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PEP • Frequently Asked Questions

Everything you need
to know about PEP.

If you’ve just had a possible HIV exposure, you probably have urgent questions. This page brings the most important answers about PEP together in one place, with links to full articles when you want to go deeper.

Medically reviewed by Jude Ozioko, Pharmacist (PCN 024035) • Last reviewed October 2026


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PEP must be started within 72 hours of exposure. If you think you may have been exposed to HIV, don’t wait to read through this page. Message us now, day or night.

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The Basics

Understanding PEP

QWhat is PEP?

PEP (post-exposure prophylaxis) is a 28-day course of HIV medicine taken after a possible exposure to the virus. It stops HIV from copying itself in the period right after exposure, before it can take hold.

PEP is not a cure and it is not a vaccine. It’s an emergency treatment, and how well it works depends on how quickly it’s started and how consistently it’s taken.

Read the full article: What is PEP? →
QWhat exposures qualify for PEP?

PEP is appropriate after a possible exposure to HIV. Common situations include:

Sexual exposure: sex without a condom, or a condom that burst or slipped, with a partner whose HIV status is unknown or positive, or sexual assault.

Needle-related exposure: sharing needles or syringes, or a needlestick injury at work.

Other exposure: contact between possibly HIV-positive body fluids and broken skin, an open wound, or the eyes or mouth.

Not sure whether your exposure qualifies? Take the 2-minute risk check or message us, and we’ll assess your situation promptly.

QWhat medicines are used for PEP?

The recommended first-line PEP regimen is a single daily tablet combining three medicines: tenofovir, lamivudine and dolutegravir (TLD). Our team confirms the right regimen for your situation during your assessment, including checking your other medicines and health conditions. All medicines come through authorised pharmaceutical channels and are dispensed by licensed pharmacists.


Timing & Duration

When and How Long to Take PEP

QWhen should I start PEP?

PEP must be started within 72 hours of a possible exposure. The earlier, the better: the first 24 hours give the best chance of preventing infection. Starting between 24 and 72 hours still works, but every hour of delay matters.

After 72 hours, PEP is no longer recommended. If you’re past this window, message us anyway. We’ll talk you through HIV testing and whether PrEP makes sense for you.
Read the full article: How soon to take PEP →
QHow long do I need to take PEP?

The standard PEP course lasts 28 days. Completing the full course is critical. Stopping early, even if you feel fine, can leave the job unfinished.

Take PEP at about the same time every day. Consistent dosing matters as much as starting early.

Read the full article: How long do I need to take PEP? →
QWhat happens if I miss a dose?

Take the missed dose as soon as you remember, unless your next dose is less than 4 hours away. In that case, skip the missed dose and carry on as normal. Never take two doses at once.

If you’ve missed two or more doses, take your next dose straight away and message us the same day.

Read the full article: Missed a dose of PEP? →

Effectiveness

How Well Does PEP Work?

QIs PEP 100% effective?

No HIV prevention method is 100% effective, and PEP is no exception. But when it’s started promptly and taken correctly for all 28 days, PEP is highly effective at preventing HIV after a possible exposure.

It works best when started within the first 24 hours and taken without missed doses.

Read the full article: Can PEP fail? →
QDoes PEP protect me from future HIV risks?

No. PEP is an emergency treatment for one specific exposure. Once your 28-day course ends, you’re no longer protected.

If your risk is ongoing, you can move straight onto PrEP when your PEP course ends, with no gap in protection.

Read the full article: Switching from PEP to PrEP →
QCan I take PEP more than once?

Yes. There’s no medical rule against taking PEP more than once. But if you find yourself needing it repeatedly, your risk is ongoing, and PrEP will protect you far more reliably than repeated PEP courses. See which PrEP is right for you.

QHow does PEP compare with emergency contraception?

Both are emergency treatments taken after a risk rather than before it, and both must be taken within a time window. PEP prevents HIV and is a 28-day course. Emergency contraception prevents pregnancy and is usually a single dose.

They can be taken together. If a condom burst during vaginal sex, you may need both. See condom broke: do I need PEP?


Side Effects & Daily Life

Living with PEP

QWhat are the common side effects of PEP?

PEP is generally well tolerated. The most common side effects, mainly in the first week, are nausea, tiredness, headache and loose stools. They’re usually mild and ease as your body adjusts.

Taking PEP with food can help with nausea. If you use antacids or iron, calcium or zinc supplements, take PEP at least 2 hours before or 6 hours after them.

Don’t stop PEP because of side effects without speaking to us first. Completing the full 28 days is essential.
Read the full article: PEP side effects →
QCan I drink alcohol while on PEP?

Moderate drinking doesn’t directly reduce PEP’s effectiveness. Heavy drinking is discouraged, though: it adds strain on the liver and makes it much easier to miss or forget doses, which does reduce effectiveness.

If you drink during your course, keep it moderate and don’t let it disrupt your daily dose.

QCan I have sex while on PEP?

Yes, but use condoms every time, during your PEP course and until your 3-month HIV test is negative. Until then, it isn’t certain whether PEP prevented infection from the original exposure, so condoms protect your partners. PEP is also not designed to protect you from new exposures.


After PEP

What Happens When You Finish

QWhat should I do after I finish my PEP course?

Test for HIV at 4 to 6 weeks after the exposure, and take a final test at 3 months. The 3-month test matters because PEP can delay when an infection shows up on a test, even in the rare cases where it didn’t fully prevent it.

Our team will guide you on follow-up testing. Don’t skip it.

Read the full article: What happens after PEP? →
QI’m at ongoing risk. What should I do after PEP?

Move straight onto PrEP when your PEP course ends. With a negative HIV test at that point, you can start PrEP the day after your last PEP dose, with no gap in protection.

All three PrEP options are available through us: the daily pill and the twice-yearly lenacapavir injection are available now, and CAB-LA (every two months) is available on request. Compare them in which PrEP is right for you.


Getting PEP

How to Get PEP through Zivoko

QHow do I get PEP from Zivoko?

The fastest way is WhatsApp at +234 701 439 4194, open 24 hours a day. Message us and our team will do a brief assessment. Once cleared, your PEP is dispatched straight away, in plain packaging. You can also order online.

QHow fast will PEP reach me?

Within hours in our 13 hub cities: Lagos, Ibadan, Abuja, Kaduna, Kano, Jos, Benin City, Asaba, Warri, Onitsha, Enugu, Owerri and Port Harcourt. Abuja is usually within 3 hours, and Lagos and Abuja deliver at night too.

Everywhere else in Nigeria: fast delivery, within 24 hours at the latest. See PEP in your state.


Have an urgent question that isn’t answered here?

We’re on WhatsApp 24 hours a day. For PEP, don’t wait. Message us now and we’ll guide you through your options.

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PEP can stop HIV, but timing is everything.

If you think you’ve been exposed, act now. Don’t wait.