The Good GP

HIV PrEP in General Practice: Prescribing and Reducing Stigma with Dr Brad McKay


Listen Later

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Brad McKay, a Sydney-based GP with extensive experience in HIV treatment, to discuss HIV pre-exposure prophylaxis (PrEP) and its vital role in general practice. This episode is produced in collaboration with the Australian Society of HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).

Dr McKay provides an in-depth overview of what PrEP is, who it is suitable for, and addresses common misconceptions about patient eligibility. Discussing that while PrEP has traditionally been targeted towards gay men and men who have sex with men, there are other groups at risk of HIV who may benefit, including heterosexual individuals, people with partners living with HIV, and people who inject drugs. They emphasise the importance of a non-judgmental and inclusive approach, encouraging GPs to routinely take sexual histories and offer PrEP when appropriate, reducing stigma and improving patient outcomes.


Providing practical guidance on baseline investigations, including HIV, Hepatitis B and C, syphilis, gonorrhoea, chlamydia screening, and renal function assessment. Dr McKay explains the considerations for both daily and on-demand PrEP regimens, outlining which patients are suitable for each based on sexual practices, and addresses key points around adherence and management of missed doses. He also touches on newer options such as long-acting injectable PrEP, providing insights into future directions for HIV prevention in Australia.


Includes advice for GPs on ongoing follow-up, including recommendations for quarterly review, repeat sexual health screening, and renal monitoring.


Links & Resources:

  • ASHM HIV PrEP Decision Making Tool: https://ashm.org.au/wp-content/uploads/2025/07/ASHM_HIV_PrEPtool__July-2025_WEB.pdf
  • ASHM National PrEP Guideline: https://ashm.org.au/wp-content/uploads/2025/08/ASHM-PrEP-guidelines-2025_FINAL.pdf
  • PrEP Access Now website: https://www.pan.org.au/


The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network – the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network


If you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

What if we could make HIV history? It might be closer than you think.

What if we could make HIV history? It might be closer than you think.

PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.

ASHM PrEP

...more
View all episodesView all episodes
Download on the App Store

The Good GPBy The Good GP

  • 4.4
  • 4.4
  • 4.4
  • 4.4
  • 4.4

4.4

8 ratings


More shows like The Good GP

View all
JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

500 Listeners

Medicine and Science from The BMJ by The BMJ

Medicine and Science from The BMJ

38 Listeners

Health Report by ABC listen

Health Report

142 Listeners

Australian Prescriber Podcast by Australian Prescriber

Australian Prescriber Podcast

22 Listeners

BMJ Best Practice Podcast by BMJ Group

BMJ Best Practice Podcast

26 Listeners

The GP Show by Dr Sam Manger

The GP Show

6 Listeners

The Zero to Finals Medical Revision Podcast by Thomas Watchman

The Zero to Finals Medical Revision Podcast

143 Listeners

Talking HealthTech by Talking HealthTech

Talking HealthTech

6 Listeners

Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

Harrison's PodClass: Internal Medicine Cases and Board Prep

369 Listeners

Primary Care Knowledge Boost by Primary Care Knowledge Boost

Primary Care Knowledge Boost

50 Listeners

Creative Careers in Medicine Podcast by CCIM

Creative Careers in Medicine Podcast

0 Listeners

You Are Not A Frog by Dr Rachel Morris

You Are Not A Frog

11 Listeners

NB Hot Topics Podcast by NB Medical Education

NB Hot Topics Podcast

9 Listeners

GPnotebook Podcast by GPnotebook

GPnotebook Podcast

21 Listeners

What's That Rash? by ABC listen

What's That Rash?

242 Listeners

Dev Raga Personal Finance by Dev Raga

Dev Raga Personal Finance

10 Listeners

Spot On Podcast by MSCAN by MSCAN

Spot On Podcast by MSCAN

0 Listeners

Red Whale Primary Care Pod by Red Whale

Red Whale Primary Care Pod

5 Listeners

The Good Tech by the Medical Software Industry Association (MSIA) by Medical Software Industry Association (MSIA)

The Good Tech by the Medical Software Industry Association (MSIA)

0 Listeners

Frank and Fearless by ANDHealth by ANDHealth

Frank and Fearless by ANDHealth

0 Listeners

Talking Blood Cancer by Leukaemia Foundation

Talking Blood Cancer

0 Listeners

Life Sciences WA Investment Series: Investor Meets Innovator by Life Sciences WA

Life Sciences WA Investment Series: Investor Meets Innovator

0 Listeners

Consumer Health Partnerships by Patient Experience Agency

Consumer Health Partnerships

0 Listeners

Medicubes by Medicubes

Medicubes

0 Listeners