Do not use HIV tests bought over the internet, warns UK medicines regulators

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Medical regulators in the UK have issued a warning to the public not to use HIV self-testing kits bought over the internet. The Medicines and Healthcare products Regulatory Agency (MHRA) is cautioning that these tests are unregulated and that their quality and reliability cannot be guaranteed.

Free and confidential HIV tests are available at NHS sexual health clinics, community outreach settings, and through some GPs.

The MHRA warning applies to self-testing only. It does not extend to home sampling, which involves taking a sample of body fluid at home and sending it to a regulated lab for testing. The results of home sampling have to be given to an individual by a clinician.

Glossary

self-testing

In HIV testing, when the person testing collects their own sample and performs the whole test themselves, including reading and interpreting the result. 

sample

Studies aim to give information that will be applicable to a large group of people (e.g. adults with diagnosed HIV in the UK). Because it is impractical to conduct a study with such a large group, only a sub-group (a sample) takes part in a study. This isn’t a problem as long as the characteristics of the sample are similar to those of the wider group (e.g. in terms of age, gender, CD4 count and years since diagnosis).

clinician

A doctor, nurse or other healthcare professional who is active in looking after patients.

Self-testing kits are not available for purchase over the counter in the UK. But they are offered for sale on the internet, often by websites that are registered outside the UK and which are not therefore subject to UK regulations.

Medical regulators are concerned that such tests may not meet European safety and quality standards. This means that the reliability of these testing kits cannot be guaranteed. There are also concerns that important decisions might be made on the basis of an unreliable self-test.

Key messages on this subject from the MHRA are:

  • A recommendation not to buy self-testing kits over the internet.
  • Self-testing kits bought over the internet have no checks on their reliability.

Individuals who have already purchased such kits are being asked by the MHRA to consider the following issues:

  • Do you know how reliable the kit will be?
  • Have you considered seeking proper medical advice?
  • Have you thought about counselling to discuss the impact of any result?
  • If a result is incorrect, there may be no legal recourse.