Managing Allergic Rhinitis: Can You Get Chronic Prescriptions from Local Clinics? - Otolaryngology

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Allergic rhinitis


Currently, allergy symptoms can be completely controlled with a combination of antihistamine medication, such as Allegra (fexofenadine), and NASONEX (mometasone furoate) nasal spray, with no significant side effects.
I would like to ask the doctor if it is necessary to return to the original hospital that prescribed these medications in order to obtain a chronic prescription, especially since this hospital is a regional facility that is quite far from my home.
Can I visit a nearby small clinic and request the same medications and a chronic prescription from the doctor there? Additionally, is it true that a chronic prescription must be requested by the patient for the doctor to issue it? If the doctor cannot determine the condition and it cannot be completely resolved, but the allergy can only be managed with long-term medication, will the doctor proactively issue a chronic prescription for the patient?

YUTIN, 30~39 year old female. Ask Date: 2016/03/09

Dr. Zheng Jueyi reply Otolaryngology


Hello! The issuance of slow prescriptions can be discussed with the clinic physician, but we also respect each physician's judgment.
Wishing you peace and health! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/09

More Info


Managing allergic rhinitis can indeed be a challenging task, especially when it comes to obtaining the necessary medications on a chronic basis. In your case, it sounds like you have found a successful combination of medications, including an antihistamine (生達舒敏寧) and a corticosteroid nasal spray (NASONEX), which effectively control your symptoms without significant side effects.
To address your question about obtaining chronic prescriptions from local clinics, it is generally possible to get a prescription for your medications from a local clinic or a different healthcare provider, even if they were initially prescribed by a specialist or a different hospital. However, there are a few important considerations to keep in mind:
1. Medical History and Documentation: When visiting a new doctor or clinic, it is helpful to bring any relevant medical records, including previous prescriptions, treatment history, and any notes from your original prescribing physician. This documentation can help the new doctor understand your condition and the rationale behind your current treatment plan.

2. Doctor's Discretion: While you can request a chronic prescription, the decision ultimately lies with the healthcare provider you consult. They will assess your medical history, current symptoms, and overall health before deciding whether to prescribe the same medications. If they feel that the treatment is appropriate and necessary, they may be willing to write you a chronic prescription.

3. Communication: It is essential to communicate openly with the new doctor about your condition, the effectiveness of your current treatment, and your desire for a chronic prescription. If you have been managing your symptoms well with the current medications, make sure to express this clearly.

4. Chronic Prescriptions: In many cases, chronic prescriptions are not automatically provided; patients often need to request them. However, if a healthcare provider believes that a patient requires long-term medication for a chronic condition like allergic rhinitis, they may proactively offer a chronic prescription without the patient needing to ask.

5. Follow-Up: If you do receive a chronic prescription from a local clinic, it is advisable to schedule regular follow-up appointments to monitor your condition and adjust the treatment as necessary. Allergic rhinitis can change over time, and ongoing evaluation is crucial for effective management.

6. Insurance and Pharmacy Considerations: Be aware of your insurance coverage and whether the local clinic is in-network. Additionally, check if the pharmacy you plan to use can fill the prescriptions provided by the new clinic.

In summary, while it is possible to obtain chronic prescriptions from local clinics, it requires effective communication with the healthcare provider and appropriate documentation of your medical history. Always prioritize your health and ensure that any new prescriptions align with your treatment goals. If you encounter any difficulties, consider reaching out to your original healthcare provider for guidance or assistance in transitioning your care.

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