A 45-year-old man presents to the pharmacy requesting omeprazole 20 mg over the counter. He reports heartburn occurring most days for the past six

Question

A 45-year-old man presents to the pharmacy requesting omeprazole 20 mg over the counter. He reports heartburn occurring most days for the past six weeks. He has lost half a stone in weight unintentionally. He has no difficulty swallowing. What is the most appropriate action?

Accepted Answer

Refuse the sale and refer urgently to the GP for further investigation, given unintentional weight loss with persistent dyspepsia

Answer

Supply omeprazole 20 mg for a two-week trial and review

Answer

Advise dietary modifications and supply antacid tablets

Answer

Supply ranitidine instead as it is safer for long-term use

Answer

Supply omeprazole 10 mg as a lower dose is more appropriate for OTC use

Dyspepsia red flags — GPhC CRA MCQ

A 45-year-old man presents to the pharmacy requesting omeprazole 20 mg over the counter. He reports heartburn occurring most days for the past six weeks. He has lost half a stone in weight unintentionally. He has no difficulty swallowing. What is the most appropriate action?