Question

A 59-year-old man with chronic bronchitis phenotype, FEV₁ 42% predicted, on LAMA/LABA, ≥2 exacerbations last year and frequent cough. What add-on is appropriate to reduce exacerbations?

Accepted Answer

Roflumilast for chronic bronchitis with FEV₁ <50% and frequent exacerbations

Answer

Azithromycin daily for all

Answer

Theophylline

Answer

Chronic systemic steroids

Answer

Discontinue LABA

Practice question

A 59-year-old man with chronic bronchitis phenotype, FEV₁ 42% predicted, on LAMA/LABA, ≥2 exacerbations last year and frequent cough. What add-on is appropriate to reduce exacerbations?