Doxycycline Post-Exposure Prophylaxis (Doxy-PEP)

Doxycycline Post-Exposure Prophylaxis (Doxy-PEP). For the prevention of bacterial sexually transmitted diseases. Works be when taken within 24 to 72 hours after condomless sex.

What patients need to know about Doxycycline Post-Exposure Prophylaxis (Doxy-PEP)

What is it?

Doxycycline Post-Exposure Prophylaxis or Doxy-PEP is a way to help prevent getting the sexually transmitted infections (STIs) chlamydia, gonorrhea and/or syphilis by taking the antibiotic doxycycline after condomless sex.

What you need to know about Doxy-PEP (PDF)

When to use it:

Doxycycline Post-Exposure Prophylaxis (Doxy-PEP) should be taken preferably within 24 hours, but no later than 72 hours after condomless sex (oral, anal, and/or vaginal sex when a condom is not used for the entire time).

Talk to a health care provider:

Doxycycline Post-Exposure Prophylaxis or Doxy-PEP must be prescribed by a health care provider.

Find a Health Care Provider at: AIDS Institute Provider Directory or Find a Health Center (hrsa.gov)

Find a Doxy-PEP (Doxycycline Pre-Exposure Prophlylaxis) Provider (cdc.gov)

How to take Doxy-PEP:

Doxy-PEP is taken as a 200 mg. dose at one time.

Do not take more than 200 mg of Doxy-PEP in a 24-hour period.

Patients should not share their Doxycycline Post-Exposure Prophylaxis (Doxy-PEP) with others. If others could benefit from taking Doxy-PEP, they should consult a health care provider.

What are other ways to prevent STIs?

Establish a sexual health routine that includes consistent condom use and regular testing and treatment for you and your sex partner(s).

For additional prevention information and resources.

Other Information:

Doxycycline Post-Exposure Prophylaxis or Doxy-PEP can help prevent the bacterial infections chlamydia, gonorrhea and syphilis.

  • It does not help prevent pregnancy.
  • It does not help prevent HIV, mpox, or other viral infections.
  • Regular HIV and STI testing is important to identify and treat any infections.

Reminders about your sexual health:

  • Discuss your sexual activity with your healthcare provider to see if Doxy-PEP is right for you and explore other ways to protect your sexual health.
  • It is common to have a sexually transmitted infection (STI) and experience no symptoms at all.
  • Continue to get tested (cdc.gov) for sexually transmitted infections (STIs) every 3 months and whenever you have symptoms or have been exposed to a sexually transmitted infection (STI).
  • Get tested for HIV and talk to your health care provider about HIV pre-exposure prophylaxis (HIV PrEP) and post-exposure prophylaxis (PEP) for HIV prevention.
  • Two effective vaccines that are essential to sexual health are:
  • If you are living with HIV, continue to take your medications and see your health care provider regularly.