Repeat Prescriptions

 

Important

Lonsdale Medical Centre does not accept prescription requests over the telephone.

We use a fully computerised system for managing prescriptions. Patients should submit repeat prescription requests using one of the methods below.

Repeat prescriptions are usually issued for one month at a time, in line with Kent and Medway ICB prescribing guidance. In certain circumstances (for example, if you are going away), a larger supply may be agreed.

Please allow three to five working days for your prescription to be processed. Please only request your medication when it is due, requests made too early may be declined or delayed to ensure safe prescribing, avoid medication waste,

If your prescription is being sent to a pharmacy, please allow additional time for the pharmacy to prepare it.

Ordering a Repeat Prescription

You can request your repeat medication in the following ways:

  • Online via the NHS App
  • Online via Anima 
  • Through your nominated pharmacy
  • By submitting your repeat slip at the practice

If you order online, your prescription can be sent electronically to a pharmacy of your choice (this is called a nomination).

Important Information When Ordering

To ensure your medication is issued safely and without delay, please provide the exact medication name, strength and form when making a request (for example, “Amlodipine 5mg tablets”), rather than the condition it is used to treat.

Many conditions, such as high blood pressure, can be treated with a range of different medicines and doses. Prescription requests are initially processed by our administrative team before being passed to a GP for review and signing, so they rely on this information to accurately match your request to your medical record.

Requests based on conditions alone (such as “blood pressure tablets”) may need to be returned for clarification, which can delay processing.

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.

Pharmacy Ordering and Collection Service

Most pharmacies offer a prescription collection service from the practice.

Your pharmacy may also be able to order your medication on your behalf. This can save you time and unnecessary visits to the practice. Please contact your chosen pharmacy directly for more information.

About Pharmacists

Pharmacists are qualified healthcare professionals who can provide advice and treatment for minor conditions such as:

  • Coughs and colds
  • Sore throats
  • Stomach upsets
  • Aches and pains

They can also advise on medicines available without a prescription.

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.

Learn more information on the NHS website

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.

Read the ADHD Medication Prescriptions Update

More Information About Prescriptions