What this means

Under local NHS policy, medicines that can be bought over the counter are not routinely prescribed by GP surgeries.

This includes common antihistamines such as:

• cetirizine
• loratadine
• fexofenadine
• chlorphenamine
• antihistamine syrups, nasal sprays and eye drops

Why has this policy been introduced?

The NHS asks patients to buy medicines themselves when they are suitable for self-care.

Prescribing these medicines costs the NHS more than buying them directly, because it also includes GP appointment time and dispensing costs.

This helps make sure NHS resources are available for patients with more serious or complex medical needs.

What should I do if I have hay fever or allergy symptoms?

Pharmacists can help with:

• choosing the most suitable antihistamine
• advice on nasal sprays or eye drops
• practical self-care advice for hay fever and allergies
• telling you when you may need further medical advice

You do not need an appointment, and many pharmacies are open in the evenings and at weekends.

Why can’t the GP prescribe it anyway?

This is to ensure NHS resources are used fairly and consistently across all practices in the area.

If I’m unhappy, who can I contact?

If you wish to raise a concern or make a complaint about this policy, you can contact NHS Cheshire and Merseyside Integrated Care Board (ICB).

When should I contact the GP?

Please contact us if:

• your symptoms are severe
• your symptoms are not improving
• you are worried about your symptoms
• you think something more serious may be going on

We are still here to help if your symptoms need medical assessment.