Specific Issues in Scotland
If you take prescription drugs, keep a supply in your carry-on luggage and make a list of all your prescriptions to keep on file at home while you are abroad. You will not be able to renew a U.S. prescription at a pharmacy in Britain. Prescriptions are accepted only if issued by a U.K.-registered physician.
If you're traveling in the Highlands and islands in summer, pack some midge repellent and antihistamine cream to reduce swelling: the Highland midge is a force to be reckoned with. Check www.midgeforecast.co.uk for updates on these biting pests.
Over-the-counter medications in Scotland are similar to those in the United States, with a few significant differences. Medications are sold in boxes rather than bottles, and are sold in very small amounts—usually no more than 12 pills per package. There are also fewer brands than you're likely to be used to—you can, for example, find aspirin, but usually only one kind in a store. You can buy generic ibuprofen or a popular European brand of ibuprofen, Nurofen, which is sold everywhere. Tylenol is not sold in the United Kingdom, but its main ingredient, acetaminophen, is—although, confusingly, it's called paracetamol.
Drugstores are generally called pharmacies, but sometimes referred to as chemists. The biggest drugstore chain in the country is Boots, which has outlets in all but the smallest towns. If you're in a rural area, look for shops marked with a sign of a green cross.
Supermarkets and newsagents all usually have a small supply of cold and headache medicines, often behind the cash register. As in the United States, large supermarkets will have a bigger supply.
Medical Insurance and Assistance
Consider buying trip insurance with medical-only coverage. Neither Medicare nor some private insurers cover medical expenses anywhere outside of the United States. Medical-only policies typically reimburse you for medical care (excluding that related to preexisting conditions) and hospitalization abroad, and provide for evacuation. You still have to pay the bills and await reimbursement from the insurer, though.
Another option is to sign up with a medical-evacuation assistance company. A membership in one of these companies gets you doctor referrals, emergency evacuation or repatriation, 24-hour hotlines for medical consultation, and other assistance. International SOS Assistance Emergency and AirMed International provide evacuation services and medical referrals. MedjetAssist offers medical evacuation.
Medical Assistance Companies
AirMed International (www.airmed.com.)
International SOS (www.internationalsos.com.)
International Medical Group (800/628–4664. www.imglobal.com.)
Wallach & Company (800/237–6615 or 540/687–3166. www.wallach.com.)
Shots and Medications
No particular shots are necessary for visiting Scotland from the United States.
National Centers for Disease Control & Prevention (800/232–4636 international travelers' health line. wwwnc.cdc.gov/travel.)
World Health Organization (www.who.int.)