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What is the difference?

PrEP vs PEP

PrEP and PEP sound almost identical and both use HIV medicines to prevent HIV, so they are easy to mix up. The key difference is timing: PrEP is taken regularly before any possible exposure, while PEP is an emergency course started after one.

General information, not medical advice. For advice about your own situation, talk to a clinician, pharmacist or sexual health clinic.

PrEP

PrEP is medicine taken by HIV-negative people before possible exposure to greatly reduce their chance of getting HIV.

Full entry

PEP

PEP is a 28-day course of HIV medicine taken after a possible exposure to HIV to stop the virus from taking hold; it must be started as soon as possible, ideally within 72 hours.

Full entry

Side by side

PrEPPEP
Full namePrEPPre-exposure prophylaxis: prevention taken before.PEPPost-exposure prophylaxis: prevention taken after.
When it is usedPrEPOngoing, before possible exposure to HIV, following a set schedule.PEPOnce, after a specific possible exposure, as an emergency measure.
How longPrEPFor as long as someone wants ongoing protection.PEPA 28-day course.
Timing mattersPrEPNeeds to be taken as prescribed to work well.PEPMust start as soon as possible, ideally within 72 hours; not usually given later.
Where to get itPrEPThrough a prescriber or sexual health service, with regular check-ups.PEPSexual health clinics and emergency departments, after a clinician assesses the situation.
Follow-upPrEPRegular HIV and STI tests and kidney monitoring.PEPFollow-up HIV testing after the course ends.

In short

PrEP is a planned, ongoing shield taken before; PEP is a one-off emergency course taken after a possible exposure, as soon as possible.

What they have in common

Both use HIV medicines to stop HIV from taking hold, and neither protects against other STIs or pregnancy.

Sources

  1. HIV.govPre-exposure prophylaxis (PrEP)
  2. HIV.govPost-exposure prophylaxis (PEP)
  3. NHSHIV and AIDS: prevention

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Last reviewed 10 October 2026. Spotted a mistake?