The Wellness Collective

10 Health Conditions Europeans Don’t Go to the Doctor For

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Someone requesting a prescription online.

Table of Contents

If you’ve ever woken up with a stinging sore throat or the tell-tale signs of a urinary tract infection (UTI), you know the drill. You call your primary care physician, hope for an open slot, or resign yourself to a long wait at an urgent care clinic, all to get a simple prescription. It’s a frustratingly slow dance for a problem you likely already know the answer to. 

But if you were waking up in London, Paris, or Berlin, your morning would look very different. In many European healthcare systems, the “doctor’s visit” is becoming obsolete for a wide range of common, non-emergency conditions. Instead of waiting hours or days for an appointment, Europeans can often walk down the street to their local pharmacist, have a quick chat, and walk out with the medication they need. 

While the regulatory landscape here in the States is different, the desire for accessible, efficient care is universal. Understanding why Europeans don’t see doctors for mild conditions sheds light on how healthcare is evolving globally, and how services like telehealth for minor or low-risk illnesses are finally bringing that same level of convenience to American patients.

why Europeans handle common ailments differently

A pharmacist filling a prescription.

To an American observer, the European model might seem surprisingly loose. How can a pharmacist hand out antibiotics or prescription migraine medication without a doctor’s note? 

The reality is that these systems are highly regulated and rigorous—they’re just designed differently. They prioritize speed for simple issues to keep doctors free for complex ones. 

The “Pharmacy First” Approach 

The shift is about changing who provides medical guidance. Take the United Kingdom, for example. The National Health Service (NHS) recently launched the “Pharmacy First” scheme, which authorizes pharmacists to treat seven common conditions, including sinusitis and infected insect bites, without a GP visit and the impact has been massive.  

According to NHS England, over 10,000 pharmacies (that’s about 95% of them!) signed up for the service in early 2024. In just the first few months, pharmacists delivered hundreds of thousands of consultations that would have otherwise clogged up doctors’ waiting rooms. 

Reclassification of Medicines 

Europeans also benefit from the “down-scheduling” of drugs. Agencies like the UK’s MHRA or the EMA (European Medicines Agency) frequently review safety profiles. When a medication is deemed safe for use with a standardized screening protocol, it becomes a “Pharmacy” (P) medicine.  

This allows access to treatments for conditions like erectile dysfunction or migraines after a structured conversation with a pharmacist, rather than a formal doctor’s exam. 

Telehealth as the Great Equalizer 

This is where the U.S. is catching up. While we can’t walk into a CVS and buy antibiotics off the shelf, we can access care through asynchronous telehealth platforms like TelyRx.com. 

Americans want the convenience of the European model, and digital platforms are how we’re getting it. 

10 common conditions Europeans don’t see a doctor for

The difference in access between the U.S. and Europe is starkest when we look at specific ailments. Here are 10 conditions where a European patient skips the clinic, and how that compares to an experience in the U.S. 

1. Uncomplicated Urinary Tract Infections (UTIs)

The European Experience – In England, women aged 16 to 64 who suspect they have an uncomplicated UTI can visit a participating pharmacy under Pharmacy First. The pharmacist conducts a private consultation to rule out kidney involvement. If the criteria are met, they supply a course of antibiotics (like nitrofurantoin) on the spot. 

The U.S. Difference – Here, antibiotics are strictly prescription-only, whether through telehealth platforms or in-person. Even if you’ve had UTIs before and recognize the symptoms instantly, you usually need a clinician visit. Given that UTIs account for nearly 10 million doctor visits annually in the U.S. (according to the National Kidney Foundation), that is a lot of time spent in waiting rooms for a standard prescription.

2. Bacterial Conjunctivitis (Pink Eye)

The European Experience – For parents in the UK, a child waking up with a sticky, red eye doesn’t ruin the work week. Chloramphenicol, a broad-spectrum antibiotic, is available as eye drops or ointment directly from pharmacies for adults and children over two. 

The U.S. Difference – While OTC drops exist for redness, antibiotic drops require a prescription in the U.S. This forces a doctor’s appointment for a condition that is highly contagious but easily treated.

3. Vaginal Yeast Infection

The European Experience – While topical creams are OTC in both regions, the oral treatment is treated differently. In the UK and many EU countries, a single dose of oral fluconazole is sold as a pharmacy medicine. It’s viewed as a clean, convenient alternative to messy creams. 

The U.S. Difference – In the U.S., while you can buy topical creams (like Monistat) off the shelf, oral fluconazole (Diflucan) remains prescription-only. If you prefer the pill, you have to see a doctor.

4. Scabies

The European Experience – Scabies is an incredibly itchy skin infestation caused by mites. In the UK, permethrin 5% cream—the gold standard treatment—is a pharmacy medicine. Rapid access helps stop the spread within households immediately. 

The U.S. Difference – Permethrin 5% and oral ivermectin are prescription-only in the U.S. If one person gets it, the whole family usually needs treatment, which means coordinating prescriptions and appointments for everyone.

5. Erectile Dysfunction (ED)

The European Experience – The UK made headlines when it reclassified sildenafil 50 mg (Viagra) as a “Pharmacy” medicine. Men can obtain it after a screening with a pharmacist. This move was largely designed to reduce the purchase of unsafe, counterfeit drugs from untrustworthy sources. 

The U.S. Difference – While sildenafil remains prescription-only here, this is one area where telehealth platforms have revolutionized access. Telehealth platforms have made obtaining this medication private and efficient, mirroring the European level of access.

6. Cold Sores (Herpes)

The European Experience – Cold sores are painful and embarrassing. In the UK, topical acyclovir 5% cream (Zovirax) is available OTC. It’s an antiviral that can stop a cold sore in its tracks if applied at the first “tingle.” 

The U.S. Difference – While we have OTC treatments like docosanol (Abreva), stronger topical medications like acyclovir usually require a prescription. This limits access to one of the most established antiviral treatments, where time is a large factor in the treatment process.

7. Migraine in Previously Diagnosed Patients

The European Experience – For migraine sufferers, running out of medication during an attack is a nightmare. In the UK, pharmacists can supply small packs of Sumatriptan 50 mg to patients with a stable, previous diagnosis. It acts as a vital bridge for patients who can’t get to their doctor. 

The U.S. Difference – If a migraine strikes and you’re out of meds, you can’t just consult a pharmacist; you often have to navigate the medical system process while in debilitating pain.

8. Emergency Contraception

The European Experience – Ulipristal acetate (ellaOne) is considered the most effective form of oral emergency contraception. It is available without a prescription in the majority of EU countries via EMA recommendations. 

The U.S. Difference – In the U.S., levonorgestrel (Plan B) is OTC, but ulipristal acetate requires a prescription. This is significant because ulipristal is often more effective, particularly for women with a higher BMI, leaving a gap in critical healthcare access.

9. Sore Throat and Sinusitis Triage

The European Experience – Under Pharmacy First, pharmacists evaluate patients with sore throats and sinusitis using clinical scoring systems. If antibiotics are likely to help, they supply them. NHS data shows that acute sore throat was the most common condition treated in the first month of the scheme, saving thousands of GP appointments. 

The U.S. Difference – Unlike in the UK, Americans can’t always get antibiotics directly from a pharmacist. Whether you visit a clinic or use telehealth, you still need a prescription to treat strep throat or bacterial sinusitis. But while an in-person visit can mean hours in a waiting room, telehealth offers a more direct route to care.  

10. Threadworm (Pinworm) Infections

The European Experience – Pinworms are a common childhood nuisance. In the UK, mebendazole 100 mg—a highly effective single-dose chewable tablet—is available from pharmacies for ease and efficiency.  

The U.S. Difference Pinworms are notoriously contagious; if one child has them, the whole household is likely already at risk. While there is an over-the-counter option (Pyrantel Pamoate), the highly effective Albendazole requires a prescription in the States.  

how TelyRx brings European convenience to the U.S.

After reading this list, you might be wondering why you’re still sitting in waiting rooms for these issues. The gap reflects differences in national policy, but it doesn’t mean American patients are out of luck. This is where TelyRx bridges the divide. 

We understand that while the U.S. requires prescriptions for medications like acyclovir, sildenafil, or oral fluconazole, you shouldn’t have to endure the hassle of an in-person clinic for straightforward health needs. We offer the safety and compliance of the U.S. medical system with the speed and convenience of the European pharmacy model. 

Through our platform, you submit relevant clinical information online—similar to the screenings European pharmacists perform—and then a board-certified U.S. physician reviews your case. If appropriate, TelyRx’s licensed pharmacies ship your medications straight to your door. We make it easy to access the prescriptions you need from the privacy of your home, without the video calls, the large copays, or waiting rooms. 

when you still need in-person care

A person needing in-person care.

While self-treatable health conditions and telemedicine for common illnesses cover a lot of ground, it is vital to recognize when technology isn’t enough. Even in Europe’s “Pharmacy First” model, pharmacists are trained to spot “red flags” and refer patients to hospitals. 

You should always seek in-person care if you experience: 

  • High Fever – Particularly with a stiff neck, confusion, or rash. 
  • Severe Pain – Sudden, intense pain in the abdomen, chest, or head. 
  • Breathing Difficulties – Shortness of breath or wheezing that doesn’t resolve. 
  • Pregnancy Concerns – Any bleeding or cramping during pregnancy. 
  • Recurrent Infections – If a UTI or sinus infection keeps coming back despite treatment. 

what this says about access to care

The divergence between European and American models highlights a global shift. We are moving away from a “doctor-centric” model for everything, toward a “skills-centric” model. 

Pharmacist-led pathways prove we can speed up treatment without compromising safety. Additionally, using telehealth vs in-person doctor visits for minor issues frees up physicians to treat complex conditions. Faster access encourages earlier intervention, preventing minor issues from becoming major ones. 

The future of healthcare is hybrid. While you may not be able to walk into a New York pharmacy and buy antibiotics off the shelf just yet, platforms like TelyRx ensure that convenient online access to care is safe, legal, and just a few clicks away. 

Disclaimer

This blog post is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. The content provided here is not a substitute for professional medical advice, consultation, or care from a qualified healthcare provider. Always seek the guidance of your physician or another licensed health professional with any questions you may have regarding a medical condition or treatment. Do not disregard or delay seeking professional medical advice based on information read on this site. Learn more about our editorial standards here.

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