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I don't know in other countries, but in Spain you definitely don't go to the doctor asking for anything more complex than a paracetamol.

You tell the doctor your symptoms, he explores you and perform any tests considered appropriate, and the doctor decides the prescription.

I also come from a country where the doctor decides the prescription.

But you might have prior experience and preference.

A friend of mine always asks "Hey, can you bring antibiotics back?" when I go on vacation somewhere where access is easier.

Doctors here will give you a hard time if you want it.

I think that's how it should be. But sometimes you know you need antibiotics.