Stay protected with HIV PrEP
A doctor guides your preventive care: baseline checks, a PrEP schedule that fits your routine, and regular follow-up testing, all discreetly online.
- Written consultation, no video call
- Reviewed for safety and interactions
- Full refund if not approved
What it is
PrEP (pre-exposure prophylaxis) is a medicine taken by people who do not have HIV to lower their chance of getting it.
It needs checks before you start, including an HIV test and kidney function, and regular tests while you take it. A doctor reviews whether it suits you.
How it works
Answer online
A short questionnaire about your symptoms.
Doctor review
A licensed EU doctor reads your answers and replies in under 2 hours on average.
E-prescription
If treatment is suitable, your prescription is issued electronically and dispensed at any EU pharmacy.
Treatment options
The doctor chooses based on your answers and health. Some options are practical advice, some are prescription medicines.
PrEP tablets
Taken on the schedule your doctor advises, if suitable for you.
Baseline tests
The tests you need before starting, and where to take them.
Follow-up
Regular checks and support in the private in-app chat.
One consultation, one clear price
You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.
- Consultation reviewed by an EU-licensed doctor
- Private follow-up in the in-app chat
- Full refund if the doctor does not approve
Sexual health
- Consultation reviewed by an EU-licensed doctor
- Electronic prescription if approved
- Private follow-up chat
Full refund if a review is not approved
What to know before your consultation
HIV PrEP explained
PrEP (pre-exposure prophylaxis) is medicine taken by people without HIV to lower their chance of getting it through sex. The option the doctor may consider is emtricitabine with tenofovir disoproxil, a combination tablet authorised in the EU for PrEP. It works only when taken as advised and does not protect against other sexually transmitted infections, so condoms and regular testing still matter. PrEP always comes with checks before you start and regular follow-up tests.
Who PrEP online suits
The online pathway is for people who do not have HIV and have a higher chance of exposure, for example through condomless sex with partners whose HIV status is unknown or not suppressed. Before starting, you need a recent negative laboratory HIV test, your hepatitis B status and a kidney result. It is not suitable with reduced kidney function, symptoms that could be an early HIV infection, pregnancy, or below the pathway's minimum age. A possible exposure in the last few days needs emergency post-exposure treatment (PEP) the same day, not PrEP.
Side effects and safety checks
Some people have nausea, diarrhoea or headache, especially at the start. The medicine can affect kidney function and bone density, so kidney tests are repeated during treatment and the doctor asks about bone and kidney conditions. In people with hepatitis B, stopping it can cause a serious flare of hepatitis, which is why hepatitis B status is checked first. Taking PrEP during an unrecognised HIV infection can lead to drug resistance, so get tested urgently if you develop fever, rash, sore throat or swollen glands.
Other ways to prevent HIV
Condoms protect against HIV and most other sexually transmitted infections. Regular HIV and STI testing for you and your partners also helps, and people with HIV whose treatment keeps the virus undetectable do not pass it on through sex. Sexual-health clinics and HIV units offer PrEP, PEP and specialist care in person. If the doctor decides PrEP is not appropriate for you, they explain why and suggest another prevention strategy or in-person service, and your consultation fee is refunded.
What the evidence shows
The European Medicines Agency has authorised emtricitabine with tenofovir disoproxil for PrEP in people at high risk of sexually acquired HIV, in combination with safer sex. In a study of men who have sex with men summarised by the EMA, 3.9 per cent of those taking it acquired HIV compared with 6.8 per cent on placebo, and in a study of heterosexual couples the figures were 0.8 and 3.3 per cent. Protection depends strongly on taking it as prescribed. The World Health Organization recommends oral PrEP for people at substantial risk of HIV.
Your PrEP consultation
You answer a questionnaire about your reasons for PrEP, recent exposures, HIV and STI tests, hepatitis B and C, kidney and bone health and every medicine you take, and you upload a recent negative HIV test. An EU-licensed doctor reviews your answers and results in the private chat, may ask for more tests and, if appropriate, prescribes PrEP with a clear schedule. You collect and pay for it at a pharmacy of your choice in the EU.
Regular tests and renewals
PrEP needs an HIV test, STI screening and a kidney check at least every three months, and prescriptions are renewed through a new consultation with your latest results. Tell your doctor if you plan to stop, want to change how you take it, become pregnant or start new medicines. If you have hepatitis B, never stop without medical advice. Get tested urgently if you develop flu-like symptoms, and seek same-day care after any possible exposure while you were not protected.
Sources
- European Medicines Agency. Truvada (emtricitabine/tenofovir disoproxil): EPAR (2025)
- European Medicines Agency. Truvada: EPAR product information (SmPC and package leaflet) (2025)
- World Health Organization. Pre-exposure prophylaxis (PrEP) (2025)
- World Health Organization. HIV and AIDS: fact sheet (2025)
- European Centre for Disease Prevention and Control. HIV infection and AIDS (2025)
- NHS. Pre-exposure prophylaxis (PrEP) (2025)
Sources checked on September 29, 2026
Your questions answered
Who is PrEP for?
Do I need tests before starting?
Can I start PrEP after a recent risky contact?
What does the online assessment check?
What side effects can PrEP cause?
Does PrEP protect against other STIs?
How does follow-up work?
What does it cost?
What if the doctor declines?
Which sexual-health treatments does Hi-Doctor cover?
How much does sexual-health care cost, and when will I hear back?
What treatments are there for erectile dysfunction?
Are PDE5 inhibitors safe?
Are there alternatives if the tablets don't work for me?
How discreet is everything handled?
Can erectile dysfunction indicate another problem?
Saying it is the first step
Answer the questionnaire and a licensed doctor reads it. You pay only if treatment is approved.
Start PrEP consultationNo charge unless a doctor approves your treatment.Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work


