before it. If they may have had a recent exposure, message us and we will help you decide.

Very low risk

Oral sex carries a very low HIV risk.

PEP is usually not recommended after oral sex. Talk to us if there was blood, open sores, or bleeding gums, or if your partner is living with HIV and not on treatment. Oral sex can pass on other infections such as gonorrhoea and syphilis, so an STI check is worth considering.

No HIV risk

What you described cannot pass on HIV.

HIV is not passed on through kissing, touching, hugging, sharing food, toilets, or mosquito bites. You do not need PEP. If something else happened that you did not mention, start again or message us. What cannot transmit HIV

PEP window passed

More than 72 hours have passed.

PEP cannot be started now, but there is still a clear plan: test at the right times, and consider PrEP so you are protected from here on. Our team will guide you through both. When to test

On treatment

PEP is not needed for you.

PEP is for people who are HIV-negative. Keep taking your treatment every day. If your viral load is not undetectable and a partner was exposed, they may need PEP within 72 hours, and we can help them too.

✅ PrEP is a good fit

PrEP makes sense for you.

From your answers, ongoing protection is a smart move. You can choose a daily pill, the lenacapavir injection twice a year, or CAB-LA every two months on request. Send your answers and we will take it from there.

PrEP support

Let us keep your PrEP going.

Send your answers and we will sort your refill, switch, or question without asking you everything again.

Keep going

Do not stop your PEP.

PEP only works if you finish all 28 days. Send your answers and we will get the rest of your course to you before you run out.

🔬 HIV testing

Let us get you tested.

Testing is quick, private, and the only way to know your status for sure. Send your answers and we will arrange the right test at the right time.

Free treatment

Free HIV treatment is available.

HIV treatment is free at government ART centres across Nigeria, and with treatment you can live a full, healthy life. Our team can help you find a centre near you. See ART centres by state

You are close to the 72 hour limit. Message us right now. We prioritise these requests.
If you were sexually assaulted: you also need emergency contraception as soon as possible, treatment to prevent other infections, and support. Please also get care at a hospital or a sexual assault referral centre. What happened is not your fault, and you do not have to go through it alone.
You have run out. Message us now. Gaps in PEP reduce how well it works.
Already on PEP? Keep taking it. A new exposure during your course may mean extending it, so message us now.
Not sure of the time? Tell us roughly when it happened so we can confirm PEP will still work.
Quick HIV test first: we will arrange a test before you start. It confirms PEP is the right medicine for you and gives a baseline to compare with later.
Could you get pregnant from this? Emergency contraception works best within 72 hours, and some options work for up to 5 days. It is safe to take alongside PEP. Your options
About your PrEP: it had not built up full protection yet, or doses were missed, so PEP is the safer choice this time.
About on-demand PrEP: the 2-1-1 method is only proven for anal sex, so it cannot be relied on for this exposure.
About your injection: it was overdue, so it may no longer have been protecting you.
Your next injection is due now. Book it today so your protection does not lapse.
Your injection is overdue. We will arrange an HIV test before your next dose, and you may need a short restart.
After PEP: because this could happen again, PrEP can protect you from the day you finish PEP, with no gap. About PrEP
Possible STI symptoms: sores, discharge, or pain when urinating can mean an STI, which also raises HIV risk. Mention them when you message us. Most are easy to treat.
Pregnant or breastfeeding: PEP and PrEP can both be used safely. We will choose the right medicine for you and your baby.
Kidney health: we will choose the medicine that is safest for your kidneys. For PrEP, the lenacapavir injection is often the better option.
Hepatitis B: some HIV prevention medicines also treat hepatitis B, so starting or stopping them should only be done with professional guidance.
Your other medicines and past reactions: we will choose the safest regimen and adjust the dose or timing where needed. Do not stop any medicine on your own.
Under 18: you can still message us. We will guide you on the right medicine and dose.
HIV test needed: PrEP is only safe after a recent negative test. We will arrange one first.
Recent flu-like illness: this can sometimes be very early HIV, so we need to rule that out with the right test before PrEP starts.
Missed doses: do not double up. We will tell you exactly what to do next.
Your first HIV test: a good decision. Whatever the result, we will talk you through it privately.
Timing matters: a test this soon can miss a very recent infection. Test now if you want, then again 6 weeks and 12 weeks after the exposure.
Timing matters: a lab test is reliable from about 6 weeks after exposure. Confirm with a final test at 12 weeks.
Good timing: more than 12 weeks have passed, so a test now gives a reliable result.
Good habit: if you are sexually active, testing every 3 to 6 months is recommended.
Recent symptoms: mention them when you message us. A lab test may be better than a self-test right now.
About self-tests: they are most reliable 12 weeks after an exposure. Before then, a lab test is the better choice.

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