Which Chronic Conditions Qualify for Continuous Prescriptions? - Psychiatry

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Which chronic diseases are eligible for continuous prescriptions?


Hello! (1) Which chronic diseases are eligible for continuous prescriptions? (2) Are antidepressants (Zactin) and anti-anxiety medications (Serenal) applicable? Please respond, thank you!

fei, 20~29 year old female. Ask Date: 2001/10/02

Dr. Tang Xinbei reply Psychiatry


Dear friend: You asked which diseases are eligible for "chronic disease continuous prescriptions." To facilitate patients with stable chronic conditions who require long-term use of the same medication, the National Health Insurance Administration (NHIA) has established regulations: if a physician from a contracted medical institution confirms that a chronic disease is stable and only requires long-term use of the same prescribed medication (excluding controlled substances), a continuous prescription can be issued.
Patients can then take this prescription to hospitals, clinics, or NHIA-contracted pharmacies for dispensing.
The validity period of a continuous prescription is limited to three months, and it can be dispensed multiple times, with each dispensing providing a maximum of a thirty-day supply.
Furthermore, for those holding a "chronic disease continuous prescription" who receive more than twenty-eight days' worth of medication at a time, the partial drug burden can be waived.
According to the NHIA's announcement, there are currently ninety-seven types of chronic diseases eligible for continuous prescriptions, including hypertension, diabetes, mental disorders, epilepsy, asthma, chronic hepatitis, cerebrovascular diseases, arthritis, cancer drug follow-up treatment, heart disease, gout, chronic nephritis, and more.
(For more information, please refer to the NHIA's website.) It is important to note that controlled substances are excluded, and the anti-anxiety medication you inquired about (Serenal) falls under controlled substances and is not eligible for chronic disease continuous prescriptions.
Additionally, to protect the privacy of psychiatric patients and avoid potential risks, most medical institutions have not released "chronic disease continuous prescriptions" with the NHIA's consent.
If you are experiencing difficulties with long-term medication, I recommend discussing it with your physician nearby.
Wishing you peace and joy!

Reply Date: 2001/10/02

More Info


Chronic conditions that qualify for continuous prescriptions typically include a range of long-term health issues that require ongoing management and medication. These conditions often involve diseases that are not curable but can be managed effectively with medication. Common examples include:
1. Hypertension (High Blood Pressure): Patients with chronic hypertension often require continuous prescriptions for antihypertensive medications to maintain blood pressure within a normal range.

2. Diabetes: Individuals with type 1 or type 2 diabetes usually need continuous prescriptions for insulin or oral hypoglycemic agents to manage their blood sugar levels.

3. Asthma and Chronic Obstructive Pulmonary Disease (COPD): Patients with these respiratory conditions may require ongoing prescriptions for bronchodilators, corticosteroids, or other inhaled medications.

4. Cardiovascular Diseases: Conditions such as heart failure, coronary artery disease, and arrhythmias often necessitate continuous medication for management, including beta-blockers, ACE inhibitors, or anticoagulants.

5. Chronic Pain Conditions: Patients suffering from chronic pain, such as fibromyalgia or arthritis, may need ongoing prescriptions for pain management medications, including non-steroidal anti-inflammatory drugs (NSAIDs) or opioids.

6. Mental Health Disorders: Chronic mental health conditions, such as depression and anxiety disorders, often require continuous prescriptions for antidepressants or anxiolytics.

Regarding your specific question about the medications Zactin (an antidepressant) and Serenal (an anxiolytic), both of these medications can be prescribed continuously for patients diagnosed with chronic depression or anxiety disorders.
1. Antidepressants: Medications like Zactin, which are used to treat depression, are often prescribed for extended periods, especially if the patient has a history of recurrent depressive episodes. Continuous use is common to prevent relapse and manage symptoms effectively.

2. Anxiolytics: Similarly, medications like Serenal, which are used to treat anxiety disorders, may also be prescribed on a continuous basis. However, it is important to note that some anxiolytics, particularly benzodiazepines, can lead to dependence if used long-term, so they are often prescribed with caution.

In summary, both Zactin and Serenal can be suitable for continuous prescriptions if the patient has chronic conditions such as depression or anxiety. It is essential for patients to work closely with their healthcare providers to monitor their conditions and adjust medications as necessary. Regular follow-ups and assessments are crucial to ensure that the treatment remains effective and to manage any potential side effects or complications associated with long-term medication use.
Patients should also be aware of the importance of lifestyle modifications, such as regular exercise, a balanced diet, and stress management techniques, which can complement their medication regimen and improve overall health outcomes. If you have any further questions or concerns about specific medications or conditions, it is always best to consult with a healthcare professional who can provide personalized advice based on your medical history and current health status.

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