The pharmacy in Spain
La farmacia
The pharmacy dispenses prescriptions and advises on over-the-counter medicines. Look for the green cross and the on-duty pharmacy.
Overview
Pharmacies (farmacias) in Spain have an important health role: the illuminated green cross stands at their door, and qualified pharmacists work in them dispensing prescribed medicines and providing free advice on simple symptoms, doses and interactions. Pharmacies are found in every neighbourhood through planned distribution.
Prescribed medicines are dispensed by prescription (receta) usually electronic, and cold medicines and painkillers are sold in the pharmacy and mostly not in the supermarket. Antibiotics require a prescription. This guide explains the difference between the pharmacy and the parafarmacia, how the prescription is dispensed, cost and co-payment, common over-the-counter medicines, the on-duty pharmacy, allergy and pregnancy, travelling with medicines, and the risks of buying online.
The pharmacy and the parafarmacia
The pharmacy (farmacia) needs a special licence and has a responsible pharmacist, and dispenses medicines with and without prescription and sells care products and vitamins.
- The parafarmacia is a shop selling health and cosmetic products and medicines that need no prescription (under local rules), often at lower prices, but does not dispense prescribed medicines.
- Large stores sell some vitamins but not painkillers in quantities.
- Choose a nearby pharmacy and use it to build a relationship, so that the pharmacist learns your medicines and allergies and avoids dangerous interactions.
- And do not hesitate to ask ¿Qué me recomienda?
- meaning what do you recommend, for simple symptoms such as cold, headache and heartburn.
Dispensing the prescription and cost
You go to any pharmacy with your health card, and it reads the electronic prescription in the doctor's system and dispenses the medicines.
- The medicine may be unavailable and is ordered and arrives within a day or two.
- The pharmacist sometimes offers the cheaper generic medicine (genérico) with the same effect.
- You pay a percentage of the medicine's price (aportación) often between forty and sixty per cent depending on your income for workers, and ten per cent for pensioners with a monthly cap, and some groups do not pay, and some medicines for severe chronic illness are paid at a reduced rate.
- Allergy and cold medicines and most vitamins are not subsidised.
- Ask about the price before buying, and make sure you understand the dose, timing and whether it is taken with food.
Over-the-counter medicines and special matters
For headache and fever paracetamol is used, for pain and inflammation ibuprofen (ibuprofeno) with caution in stomach problems, for heartburn antacids, for colds symptom medicines, and for allergy antihistamines.
- Keep to the dose and do not continue longer than recommended, and if symptoms last more than a few days see the doctor.
- Antibiotics are sold only by prescription, and do not take old leftovers.
- Always ask the pharmacist before combining medicines or with herbs, and tell him if you are pregnant or breastfeeding or have allergies or chronic illness.
- Some medicines available in your country may need a prescription or be unavailable here, so carry the name of the active ingredient to know the alternative.
The on-duty pharmacy, travel and online
At night and on holidays on-duty pharmacies (farmacia de guardia) operate, announced on every pharmacy door and on the pharmacists' college sites in your city and apps such as Farmacias de guardia.
- Some pharmacies work around the clock.
- When travelling abroad carry your medicines in original packaging with a prescription or medical report, since some medicines are banned in other countries.
- To buy medicines online look for licensed pharmacies bearing the approved European logo for online pharmacies, and avoid unknown sites that sell counterfeit medicines.
- Do not share your prescribed medicines with others.
- And return expired medicines to the SIGRE point (the green bin) in the pharmacy for safe disposal.
Step by step
- 1
Choose a nearby pharmacy and always use it.
- 2
Go after the doctor records the prescription, with your health card.
- 3
Ask about dose, side effects and interactions.
- 4
Ask for the cheaper generic medicine if possible.
- 5
Keep your medicine list and allergies up to date.
- 6
Return expired medicines to the SIGRE point.
Documents checklist
- The health card.
- The electronic prescription from the doctor.
- List of medicines and allergies.
- Doctor's report when travelling with medicines.
- Passport or NIE for identification.
Key vocabulary
- lafarmaciapharmacy
- elfarmacéuticopharmacist
- larecetaprescription
- elmedicamentomedicine
- elgenéricogeneric
- elprospectoinformation leaflet
- elefecto secundarioside effect
- ladosisdose
- laalergiaallergy
- lafarmacia de guardiaon-duty pharmacy
- elanalgésicopainkiller
Useful phrases
- Vengo a recoger una receta.I have come to collect a prescription.
- ¿Cada cuántas horas debo tomarlo?How many hours apart should I take it?
- ¿Tiene efectos secundarios?Does it have side effects?
- Soy alérgico a la penicilina.I am allergic to penicillin.
- ¿Hay un genérico más barato?Is there a cheaper generic?
- ¿Dónde está la farmacia de guardia más cercana?Where is the nearest on-duty pharmacy?
At the pharmacy
Farmacéutico
Buenos días. ¿Qué desea?Good morning. What would you like?Tú
Buenos días. Vengo a recoger una receta. Mi médico la envió ayer.Good morning. I have come to collect a prescription. My doctor sent it yesterday.Farmacéutico
Su tarjeta sanitaria, por favor. ¿Es alérgico a algún medicamento?Your health card, please. Are you allergic to any medicine?Tú
Sí, a la penicilina.Yes, to penicillin.Farmacéutico
Este medicamento es seguro. Tome un comprimido cada ocho horas con comida.This medicine is safe. Take one tablet every eight hours with food.Tú
Gracias. ¿Cuánto tengo que pagar?Thank you. How much do I have to pay?
Common mistakes
- Taking leftover old antibiotics without advice.
- Not telling the pharmacist about pregnancy or allergy.
- Buying from unlicensed internet sites.
- Exceeding the permitted dose of painkillers.
Cultural tips
- Always use one pharmacy so that your record is complete.
- Photograph the leaflet and box to review.
- Set a phone alarm for your medicine times.
- Ask about a pharmacy that speaks your language or explains in English.
- If you develop unusual symptoms after taking a new medicine such as a rash, shortness of breath or severe dizziness, stop taking it and call the doctor or emergency at once, and keep the medicine box to show the doctor.
- Take to the pharmacy the active ingredient name of the medicine you use in your country, since brand names differ between countries and by knowing the active ingredient the pharmacist can direct you to the suitable alternative available in Spain.
Official links
Check yourself
Question 1 of 5
What does the green cross indicate?