A 67-year-old with COPD stable on LABA/LAMA continues to have exacerbations (≥2/year) with eosinophils 0.45×10^9/L. Next step?...

Question

A 67-year-old with COPD stable on LABA/LAMA continues to have exacerbations (≥2/year) with eosinophils 0.45×10^9/L. Next step?

Accepted Answer

Add inhaled corticosteroid to create triple therapy

Answer

Stop LAMA and add ICS alone

Answer

Switch to theophylline

Answer

Add oral prednisolone maintenance

Answer

Add short-acting muscarinic antagonist

mrcgp akt MCQ (SBA): COPD – ICS addition