I moved to Spain not long ago and unfortunately caught a cold. It took some effort to figure out how to buy medicine and handle minor health issues here. I noticed that information on this topic is quite scattered on forums, so today I’m organizing my experience to help anyone who might need it.
First, Distinguish Between Prescription and Over-the-Counter Drugs
In Spain, the regulation of medication is very strict. The most crucial point is to distinguish between Medicamentos con receta (prescription drugs) and Medicamentos sin receta (over-the-counter drugs). Simply put, medications like antibiotics, strong painkillers, and specific drugs for chronic diseases all require a doctor’s prescription to be purchased. On the other hand, common items like cold medicine, cough syrup, vitamins, and bandages are considered over-the-counter and can be bought directly at a pharmacy.

Where to Buy? Farmacia vs. Parafarmacia
This is another point that’s easy for newcomers to get confused about. Although they both seem to sell health-related products, there is a fundamental difference between them.
- Farmacia: These are identified by a large green cross sign at the entrance. It’s the only place legally authorized to sell both prescription and over-the-counter drugs, and it’s linked to the Spanish medical reimbursement system. The pharmacists are highly professional. If you have a minor ailment, like a sore throat or a skin allergy, you can consult them directly. They will recommend suitable over-the-counter medicine based on your symptoms. When I had a cold, I went straight to a Farmacia, described my symptoms, and the pharmacist gave me some very effective medication.
- Parafarmacia: These shops are often found in shopping malls, large supermarkets, or as standalone stores. They
cannot sell any medication but instead offer health supplements, baby products, dermo-cosmetics, and hygiene items. Make sure you don’t go to the wrong place.
| Store Type | Main Products Sold | Prescription Required? |
| Farmacia | Prescription drugs, over-the-counter drugs, some supplements and dermo-cosmetics | Partially required |
| Parafarmacia | Supplements, dermo-cosmetics, baby products, hygiene items | Not required |
The Actual Purchasing Process
Over-the-counter drugs: Simply walk into any Farmacia, find the pharmacist, and explain your symptoms. For example, you can say, “Tengo tos y dolor de garganta” (I have a cough and a sore throat), and they will recommend something for you. After paying, you’ll receive a special receipt, so remember to keep it.
Prescription drugs: This process is more standardized. First, you need to see a doctor. After a diagnosis, the doctor will issue an electronic or paper prescription. Take your health card and the prescription to a Farmacia. The pharmacist will either verify it through the [medical reimbursement] system or collect the paper prescription before giving you the medication. It’s worth noting that for drugs covered by the public healthcare system, you only need to pay a small portion of the cost, which is very affordable. Therefore, it’s crucial for everyone to apply for their Spanish health card by registering for social security as soon as possible!