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What happens if you can't afford your medication?

475 replies

Frequency · 16/01/2026 10:28

I can btw, this is not a begging thread, but I'm taking the money from my savings, and I don't always have money in my savings, which has got me pondering.

If I didn't have savings and my asthma medication ran out, is there a scheme where I can buy now, pay later, or is it a case of risking death or needing A&E?

Are there any other life-saving medications you have to pay for, or is it just asthma? I know my mum gets free prescriptions because she needs thyroid medication, but that doesn't seem as serious or life-threatening as asthma to me.

What's the criteria for a medication being free, and why doesn't it seem to make sense?

OP posts:
Isobel201 · 16/01/2026 13:03

Automagical · 16/01/2026 10:55

Historically I believe things like diabetes and hypothyroidism were given free prescriptions was because they are treated with replacement hormones, not drug treatments.

Edited

I take metformin which is a drug that doesn't replace hormones, and I get free prescriptions for that.

popcornandpotatoes · 16/01/2026 13:03

BadgernTheGarden · 16/01/2026 10:45

I believe you can get cheaper prescriptions if you need a lot of medication by pre-payment, as below you can get all your prescriptions for a single charge for 3 months or 12 months.

Current Prescription Charges (England)

  • Per Item: £9.90.
  • 3-Month PPC: £32.05.
  • 12-Month PPC: £114.50.

Or possibly free if you are on a low income

  • On low income (through the NHS Low Income Scheme).
  • Receiving specific benefits (like Universal Credit or Pension Credit

If op can't put away a tenner for the end of the month then a one off larger payment for the certificate isn't going to work even if it cheaper in the long run. The poor tax

Hiptothisjive · 16/01/2026 13:03

Frequency · 16/01/2026 10:28

I can btw, this is not a begging thread, but I'm taking the money from my savings, and I don't always have money in my savings, which has got me pondering.

If I didn't have savings and my asthma medication ran out, is there a scheme where I can buy now, pay later, or is it a case of risking death or needing A&E?

Are there any other life-saving medications you have to pay for, or is it just asthma? I know my mum gets free prescriptions because she needs thyroid medication, but that doesn't seem as serious or life-threatening as asthma to me.

What's the criteria for a medication being free, and why doesn't it seem to make sense?

OP just a point here - please don't 'compare' the serious or life-threatening nature of some conditions or medicines against each other. Thyroid disease can be life threatening (as can asthma) and it is VERY serious if left untreated.

Interested in this thread?

Then you might like threads about these subjects:

housethatbuiltme · 16/01/2026 13:04

My inhalers are free.

You must be over the income threshold to not get free prescriptions therefore its deemed you can afford them. I you couldn't afford £9 despite having an income high enough to be over the threshold you really need to look at what other things you are prioritizing above your life.

Asthma inhaler, anti-psychotics drugs and insulin are the 3 medication you can get from A&E if you are prescribed and run out and can't get more (are away from home, lost prescription print out, local pharmacies closed/out of stock etc...). Any other prescriptions can't be filled by A&E but those three count as life saving medication and will be on you hospital accessible medical notes.

Bitsandbobs2 · 16/01/2026 13:05

Frequency · 16/01/2026 10:36

I think I've looked into this before, and it only works out if you get multiple medications. I only need one inhaler a month.

Well, sometimes you need more medication than Asthma inhalers- antibiotics, etc. I was sick 4 times last year when needed eye ointment, etc. It is cheaper with pre-paid.

Jellybunny56 · 16/01/2026 13:06

This is why people on certain benefits can get prescriptions for free, but there will always be people that fall out of that who still can’t afford to pay. I believe there is a low income scheme available though if you meet the criteria?

Chiefangel · 16/01/2026 13:08

My daughter needs heart medication following a cardiac arrest and was diagnosed with a rare heart condition. She is 21. She has to pay for her prescriptions. If she didn’t take it, her heart would go into a dangerous arrhythmia. So unfair she has to pay, it should be treated the same as people with diabetes and thyroid issues.

VisitingInkMonitor · 16/01/2026 13:11

I’d cheerfully swap my auto immune condition that destroyed my thyroid and pay for my prescriptions. I’m sorry you are struggling OP but please don’t start claiming your asthma is worse than other conditions on the list because you don’t understand why they are on the list. It’s not a race to the bottom. Without my thyroid meds I would die - not possibly, but definitely. But I’m glad you think that it’s not serious.

TigerRag · 16/01/2026 13:13

VisitingInkMonitor · 16/01/2026 13:11

I’d cheerfully swap my auto immune condition that destroyed my thyroid and pay for my prescriptions. I’m sorry you are struggling OP but please don’t start claiming your asthma is worse than other conditions on the list because you don’t understand why they are on the list. It’s not a race to the bottom. Without my thyroid meds I would die - not possibly, but definitely. But I’m glad you think that it’s not serious.

Asthma kills 4 people a day. It's not a mild inconvenience that some people think it is

Boohoo76 · 16/01/2026 13:15

My mum had less than 30% lung function and she still had to pay for her inhalers (and a whole host of other medication). She would have died without that medication (and she died despite of it.) Yes, she got a prepayment certificate, but not everyone has £110 to pay up front.

Mt563 · 16/01/2026 13:19

Boohoo76 · 16/01/2026 13:15

My mum had less than 30% lung function and she still had to pay for her inhalers (and a whole host of other medication). She would have died without that medication (and she died despite of it.) Yes, she got a prepayment certificate, but not everyone has £110 to pay up front.

You can pay the annual certificate in 10 installments so £11/ month which is basically what one prescription costs.

Frequency · 16/01/2026 13:19

TigerRag · 16/01/2026 13:13

Asthma kills 4 people a day. It's not a mild inconvenience that some people think it is

This, going without thyroid medication until payday, is something no one should have to do, and just to be clear, I am not saying that people who need that medication should have to pay, so I don't have to. I was questioning the reasoning behind one being free and the other not.

Someone who needs thyroid medication won't die of a thyroid attack if they miss a couple of days of medication. The same cannot be said of asthma if someone has a bad attack while they're waiting for payday.

And by that I don't mean one is worse than the other, I mean the logic for one medication being free and the other not does not make sense.

OP posts:
ERthree · 16/01/2026 13:19

Missey85 · 16/01/2026 10:42

I take two kinds of medicine for epilepsy here in Australia scripts aren't free so I have to pay every month it's the First thing I budget for because I know I need it

In England if you have epilepsy you don't pay for any prescriptions.

Strangesally20 · 16/01/2026 13:22

This is crazy to me. I live in Scotland so mostly free proscriptions so nothing to add to this conversation really but I’m an ICU nurse and as any ICU nurse will tell you, a brittle asthmatic coming in makes our blood run cold. They are the sickest and most difficult patients to treat, absolutely terrifying to get the phone call saying there is an asthmatic in A&E and they need to come up to ICU. It’s mad they yous have to pay for your inhalers and it doesn’t come under a long term conditions policy!

HeartyBlueRobin · 16/01/2026 13:23

"I know my mum gets free prescriptions because she needs thyroid medication, but that doesn't seem as serious or life-threatening as asthma to me."

Both can be life threatening. An untreated under or over active thyroid most definitely can kill you, much the same as a severe asthma attack.

The list of illnesses that allowed for free prescriptions was drawn many years ago and hasn't really kept up.

HarvestMouseandGoldenCups · 16/01/2026 13:24

Frequency · 16/01/2026 11:16

Levothyroxine is the same, though? Some people would die without it, some people don't. My mum is always missing hers because she says she is too busy to go and collect or she forgets, whereas if I forget to go and collect my inhaler, I notice straightaway because I start getting breathless, particularly at night.

I probably wouldn't die, but I would be very uncomfortable. I'm not dismissing how serious thyroid problems can be, btw, I'm just pointing out that asthma is the same.

I probably wouldn't die if I didn't have my inhaler; it's a possibility, but unlikely. My dad would be dead within hours if he didn't have his.

£10 is less than an hour’s minimum wage. I simply don’t believe that someone who isn’t eligible for benefits is so poor that they cannot prioritise that for medication over other things.

Upstartled · 16/01/2026 13:26

HarvestMouseandGoldenCups · 16/01/2026 13:24

£10 is less than an hour’s minimum wage. I simply don’t believe that someone who isn’t eligible for benefits is so poor that they cannot prioritise that for medication over other things.

Wait till you find out about the working people who go into debt every month to cover their basic needs.

TigerRag · 16/01/2026 13:27

HarvestMouseandGoldenCups · 16/01/2026 13:24

£10 is less than an hour’s minimum wage. I simply don’t believe that someone who isn’t eligible for benefits is so poor that they cannot prioritise that for medication over other things.

Have you really never had an unexpected cost like needing to fix your car or a higher gas bill?

Mt563 · 16/01/2026 13:27

HarvestMouseandGoldenCups · 16/01/2026 13:24

£10 is less than an hour’s minimum wage. I simply don’t believe that someone who isn’t eligible for benefits is so poor that they cannot prioritise that for medication over other things.

I can understand if it's new or an unexpected expenses (needing antibiotics or something) but as a recurring known expense. But I know I'm privileged. And very good at creative low budget cooking which can definitely save me £10/ month when I need it to.

HarvestMouseandGoldenCups · 16/01/2026 13:27

Upstartled · 16/01/2026 13:26

Wait till you find out about the working people who go into debt every month to cover their basic needs.

Loads of low paid working people are eligible for UC though.

pippapipps · 16/01/2026 13:28

Try living in Ireland it's scandalous the prices we pay ..€60 to visit a doctor and all prescriptions to be paid for unless you have a medical card ...

I get my thyroid medication every month and it costs me €15 every month and my inhalers are between €15 and €60 depending on the inhaler .. can't always spare the money so try to do without my inhalers at times as I have to put my dd first as she has an inhaler as does my ds ..all kids prescriptions to be paid for too and no free GP visits for kids either
Antibiotics can range from €10-€60 .. know I had antibiotics and a steroid a year or so ago and cost me €60!!

HarvestMouseandGoldenCups · 16/01/2026 13:28

TigerRag · 16/01/2026 13:27

Have you really never had an unexpected cost like needing to fix your car or a higher gas bill?

I don’t have a car (I use the bus) and I monitor my gas usage on the smart meter. If it gets high one month then I don’t use the heating.

Upstartled · 16/01/2026 13:29

The op has told you that she isn't eligible for universal credit, that she is just about managing but that is a balance under strain when the additional energy costs in winter bite. I don't know why you think that isn't believable.

nevernotmaybe · 16/01/2026 13:30

ColourThief · 16/01/2026 12:26

Tell me you’re out of touch without saying you’re out of touch…

That is the reality for a lot of people, myself included.
By the end of the month I’m resorting to Clearpay and Klarna to afford my weekly food shop.
That is regardless of how well I’ve managed to budget all month.
We live on the budget range of whatever supermarket we shop in, I buy clothes and shoes secondhand etc.

If one of my children suddenly needs a pair of shoes, guess where that £10 I’m supposed to “budget” is going?
If myself or any of my children need an unexpected visit to the doctor or A&E, guess where our bus fare is coming from?
etc etc.

It is not possible for me MOST months to save £10 successfully, or even £5.
This is how dire some people’s finances can be.

I swear the cost of living crisis has passed some people by because the lack of awareness is ridiculous on here.

Edited

Have you applied for the low income scheme?

Why aren't more people doing so.

It assessed your weekly income, and compares it to you weekly requirements (rent, mortgage, council tax, bills etc). If your weeks income is less or equal you get all the same free medical things as someone on benefits. If it is more, you can still get help depending on how much - if it is only a bit more you might still get full help.

TigerRag · 16/01/2026 13:31

HarvestMouseandGoldenCups · 16/01/2026 13:28

I don’t have a car (I use the bus) and I monitor my gas usage on the smart meter. If it gets high one month then I don’t use the heating.

Then you're lucky. If I get cold, my joints seize up and go numb.

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