The main public hospital for the western coast is the Hospital Universitario Costa del Sol, near Marbella, whose 24-hour emergency department serves Marbella, Fuengirola, Mijas, Benalmádena and Estepona. Like all Spanish A&E, it works by triage rather than as a walk-in clinic for a routine refill, and an ordinary appointment runs through a local health centre in Spanish.
For a medicine you already take and are stable on, a short online review you complete in English from your accommodation is usually the quickest route to a Spanish prescription. If your medicine is one that should not be stopped abruptly, do not wait.
Spanish pharmacies dispense prescription-only medicine against a Spanish prescription, either a private receta privada issued electronically through REMPe, or a public-system receta. A UK or other foreign prescription will not normally be honoured at the counter, although a pharmacist may use it as evidence of your regimen when you obtain a Spanish prescription. Out-of-hours and duty pharmacies across Málaga province rotate on a rota published by the Málaga pharmacists' college (ICOFMA).
A UK GHIC or EHIC card, and the public system (SAS), cover medically necessary and emergency treatment, with a prescription co-payment. They do not cover private care or routine repeat prescriptions arranged privately, so for medication you already take you usually need a private Spanish prescription.
You complete a short online request describing the medication you already take and your situation, in English. A Spanish-registered, English-speaking doctor reviews it. Where it is safe and clinically appropriate, the doctor issues a Spanish electronic private prescription (a receta privada on REMPe, with a QR code) that any Spanish pharmacy can dispense.
The review is EUR 50, and you only pay if a doctor issues a prescription. There is no charge if your request is declined. Any medication is paid for separately at the pharmacy that dispenses it. This is a continuation service for medication you are already established on, not first-time prescribing of new medicines.
What to have ready: the full name of the medication, the dose, how often you take it, the condition it is for, the name of your usual doctor, and a photograph of the box or a recent prescription if you have one. For UK patients, the NHS app usually has all of this in one place.
The Holiday Doctor scope is deliberately narrow, and the service is online only. We are not an in-person clinic on the Costa del Sol, and we are not an emergency service.
- Controlled drugs - strong opioid painkillers, ADHD medications, benzodiazepines, sleeping tablets, and others
- Weight-loss medication
- Anticoagulants and medications requiring regular blood monitoring
- Insulin starts and complex diabetes regimens
- Complex psychiatric medication regimens, particularly antipsychotics
- New conditions outside our published scope
- Anyone under 18, or anyone not physically in Spain
- Anything that needs an in-person examination to assess safely
For any of these, the right route is a health centre, Urgencias, or a private doctor in person. The coast has a strong multilingual private sector (for example HC Marbella, Hospiten and Vithas Xanit in Benalmádena) if you need in-person English-speaking care. For urgent or life-threatening symptoms, call 112. The consultation form will tell you immediately, at no charge, if your situation is outside scope.