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If you’ve been raped and need immediate medical care please call 911 or go to your nearest emergency room.   Earlier treatment and intervention is highly recommended especially for those who wish to speak with the police and collect evidence for the purpose of  prosecution. Evidence and treatment for certain ailments are time sensitive.  It’s not uncommon for victims to postpone seeking care for a variety of reasons.  However, certain sexually transmitted infections or STI’s require treatment witin  the first 72 hours post assault.  Plan B and combivir should be taken within a 72 hour period.  Other medications for the treatment of gonorrhea and chlamydia are can be taken outside of the 72 hours window.  If you have questions about treatment options for STI’s you should contact your regular medical provider or click on the link for the San Francisco City Clinic for more information.

Plan B, a medication to prevent unwanted pregnancy and Combivir or Truvada ( a medication to prevent HIV seroconversion) should be started within the first 72 hours of an assault.

Other medications to include with or without testing for sexually transmitted disease include

zithromax  for chlamydia/Ceftriaxone 250mg intramuscularly of Cefpoxidime 400mg by mouth for the treatement of gonorrhea.  A baseline HIV test is suggested and if you have not received hepatitis B immunization then you should request or be offered this as a part of  your sexual assault exam.

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