Question

A 68-year-old with COPD (FEV1 45% of predicted) is on a short-acting beta-2 agonist as needed. His symptoms are worsening with frequent exacerbations. According to NICE guidelines, what is the recommended next step?

Accepted Answer

Start a LABA/LAMA combination inhaler

Answer

Start a long-acting beta-2 agonist (LABA) only

Answer

Start a LABA plus inhaled corticosteroid

Answer

Start a long-acting muscarinic antagonist (LAMA)

Answer

Oral theophylline

Practice question

A 68-year-old with COPD (FEV1 45% of predicted) is on a short-acting beta-2 agonist as needed. His symptoms are worsening with frequent exacerbations. According to NICE guidelines, what is the recommended next step?