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.
Similar Q&A
Can Chronic Disease Prescriptions Be Issued for Dermatitis?
There are indications that dermatitis herpetiformis may qualify for a chronic disease continuous prescription.
Dr. Wu Yuxin reply Dermatology
No, it's not necessary because medication is not needed every day.[Read More] Can Chronic Disease Prescriptions Be Issued for Dermatitis?
Can General Physicians Prescribe Rifampin for Chronic Conditions?
Due to long-term use of Rifampin (chronic disease prescription), and since the original physician is fully booked, I am concerned that the remaining medication may not be sufficient. Can a general physician prescribe this medication?
Dr. Yu Quanxun reply Psychiatry
Hello: Thank you for your inquiry. We understand your concerns regarding the insufficiency of medication. If a physician from another specialty assesses that you meet the criteria for prescription and it is appropriate to prescribe, Rifampicin can also be prescribed by non-psychi...[Read More] Can General Physicians Prescribe Rifampin for Chronic Conditions?
Can I Fill My Chronic Medication Prescription from Chang Gung at NTU Hsinchu?
Can I pick up a chronic disease continuous prescription issued by Chang Gung Memorial Hospital at National Taiwan University Hospital in Hsinchu?
Dr. Liao Huiling reply Pharmacology
1. Chronic disease continuous prescriptions issued by hospitals can be filled at community pharmacies or the original hospital where the patient was treated. 2. The pharmacy departments within hospitals are not independent profit-making entities, so they can only dispense prescri...[Read More] Can I Fill My Chronic Medication Prescription from Chang Gung at NTU Hsinchu?
Understanding Chronic Illness: Thyroid Issues and Vaccination Guidelines
I apologize, but I would like to ask if having lifelong hypothyroidism due to surgery and requiring medication qualifies as a chronic disease patient. Is it only considered a chronic disease patient if one has received a chronic prescription? Regarding the flu vaccine for major i...
Dr. Hong Yuanbin reply Internal Medicine
Hello, the term "chronic disease" does not have a strict definition; it generally refers to conditions that are expected to be non-recoverable in a short period. The thyroid issue you mentioned may still change in the future, and for now, it can only be considered a pot...[Read More] Understanding Chronic Illness: Thyroid Issues and Vaccination Guidelines
Related FAQ
(Psychiatry)
Medication Consultation(Psychiatry)
Disability Certificate(Psychiatry)
Bipolar Disorder(Psychiatry)
Psychiatric Care(Psychiatry)
Breathing(Psychiatry)
Adhd-Related(Psychiatry)
Adjustment Disorder(Psychiatry)
Autism(Psychiatry)
Cbt(Psychiatry)