Chapter 1: Clinical Overview
You must refer to the pharmacist, if in your conversation you discover that your patient:
has symptoms that may indicate a heart attack.
takes other medication, because some medicines can have the side effect of causing heartburn, for example some anti-inflammatories.
has other health conditions, or is pregnant, or breastfeeding.
has symptoms for the first time, with no obvious trigger, such as a recent large, spicy meal.
has frequent episodes, twice or more every week.
has different or more severe symptoms than usual.
The Pharmacist can assess the situation and refer on if necessary.