Based on the clinical condition and stability of the patient, the prescriber decides the number of days of use of each drug, not exceeding 90 days. In cases where the documents used as the basis for prescribing drugs such as drug instructions, diagnosis and treatment instructions, and the Vietnamese national pharmacopoeia do not provide instructions on the number of days of use of drugs, the prescriber has the basis to decide to prescribe up to 90 days for the appropriate patient.
In the case of a patient visiting multiple specialists in one visit, the hospital will decide who prescribes the medication, ensuring that the patient only has one prescription, the safety (no duplication, drug interactions) and the effectiveness and reasonableness of the prescription.
Sharing about the effectiveness of Circular No. 26/2025/TT-BYT, Associate Professor, Doctor Nguyen Lan Hieu, National Assembly Delegate, Director of Hanoi Medical University Hospital, said that the new circular has helped doctors not to "circumvent the law" anymore. In fact, most doctors schedule follow-up appointments for people with chronic diseases such as high blood pressure, diabetes, etc., often for more than a month.
The most difficult thing is that previously, the regulation did not allow prescriptions to be issued for more than 30 days, which made doctors and pharmacists not dare to dispense or sell more than the prescribed amount. Therefore, some doctors had to “circumvent the law” by prescribing medications for daily use and writing at the end of the prescription: “Take the full amount as directed until your next visit.” Therefore, patients and pharmacies understand to have enough medication to use for 3 to 6 months, or even 1 year (if there are no special developments) until the next visit.
Regarding the new points of Circular No. 26/2025/TT-BYT, doctors at K Hospital said that this is a breakthrough in modernizing the health care process, improving the quality of medical services and improving the patient experience.
The new circular has created a more stringent legal framework, contributing to standardizing the prescription process, enhancing the responsibility of medical practitioners and protecting the rights of patients. On the other hand, it helps patients access accurate treatment regimens, reducing drug abuse and misuse; helping to more closely manage the prescription process, facilitating inspection and supervision; ensuring that patients are fully informed about drugs and treatment.
Notably, applying prescriptions for patients according to Circular No. 26/2025/TT-BYT not only improves the effectiveness of patient care, creates favorable conditions for doctors and medical staff, but also reduces the pressure on patients when going to the hospital for medical examination and treatment, receiving medicine, especially for patients living in provinces and cities far from Hanoi.
Associate Professor, Dr. Pham Cam Phuong, Director of the Center for Nuclear Medicine and Oncology (Bach Mai Hospital) said that in the immediate future, 2,000 patients with thyroid cancer, breast cancer and small cell lung cancer being treated at the Center will benefit from Circular No. 26/2025/TT-BYT.
People with the three types of cancer mentioned above who are treated stably, have regular check-ups, no relapse, no metastasis, can be given medication for more than 30 days. However, when giving medication for more than 30 days, doctors and medical staff as well as patients need to pay attention, with cancer that can recur, can metastasize at any time. When seeing unusual symptoms, worsening illness or chest pain, discomfort, you need to see a doctor early, not wait until the medication runs out to come for an appointment.
Source: https://nhandan.vn/quy-dinh-moi-ba-ben-deu-co-loi-post891785.html
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