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Nitrate counselling — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsNitrate counsellingGPhC CRA

A 68-year-old man is supplied glyceryl trinitrate spray for exertional angina. He has not used it before and is concerned about taking it during chest pain. He also takes amlodipine and atorvastatin. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Use one or two sprays under the tongue and call emergency help if pain persists after repeated doses

Glyceryl trinitrate spray is used sublingually for acute angina symptoms and may also be used before predictable exertion. Patients should sit down because headache, flushing and dizziness can occur. Persistent chest pain despite appropriate doses needs urgent assessment for possible acute coronary syndrome.

Reference: BNF