A clinical study on Angina


A clinical study on Angina

Mr AG, a 57-year-old taxi driver of Indian origin, attends your community pharmacy with a new
prescription for: glyceryl trinitrate (GTN) spray 400 micrograms – one or two puffs as required.
You dispense this item and speak with him and he tells you that his GP thinks he has angina and
has asked him to use the spray the next time he gets any minor chest pain or tightness. You
counsel Mr AG on the correct use of the spray. Mr AG returns a few days later complaining of a
headache following the use of the spray. He is reluctant to use the spray again. He asks your
advice on managing his headache. He also smokes about five cigarettes a week and asks if he
should now stop.

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