Abstract
Clinicians are increasingly aware of drug side effects, largely relying on information provided by the British National Formulary (BNF). One evening a 67-year-old woman attended the accident and emergency department having had two episodes of quite severe chest pain during the day. These she related to longstanding heartburn. She had also coughed a little bloodstreaked sputum. She appeared well and there were no abnormal signs despite her having ovarian cancer that had responded incompletely to standard therapy. Recently she had been given capecitabine, a chemotherapeutic agent.
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