When to refer
In addition to your pharmacy protocol, you should refer to the pharmacist:
- Anyone who has symptoms such as ringing in the ears, dizziness, loss of balance, discharge from the ear, hearing loss, severe or persistent pain, nausea or fever
 - Babies and children
 - Anyone with concerns that there is an object in their ear
 - Customers who have tried products that haven’t been effective
 - Those affected by other medical conditions (e.g. tinnitus)
 - People with grommets or hearing aids.