DoxyPEP — doxycycline taken within 72 hours of condomless sex to reduce bacterial STI risk — is not part of Lithuania's official sexual health guidelines, but doxycycline is a generic antibiotic available on prescription, and the right infectious disease specialist can prescribe it.
What DoxyPEP Does
A single 200mg dose taken within 72 hours of exposure reduces chlamydia and syphilis risk by approximately 70–80%. Less effective against gonorrhoea. Has no effect on HIV.
See the DoxyPEP General Guide for the full evidence base.
Access in Lithuania
Via your infektologas at Santaros or Kauno Klinikos: If you're an established PrEP patient, raise DoxyPEP with your infektologas directly. They're familiar with the international evidence and can issue a private prescription (receptas) for doxycycline.
Via LGL or Demetra: Ask LGL (lgl.lt) or Demetra (demetra.lt) whether they know of practitioners currently prescribing DoxyPEP — they track the evolving landscape and can direct you.
Cost: Doxycycline is cheap. A box of tablets sufficient for multiple DoxyPEP doses costs approximately €3–8 at any vaistinė (pharmacy). The main cost is the doctor consultation.
What to Say
"Domina mane doksiciklinas kaip profilaktika po ekspozicijos nuo bakterinių LPL. Ar galima gauti receptą?" (I'm interested in doxycycline as post-exposure prophylaxis for bacterial STIs. Is a prescription possible?)
In English, the infektologas at Santaros will understand "doxycycline PEP" or "DoxyPEP" directly.
Context
DoxyPEP does not replace testing — maintain your quarterly STI panels at Demetra. It doesn't cover HIV — keep taking PrEP. For a specific HIV exposure, see PEP Emergency in Lithuania.