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Stockwood Medical Centre, Hollway Road, Stockwood, Bristol, BS14 8PTTel: 01275 833103
You should request your medication when you have a maximum of 14 days’ worth of medication left. Always keep track of your medication so you know how much you have left, and you don’t run out. Before requesting your medication, check your cupboards first and only order what you need.
Please allow at least 5 working days before collecting your medication from your local pharmacy if your prescription is sent electronically. Paper prescriptions can be collected from the surgery in 3 working days. Ways you can order your repeat medication:
Unfortunately, we are unable to take repeat prescription requests over the telephone unless you are on our list of housebound patients.Please note that all of the above options are intended for medication which is currently on repeat. If you require medication which is on as acute such as an antibiotic or has been stopped such as an antidepressant, you may need to arrange an appointment or a telephone consultation with a GP or nurse practitioner.
Your medication will need to be reviewed at least once a year; more frequently for complex regimes or high-risk drugs. You may be asked to book an appointment for this review to see your GP, nurse practitioner, practice nurse or practice pharmacist, depending on what medication you are taking. Some reviews can be done over the telephone. The surgery also runs annual review clinics for those patients with long term conditions (e.g. Asthma, COPD, Diabetes, High risk of diabetes, Hypertension, Stroke, CHD etc) - please help us to look after your health by booking your appointment when you receive your recall letter. A notification should appear on your repeat slip as to when your review is due.Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions.
Please let the surgery know if you cannot make an appointment so we can offer it to someone else. If your medication review is overdue and you have not attended your review appointment, then the quantity of your medication may be reduced until you attend. It is important that your medication is reviewed regularly to ensure it is still appropriate and safe.
From time to time, you may notice that the name, brand or colour of your medication may change. Medicines have two names – generic (the drug name) and brand (the name the drug is traded under). Prescribers are encouraged to prescribe cost effective, evidence-based medication in line with the local CCG formulary, so you may find that your medication is switched to an alternative, but there should not be any change in the control of your symptoms. If you have any questions or concerns about your medication, please speak to your community pharmacist, our practice pharmacist here at the surgery or your GP or nurse.
Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.
These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.
If you will have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a PPC.
There is further information about prescription exemptions and fees on the NHS website
All patients with ‘primary adrenal insufficiency’ are steroid dependent so will be taking lifelong steroid therapy to help manage their condition.
Some other patients, who take oral, inhaled or topical steroids for other medical conditions, may also become steroid dependent. This could be as a tablet, as a long term treatment (for polymyalgia rheumatica for example) or multiple short courses for COPD; as an injection to help with joint pain; high dose inhaled steroids for asthma or COPD; potent steroid creams or ointments, some rectal steroids used for inflammatory bowel disease (such as budesonide or prednisolone enemas). Steroid nasal sprays & drops are unlikely to cause problems but if you are also taking steroids for other conditions, this will need to be considered.
If you also take medication such as antifungals (itraconazole, ketoconazole, voriconazole, Posaconazole), potent protease inhibitors (atazanavir, darunavir, fosamprenavir, ritonavir +/- lopinavir, saquinavir, tipranavir) or long-term clarithromycin, these can affect the amount of steroid in your body.
If the above applies to you, it is important that you carry a steroid emergency card with you at all times as it contains important information for healthcare staff so they are aware you are taking steroids. It also includes emergency treatment if you become acutely ill, experience trauma, surgery or other major stressors.
You may also find the following information resources useful:
• Patient guide - Steroid Emergency Card
• Sick day rules - https://www.endocrinology.org/media/4142/ai-and-exogenous-steroids_pis_final.pdf