Angina

Question 1

What 3 drugs are used for the prevention of angina

Answer 1

ACE inhibitors , Aspirin 75mg od, atorvastatin 80mg od ( REMEMBER Angina=AAA)

Question 2

Which medication used for the prevention of angina has a risk of bleeding

Answer 2

Aspirin

Question 3

Which medication used for the prevention of angina is used for stable angina and diabetes

Answer 3

ACE inhibitors

Question 4

Which medication used for the prevention of angina is used for lipid modification

Answer 4

Atorvastatin

Question 5

Which calcium channel blocker should not be used in the treatment of angina

Answer 5

Verapamil

Question 6

First line treatment of angina

Answer 6

Calcium channel blocker or beta blocker

Question 7

Second line treatment of angina

Answer 7

Calcium channel blocker or beta blocker (switch to the one you haven’t used yet) or combine

Question 8

What is the 3rd line treatment for treatment of angina

Answer 8

Calcium channel blocker and beta blocker with long acting nitrate/ ivabradine/nicorandil/ranolazine

Question 9

Which medication used in the 2nd line treatment of angina has a risk of GI bleed and perfusion

Answer 9

Nicorandil

Question 10

Which medication used in the 2nd line treatment of angina require a nitrate free period

Answer 10

Long acting nitrate

Question 11

Mechanism of action of nitrates

Answer 11

Vasodilation via nitric oxide

Question 12

What counselling is important with nitrates

Answer 12

Tolerance can be built up so patients need a nitrate free week

Question 13

What route are nitrates administered via and why

Answer 13

Sublingual to avoid 1st pass metabolism orally