Question

A 68-year-old with a 40-year smoking history is found to have COPD. He reports increasing breathlessness and a chronic cough. According to NICE guidelines, what is the recommended initial inhaled therapy if his FEV1 <50% predicted?

Accepted Answer

Inhaled corticosteroid (ICS) plus long-acting beta-2 agonist (LABA)

Answer

Short-acting beta-2 agonist only

Answer

Long-acting muscarinic antagonist (LAMA) alone

Answer

Oral corticosteroids on a daily basis

Answer

Regular home nebuliser therapy

Practice question

A 68-year-old with a 40-year smoking history is found to have COPD. He reports increasing breathlessness and a chronic cough. According to NICE guidelines, what is the recommended initial inhaled therapy if his FEV1 <50% predicted?