Page 54 - COMMUNITY PHARMACY PRACTICE
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02/04/2024
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The possible reasons for referral for further advice include:
• ‘danger’ or ‘red flag’ signs or symptoms
• incomplete information (e.g. a ear condition where the ear
has not been examined)
• duration or recurrence of symptoms
• Failed medication (or ADR)
• Patient-specific factors (age,..)
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Exclusions for self treatment!
• The symptoms require medical referral (e.g., eye pain).
• The patient is not an appropriate candidate for selfcare
(e.g., a woman with diabetes who develops a vaginal
• candidal infection).
• The symptoms are too severe or long lasting for self-
treatment.
• Effective nonprescription therapy is not available.
• Nonprescription dosages or duration of treatment is
inadequate to treat the condition.
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