Prescription changes explained (2024)

Prescription changes explained (1)

This article was first published in Star Weekly, Brimbank North West on 10 October 2023.

Written by Christopher Carter, CEO, NWMPHN

You’ve probably heard about Australian government changes to medicine prescribing rules, and how it’s now possible to get your regular pills for two months at a time instead of one.

If, like many of us, you usually pop into your local pharmacy 12 times a year for medicines – and maybe double that if you also collect stuff for a family member – then this is good news.

However, its important to remember that this change doesn’t happen automatically, and you can’t just ask for twice the amount from the nice people behind the counter at your pharmacy – even if you’ve been going there for years and they know you well!

The main thing you need to know is that the repeats on your current prescription will be valid only for a month at a time, and no, you can’t use two of them at once.

Strictly speaking, the new scheme covers 60-day prescriptions – which is as near enough to two months to make no difference. The plan is that for certain long-term medications – those for cholesterol or diabetes or endometriosis, as examples – 60-day supplies will be available, but only as long as your doctor thinks it’s a good idea.

On September 1 this year, almost 100 common medicines listed on the Pharmaceutical Benefits Scheme (PBS) became eligible for 60-day prescriptions. By this time next year the list is expected to have grown to over 300.

To take advantage of this you need to talk with your GP, who has to make some important decisions with you. They have to be confident in your condition, whatever it is, is well managed by the medications and that you won’t need a change of dosage for the next couple of months.

If they consider that you are dealing well on the meds, then they may issue 60-day scripts, with repeats.

The 60-day prescriptions look different to the normal monthly ones, so your pharmacist can identify it at a glance. And, of course, your pharmacist might ask you a couple of gentle questions, to make sure you’re comfortable with the new arrangement.

These new rules, the government says, will save many Medicare card holders up to $180 a year, and concession card holders up to $43.80 a year. They don’t affect the PBS Safety Net in any way.

So, patience is probably the key here. Remember that your current repeat scripts – even if the medication is on the list – are still monthly, and there is nothing your pharmacist can do to change that.

Once the time comes to see your doctor for some more, however, ask them if you can have the two-month versions. And remember, even with them, you can still pop into your local pharmacist as often as you like for great advice!

Prescription changes explained (2024)

FAQs

Do I need new glasses if my prescription changes? ›

Most glasses prescriptions expire after one or two years. At your exam, your eye doctor will let you know if there are changes in your prescription that warrant a shiny new pair of eyeglasses. If your prescription has little to no change, your doctor may say you can continue wearing your current pair if you choose.

Is it worth getting new glasses for 0.25 change? ›

It is considered normal when the power changes ever so slightly as it depends on whether your eyes are experiencing fatigue or if your eyes have been pharmacologically dilated. All that factors could fluctuate your power slightly and if the change is 0.25D to 0.50D, you don't have to change your glasses!

Why did my prescription change so much? ›

Refractive Errors: Conditions like nearsightedness, farsightedness, and astigmatism can progress or change, leading to prescription adjustments. Medical Conditions: Certain health conditions, such as diabetes, can affect the shape and function of your eyes, resulting in fluctuating vision and prescription changes.

What is considered a significant change in eye prescription? ›

When you're an adult, vision changes happen more slowly, but you can still experience significant changes to your sight. A significant change in your glasses prescription occurs when you struggle to see despite wearing corrective lenses, meaning your current prescription is no longer effective.

Is 2.5 a big difference in eye prescription? ›

If your prescription reads -1.00, that means your eyeglasses need 1 diopter of strength to correct nearsightedness. If your prescription reads +2.50, your eyeglasses need 2.5 diopters of strength to correct farsightedness. The higher the number, the more correction your vision needs.

What are the symptoms of a wrong eye prescription? ›

If you experience any of these symptoms for an extended period of time, after the adjustment period, your prescription may be incorrect:
  • Extreme blurring of vision.
  • Lack of focus.
  • Poor vision when one eye is closed.
  • Excessive eye strain.
  • Headaches or dizziness.
  • Vertigo or nausea, unrelated to a medical condition.

How much difference does .25 make in glasses? ›

A 0.25 diopter change is a small change in lens power. A -4.25D lens is only ~6% stronger than a -4.00D lens. Some people are very sensitive to tiny differences in lenses, and others can weal any old thing that the find in a drawer somewhere.

Is 0.75 astigmatism a lot? ›

Astigmatism is measured in diopters. A perfect eye with no astigmatism has 0 diopters. Most people have between 0.5 to 0.75 diopters of astigmatism. People with a measurement of 1.5 or more typically need contacts or eyeglasses to have clear vision.

Is 0.25 diopter noticeable? ›

When you get your eyes tested for glasses, you are able to detect 1/4 (0.25) Diopter of astigmatism. Some people can detect even less. Small amounts of astigmatism, up to 0.50 Diopter, probably will not bother you during your normal activities. Vision becomes noticeably blurry with 1.00 Diopter of astigmatism or more.

At what age does your eyesight stop changing? ›

Around age 60, these changes in near vision should stop, and prescription changes should occur less frequently.

How quickly can eyesight change? ›

However, on average, you can expect your prescription to remain the same for between one and three years. But, since everyone experiences a different level of eye health and eye damage throughout their life, people with eye conditions may experience changes more often.

Can dry eyes change your prescription? ›

Dry Eyes. This does not necessarily cause a change in your glasses prescription. However, it can wreak havoc on how well you see. The best analogy for dry eyes, would be like “looking through a dirty windshield”.

What vision changes should I worry about? ›

Specific factors that may accompany urgent vision-related medical conditions include sudden onset of: Severe eye pain or irritation. Vision loss or double vision. Eye floaters, flashes of light or halos around lights.

Does astigmatism change your prescription? ›

Unfortunately, astigmatism prescriptions can change and often do so with advancing age. Small changes to the shape of your cornea can often cause large changes in the axis measurement, although these are rare.

What is considered changes in vision? ›

Vision changes are basically any alterations in your ability to see well. They may include cloudy vision, blurry vision, double vision, loss of vision or seeing spots in your vision. Vision changes may occur due to a condition in the eyes, or they may be caused by other conditions affecting the whole body.

How often should you need a new glasses prescription? ›

An updated prescription will allow you to see clearly. Some people require a new prescription every year. Others only need a new prescription every two to three years. Learn the signs you should look for, so you will know when to visit the optometrist and get a new prescription.

Can I use my old glasses for a new prescription? ›

If you're looking to update your eyeglasses prescription without purchasing new frames, replacing the lenses in your existing glasses is a viable option. It allows you to enjoy the benefits of updated vision correction while keeping the frames you love.

Can I switch between glasses with different prescriptions? ›

So you might choose to swap your distance glasses for reading glasses, or vice versa, depending on the task. Wearing 2 different glasses for different vision problems will not harm your eyes. As long as the prescriptions are accurate, you're unlikely to experience any symptoms, such as headaches or eyestrain.

How long should a pair of glasses last? ›

The average lifespan of a pair of glasses is one to three years, but how long glasses should last can vary from one set of frames to the next. More durable frames can last longer, as can higher-quality lenses. Also, if your eye prescription changes since your last eye appointment, you may need new glasses.

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