Question

A 64-year-old female with COPD reports multiple exacerbations in the past year. She uses a LABA inhaler. According to NICE guidelines, which additional therapy is indicated if she has an FEV₁ <50% and frequent exacerbations?

Accepted Answer

Add inhaled corticosteroid

Answer

Add leukotriene receptor antagonist

Answer

Switch to short-acting beta-2 agonist

Answer

Long-term oral steroid

Answer

Roflumilast monotherapy

Practice question

A 64-year-old female with COPD reports multiple exacerbations in the past year. She uses a LABA inhaler. According to NICE guidelines, which additional therapy is indicated if she has an FEV₁ <50% and frequent exacerbations?