Are you suffering from heaartburn, indegestion or acid reflux currently?

Yes

No

Has a qualified doctor diagnosed your conditon before?

Yes

No

Since when have you struggled with heartburn/acid reflux?

It's my first time

Under a month

Almost a year

Several years

After taking naproxen for Gastric Protection

How frequent do you experience Heartburn/acid reflux?

Once in a while after meals or drinks

Everyday

Every week

After taking naproxen for Gastric Protection

What could be causing your symptoms?

When did you last talk to a General Practitioner about the condition?

Are you a smoker?

Yes

No

Do you take at over 10 alcoholic drinks in a week?
A single alcoholic drink equals: A pint of 4% alcoholic bevarages, 175 ml (medium) wine glass, Twice the level of spirit

Yes

No

Kindly share your weight and height
Height should be above 1 ft 10 inches

Do you have any of these symptoms?

Sleep interruptions caused by heartburns or indigestion

Having a hoarse or sore throat

Constantly coughing or wheezing especially at night

None of the above

Do you fall under any of the following categories
You are above 65 years in age
You are 55 years or older and are having the symptoms for the first time in a year or your symproms could be evolving or getting worse
You have anaemia, Struggling or having pain when swalowing anything
Having unexplainable weight loss
You've had bloody vomits, surgery and have battled with gastric ulcers or jaundice
Your stool is dark and sticky or you bleed from your rectum (Most specifically a dark blood).

Yes

No

Do you promise to get guidance from your physician in any of these situations?
If your situation changes or worsens
If the mediction stops working
If you don't feel better within the first five days of medication
If the medication causes any advese health effects

Yes

No

Has your physician currently prescribed 20mg tablets for the treatment of indigestion, hertburn or acid reflux?

Yes

No

Do you use any of these medications?
Diazepam for anxiety treatment
Phenytoin for epilepsy treatment
Glipizide for diabetes treatment
Triazolam for insomnia treatment
Nelfinavir, Delaviridine or Atazanavir for HIV
Anti-inflamatory medication (e.g. asprin, naproxen or ibuprofen)
Sucralfate for ulcers
Gefitnib for lung cancer
Warfarin for blood thinning
Lidocaine (An anaesthesia)
Theophylline for breathing challenges

Yes

No

Do you struggling with any of these?
Porphyria
Stomach Ulcers
Cancer of the stomach
Issues related to your immune system

Yes

No

Does any of these apply to your use of Femotidine?
You develope allergies or are highly sensitive to Femotidine
You develop allergies or are very sensitive to the drug
You are treating other conditions not related to heartburn, reflux, or indigestion using the drug

Yes

No

What's your gender?

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

Do any of these describe you?
You have an underlying medical condition You've been through a major surgical procedure You have allergic reactions You have cardiovascular conditions or might have had suffered a stroke You suffer from a low liver or kidney function

Yes

No

Can we share this information with your General practitioner?
Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.

Yes

No

Are you suffering from heartburn, indegestion or acid reflux currently?

Yes

No

Has your physician currently prescribed the Omeprazole 20mg tablets for the treatment of indigestion, heartburn or acid reflux?

Yes

No

If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option

Presently Pregnant

Presently Breastfeeding

Planning on getting pregnant

Neither Pregnant nor Breastfeeding

Are you currently receiving any treatment or using any medication?

Please provide more information of the medication being used if any.

Yes

No

Ear Health

Weight Management

Male Health

All Conditions

Acid Reflux & Heartburn

About Us

How to check GPhC Registration

Ear Health

Weight Management

Male Health

All Conditions

Acid Reflux & Heartburn

Login Details

Please Register as a New Patient

Forgot Password ?