Can I Get a Year’s Supply of Thyroid Medication While Abroad? - Pharmacology

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Issues with Thyroid Medication Dispensing


Hello, Doctor.
I have congenital hypothyroidism and take Levothyroxine daily.
I currently have blood tests every six months at a major hospital, and my condition has been stable each year.
During each check-up, I receive a six-month supply of medication.
I plan to go to Japan for a year.
Can I visit a general clinic to get a prescription for enough medication to last a year, even if I haven't finished the supply from my last visit?

PJ, 20~29 year old female. Ask Date: 2020/02/23

Dr. Zheng Shuwen reply Pharmacology


Hello, user: Currently, the regulations for continuous prescriptions under the National Health Insurance state that if you are planning to travel abroad for more than two months, returning to offshore islands, serving as a crew member on international shipping routes, or if you are a patient with a rare disease, you can present your flight ticket, ship ticket, or other relevant documentation at the hospital during the prescription approval process.
This allows you to receive the total quantity of medication for that prescription (limited to a three-month supply).
Additionally, there must be a 21-day interval between obtaining two consecutive prescriptions.
Given your current situation, it is advisable to discuss your medication needs and travel plans with your physician.
If you have any other questions, feel free to call during business hours.
Thank you.
Consultation phone number: 03-3698553 #2505.
Business hours: Monday to Tuesday: 08:30 AM - 09:30 PM; Wednesday to Friday: 08:30 AM - 05:30 PM; Saturday: 08:30 AM - 01:30 PM.

Reply Date: 2020/02/23

More Info


When it comes to managing a chronic condition like congenital hypothyroidism while traveling abroad, it is essential to understand both the medical and regulatory aspects involved. In your case, you are currently taking Eltroxin (昂特欣), a synthetic thyroid hormone, and you are planning to travel to Japan for a year. Your question revolves around whether you can obtain a year’s supply of your medication while still having some left from your last refill.

First and foremost, it is crucial to consult with your healthcare provider before making any decisions regarding your medication. Given that you have a stable condition and are regularly monitored, your doctor may be able to provide you with a prescription that accounts for your time abroad. In many healthcare systems, including those in the U.S. and Taiwan, there are provisions for patients who will be traveling for extended periods. For instance, if you can provide proof of your travel plans, such as a flight itinerary, your doctor may be able to issue a prescription for a larger quantity of medication, typically up to a three-month supply at a time.

However, obtaining a full year’s supply of medication in one go can be more complicated. Most healthcare systems have regulations that limit the amount of medication that can be dispensed at once, primarily to prevent misuse and ensure patient safety. In your case, since you are already on a stable regimen and have been monitored regularly, your physician might consider a longer prescription, but it is unlikely to be for a full year due to these regulations.

Once you arrive in Japan, you will need to find a local healthcare provider who can prescribe your medication. It is advisable to bring your medical records, including your current prescription and any relevant lab results, to facilitate this process. In Japan, the healthcare system is quite efficient, and many clinics can provide the necessary prescriptions for chronic conditions. However, it is essential to note that the availability of Eltroxin or its equivalents may vary, so you should check in advance to ensure you can continue your treatment without interruption.

Regarding the management of your thyroid condition while abroad, it is vital to maintain regular check-ups and monitor your thyroid hormone levels. If you experience any changes in your health or medication side effects, seek medical attention promptly. Additionally, ensure that you have a sufficient supply of your medication to last until you can establish care in Japan.

In summary, while it may be challenging to obtain a full year’s supply of thyroid medication in one go, discussing your travel plans with your healthcare provider can lead to a suitable arrangement. They may provide a larger prescription based on your stable condition and travel plans. Once in Japan, seek local medical care to continue your treatment. Always prioritize communication with your healthcare providers to ensure a seamless transition in your medication management while abroad.

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