Pharmacies, Medication Distribution in Bangkok
You never need to walk more than a few hundred meters to find a pharmacy in Bangkok. Prescriptions are seldom used, most of the business seems to be done over the counter. While standards differ, pharmacists themselves are not always on the premises.
When visiting hospitals, one is referred to the hospital pharmacy to get needed drugs. No prescriptions are given, the physician just writes on some internal paper for the hospital pharmacy.
We do not even know whether one can ask specifically for a prescription to be used at an outside pharmacy or not. In any case, quite clearly the pharmacies at major hospitals charge (much) more for drugs than the outside pharmacies. (more about this topic)
If you are on long-term treatment with a particular drug, it is maybe useful to just get it without prescription outside, and tell your physician you have a supply of drugs of your own.
Generic drugs can be obtained at a fraction of the cost of 'brand name' drugs. However, only in pharmacies outside major hospitals.
Sedatives - Recreational Drugs
Commonly used drugs are widely available throughout Bangkok. For sure, do not be surprised if a particular drug, just released in U.S.A. or Europe, is not yet available. Up to about 10 years ago, it was possible to just get about anything without prescription, including antibiotics, sedatives, anti-depression medication, recreational drugs like Viagra etc. In many cases this may not have been strictly according to the law, but in practice there were no obstacles in obtaining what you wanted.
At present, it is more difficult or impossible to get sedatives or psycho-active drugs without prescription. We do think that recreational drugs like Viagra still can be obtained, when discreet. 30 June 2013 seems to have been a turning point of source in the availability of sedatives and sleeping pills. We understand, and the pharmacies are well aware of it, that potent sedatives and sleeping pills will stop being provided without prescription (maybe this was already so before, but pharmacies have been warned apparently of stricter enforcement). Maybe this is for the better, after all it was recently revealed that sleeping pills increase mortality (make it more likely you die prematurely). Valium, and possible some other milder sedatives, are still available. This being said, some pharmacy operators (we do not want to call them pharmacists), will likely continue to provide drugs illegitimately at a high price.
Viagra and other drugs for erectile dysfunction (these drugs are more likely used in Bangkok for recreational purposes) are widely available the length of Sukhumvit road, presented on easily removed little tables, often with the sun blasting overhead. A lot of generic drugs for erectile dysfunction will come on the market beginning in 2013, and we understand also the GPO (Governmental Pharmacy Organization of Thailand) is producing its own version of Viagra. So possible this sidewalk business will be adversely affected.
Antibiotics, drugs for high cholesterol, cardiac medication anti-rheumatic drugs etc. can still be bought over the counter.
Do not expect a lot of communication with the average pharmacist.
One of the main functions of a pharmacist should be to explain how and when medicine needs to be taken, and to check for interactions with other drugs. Now, especially the latter hardly ever happens.
A lot of pharmacists simply perform the function of a salesperson, and nothing more. If you are familiar with your medication, this may be fine. Otherwise, you may be better off at hospital pharmacies (the pharmacists there at least explain a bit more, and if asked, they will certainly check out any drug interactions).
Pharmacies, continued : recommended pharmacies, regarding prescription drugs