Other countries, other times
Which medication should be taken on vacation at what time, should be discussed individually before the trip with the doctor. In general, it can be said that taking medicines such as insulin, which are always linked to meals, remain independent of the time change. It should be noted, however, that the blood sugar level should be checked more often during a long flight. If the day is prolonged for the patient, additional insulin may have to be injected.
With drugs such as antibiotics or the contraceptive pill mentioned above, it is important to maintain a certain level of active ingredient in the body constant. Therefore, it should always be taken at the same distance. In the case of air travel to the east, a dose may therefore be required after consultation with the attending physician, while an additional dose would have to be inserted to the west.
Adaptation to the daily routine
Other medications, such as cortisone-containing preparations, must be adjusted to the sensitivity of the organism during the course of the day. For these medications, an exact intake plan must be created that reconciles the on-the-spot change with the slower conversion of your own biorhythms. Travel clinicians then calculate an "adaptation rate" of two hours per day. As a result, medications traveling eastward are then taken two hours earlier, westward two hours later, until the intake cycle is complete.
Check-up and confirmation
About two weeks before the trip began, patients should have their respective scores reviewed again. This time frame usually offers enough scope for a possible adjustment of the dosage. If you need to take syringes, cannulas and particularly strong painkillers on vacation, you should bring a certificate that confirms the necessity of the medication.
The signatory states of the Schengen Agreement - which includes Belgium, Denmark, Finland, France, Greece, Iceland, Italy, Luxembourg, the Netherlands, Norway, Austria, Portugal, Sweden and Spain - accept a certified medical certificate certified by the highest state health authority Duration of 30 days. This will allow the doctor to prescribe drugs that fall under the Narcotics Act in sufficient quantities and the preparations may be imported as a personal travel requirement.
When traveling to other countries, you should definitely ask for information about each embassy. Certificate forms are available for download on the Internet from the Federal Institute for Drugs and Medical Devices under the heading "Attestation of narcotics for medical treatment - Article 75 of the Schengen Implementation Agreement".