A 59-year-old man is prescribed glyceryl trinitrate spray for exertional chest pain. He has not used it before and asks what to do if chest pain

Question

A 59-year-old man is prescribed glyceryl trinitrate spray for exertional chest pain. He has not used it before and asks what to do if chest pain occurs while walking. What would you advise the patient?

Accepted Answer

Use one or two sprays while resting, then seek emergency help if pain persists after repeat doses

Answer

Use it at bedtime because nitrate headaches are less likely

Answer

Take ibuprofen with the spray to improve effect

Answer

Swallow the spray with water before exercise

Answer

Use the spray every morning to prevent any future chest pain

GTN spray counselling — GPhC CRA MCQ

A 59-year-old man is prescribed glyceryl trinitrate spray for exertional chest pain. He has not used it before and asks what to do if chest pain occurs while walking. What would you advise the patient?