Explosive Debate on GTN Spray. Who's right? What do you think?

I attended a very interesting talk from a pharmacist at my local hospital on Tuesday, during which we discussed the use of GTN.

This is typically a spray that you squirt under your tongue when you have  chest pain from angina. It's also available in other forms.

The pharmacist warned about headaches being a side effect and it would be easy to deduce that she considered the spray to be only used when you're in distress.

Actually, I've never had a headache from using it - except when traces of it were found on routine swabbing of my iPad at an airport - but I had suffered for a whole year when I didn't use the spray because of dire warnings. Being able to use the spray when needed enabled me to live a more normal life.

In my opinion, patients should take their first dose accompanied by a GP or nurse to help overcome this fear.

The pharmacist didn't seem to know that NHS advice encourages patients to use the spray as a precaution when you know you have to do something that will, based on experience, induce angina.

In her opinion, you shouldn't use it more than twice a week.

I'm sorry, but this advice is contradicted by NHS advice all over the web.

Who's right?

If the pharmacist is wrong, I shudder to think of how many people are suffering angina pain rather than use the spray which was prescribed for them. And, if she's right, well the webmasters of the NHS better get to work on their sites....


Deflated Today? Or Pumped Up?

Was thinking of my trusty bike - utterly useless this morning because of a flat tyre - and drew the parallel with patients suffering from angina.

We need oxygenated blood to get to our hearts, while the bike, older than me now in bike years, she's 16, needs air in that front tyre.

My bike is my weapon against heart disease, helping me to return to fitness and perhaps some reversal of the condition. That wheel will be off for surgery any minute now.

I'm resisting the urge to use my repository of dad puns. For now.

More from the Angina Liberation Front soon....


Angina was back :-(

It had been a good day with a triumphant lap of one of the local parks and the Exercise Session in the afternoon, but later, on the walk to the car after attending a meeting, Angina appeared. 

No apparent reason. Once in the car, all settled down.

This morning I was back on the bike and no trace of Angina. Does she just pop out at night now?

It's too early to put away my GTN Spray and clearly the fight's not over yet! 

Potomac Pond at Gunnersbury Park. No angina here today!