Question

A 72-year-old with COPD and frequent exacerbations despite optimal inhalers asks about prophylactic macrolides. What is correct?

Accepted Answer

Consider specialist-initiated long-term azithromycin after optimisation and exclusion of contraindications

Answer

Start azithromycin in primary care immediately

Answer

Use clarithromycin long-term without ECG

Answer

Macrolides never used prophylactically

Answer

Only ICS dose increase helps

Practice question

A 72-year-old with COPD and frequent exacerbations despite optimal inhalers asks about prophylactic macrolides. What is correct?