Question

A 70-year-old ex-smoker with chronic productive cough and exertional breathlessness is diagnosed with COPD. He has an FEV1 of 45% predicted. According to NICE guidelines what is the initial inhaled maintenance therapy?

Accepted Answer

LABA plus LAMA

Answer

High-dose inhaled corticosteroids alone

Answer

Long-acting muscarinic antagonist LAMA alone

Answer

Oral theophylline

Answer

Short-acting beta-2 agonist prn only

Practice question

A 70-year-old ex-smoker with chronic productive cough and exertional breathlessness is diagnosed with COPD. He has an FEV1 of 45% predicted. According to NICE guidelines what is the initial inhaled maintenance therapy?