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Repeat Prescriptions
Important
Lonsdale Medical Centre does not accept prescription requests over the telephone.
We have a fully computerised system for prescriptions. Patients should have a request slip and this may be dropped in or posted .
Repeat prescriptions are normally issued for one month at a time. This is recommended by our Clinical Commissioning Group. Under some circumstances (eg prolonged abscence from home) up to 3 months may be issued at a time.
Please allow three working days, or 72 hours, before collection at the surgery and three working days if collecting the prescription from the pharmacy.
Ordering a Repeat Prescription
When you order a prescription online, you can have it sent electronically to a pharmacy of your choice. This is called a nomination.
The NHS App
Order repeat prescriptions via the NHS App or NHS website, and have them sent to a pharmacy of your choice.
Use Online Services
The only way to order your prescription is by using our online services. You are also able to send us query about your medication online.
Your Local Pharmacy
Pharmacy Ordering / Collection Service
Pharmacies offer a prescription collection service from our Practice
Your pharmacy can also order your medication on your behalf. This saves you time and unnecessary visits to the Practice. Please contact the Pharmacy of your choice for more information if you wish to use this service.
About pharmacists
As qualified healthcare professionals, pharmacists can offer advice on minor illnesses such as:
- coughs
- colds
- sore throats
- tummy trouble
- aches and pains
They can also advise on medicine that you can buy without a prescription.
Medication Reviews
Patients on repeat medication will be asked to see a doctor, nurse practitioner or practice nurse at least once a year to review these regular medications and notification should appear on your repeat slip.
Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions.
Weight Loss Drugs
Access to tirzepatide (Mounjaro) through primary care
As you will be aware, NHS England is making tirzepatide (Mounjaro) available in a phased approached over the next few years. NICE guidelines say that in order to gain access to tirzepatide (Mounjaro) on the NHS, patients must also be referred on to a diet and exercise support programme.
Although it has been announced that it will become available in primary care settings from Monday, 23 June (for a specific patient cohort) arrangements are being made to mobilise a provider of the necessary Behavioural Support for Obesity Prescribing (BSOP) that is specified in the NICE guidelines.
Until this service is in place in Kent and Medway, it is not possible to prescribe tirzepatide (Mounjaro) in primary care.
Please also note there is no provider of tirzepatide (Mounjaro) available under right to choose.
Please view further information on the Kent and Medway Integrated Care System website.
Important advice when taking Contraceptive or HRT and using Mounjaro
Please read the information below carefully if you are using both Mounjaro (tirzepatide) and a contraceptive or HRT. If you feel this applies to you or would like to discuss this further, please contact the practice.
Your Mounjaro provider should also have informed you of the below.
I am taking the pill. Will using a GLP-1 agonist affect my contraception?
This depends on the type of GLP-1 agonist that you are using.
If you are using tirzepatide (Mounjaro), you should use condoms along with your pill for four weeks after you start the medicine and for four weeks after any dose increase. This is because tirzepatide works a bit differently from other similar medicines. You might also think about using a different type of contraception that isn’t a pill while on tirzepatide.
For other medicines like semaglutide, exenatide, liraglutide, dulaglutide, or lixisenatide, there is no proof that they make the pill less effective.
I have diarrhoea and vomiting with my GLP-1 agonist, and I take the contraceptive pill, what should I do?
Diarrhoea and vomiting can happen when taking GLP-1 agonists and might make the pill less effective. If you vomit within three hours of taking your pill, or have bad diarrhoea for more than a day, follow the guidance for missed pills. If diarrhoea or vomiting continues, think about using a different type of contraception that isn’t a pill, or use condoms as well.
I’m on HRT and taking Mounjaro – what do I need to know?
If you are taking oral progestogen as part of your HRT (for example Utrogestan, Norethisterone, Medroxyprogesterone), then you need to be aware that tirzepatide (Mounjaro) may have an impact on the effectiveness of your HRT. This means your HRT might not protect your endometrium (womb lining) enough. Please contact the surgery to book an HRT review, as we may need to increase your dose or change you to a different form of medication.
If you do not take your HRT orally (for example, you use a patch, a gel or a Mirena coil instead of a tablet) then you do not need to worry.
NHS prescription for adult ADHD medication
We will only provide NHS prescription if the patient is under an NHS-certified “shared care” agreement with the private provider.
You may be aware of previous news stories regarding private ADHD diagnostic services that have been springing up. We are sure many of you will share our concern about what has been found.
Like many GP surgeries, we have now taken the decision not to accept new diagnoses which are based on a private assessment. Until further notice, we will therefore not be able to start an NHS prescription for adult ADHD medication unless the diagnosis was made under NHS funding.
In the last couple of years, the surge in demand for ADHD assessment has led to very long NHS waits for assessment. We understand that this is frustrating for patients; however, we strongly discourage any patients from seeking a private diagnosis of ADHD at this time with the expectation that the Practice will be able to then issue prescriptions as we will be unable to.
We will only be able to provide NHS prescription if the patient is under an NHS-certified “shared care” agreement with the private provider. This is because ADHD medication is a specialist medication which GPs cannot continue independently. The shared care agreement requires the patient to have yearly reviews with the private clinic which they will need to fund.
We understand that the steps we are taking may be disappointing for some patients and we are sorry for this. However, we believe they are necessary to ensure that ADHD is assessed and treated safely.
We will only continue to prescribe ADHD medication for the patients who were initiated privately - for those who agree to attend the post-diagnostic NHS appointment.