Question

A 68-year-old ex-smoker with COPD complains of dyspnoea and chronic sputum production. He has no features suggestive of asthma or steroid responsiveness. According to NICE, which initial pharmacological therapy is recommended?

Accepted Answer

Long-acting beta-2 agonist (LABA) plus long-acting muscarinic antagonist (LAMA)

Answer

High-dose inhaled corticosteroid alone

Answer

Short-acting beta-2 agonist alone

Answer

Oral theophylline

Answer

Long-term oral corticosteroids

Practice question

A 68-year-old ex-smoker with COPD complains of dyspnoea and chronic sputum production. He has no features suggestive of asthma or steroid responsiveness. According to NICE, which initial pharmacological therapy is recommended?