Question

A 68-year-old ex-smoker with COPD remains symptomatic on LABA/LAMA inhaler therapy and has had two moderate exacerbations in the past year. According to NICE NG115, what is the next escalation?

Accepted Answer

Add inhaled corticosteroid to create LABA/LAMA/ICS triple therapy

Answer

Start theophylline

Answer

Add oral roflumilast

Answer

Start long-term azithromycin

Answer

Refer for lung volume reduction surgery

Practice question

A 68-year-old ex-smoker with COPD remains symptomatic on LABA/LAMA inhaler therapy and has had two moderate exacerbations in the past year. According to NICE NG115, what is the next escalation?