Question

A 70-year-old former smoker with FEV1 45% predicted and frequent COPD exacerbations (three steroid-treated exacerbations in the past year) remains dyspnoeic on dual LABA/LAMA therapy. According to the 2023 CTS COPD pharmacotherapy guideline, what is the recommended next pharmacologic step?

Accepted Answer

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

Answer

Switch to LABA/ICS and stop LAMA

Answer

Add chronic oral prednisone at low dose

Answer

Add theophylline as first add-on

Answer

Stop LABA/LAMA and use SABA alone

Practice question

A 70-year-old former smoker with FEV1 45% predicted and frequent COPD exacerbations (three steroid-treated exacerbations in the past year) remains dyspnoeic on dual LABA/LAMA therapy. According to the 2023 CTS COPD pharmacotherapy guideline, what is the recommended next pharmacologic step?