Check ongoing need, dose and warning symptoms before repeating acid-suppression treatment.
Continuing medicationSome people need long-term treatment, but the indication and dose should be reviewed.
Difficulty swallowing, bleeding, anaemia, weight loss or persistent vomiting require further assessment.
| Clinical question | Why it matters |
|---|---|
| 01Can a proton-pump inhibitor be taken indefinitely? | Some people need long-term treatment, but the indication and dose should be reviewed. |
| 02What symptoms need investigation? | Difficulty swallowing, bleeding, anaemia, weight loss or persistent vomiting require further assessment. |
Use the doctor consultation for a new problem, new symptoms, side effects or a dose change.
Use the repeat review only when the medicine and dose are unchanged and you can provide evidence.
The doctor checks whether the likely diagnosis, treatment history and safety information are clear enough for remote care. Examination, testing or a local referral is recommended whenever that is the safer next step.
You receive advice, follow-up timing and—only when clinically appropriate—an electronic prescription by email for dispensing at a pharmacy in Spain.