A 67-year-old man with COPD (FEV₁ 45% predicted) has frequent exacerbations (3 in the last year) despite a LAMA. He has blood eosinophils 0.35×10⁹/L. ...

Question

A 67-year-old man with COPD (FEV₁ 45% predicted) has frequent exacerbations (3 in the last year) despite a LAMA. He has blood eosinophils 0.35×10⁹/L. What is the next inhaled therapy step?

Accepted Answer

Add LABA and consider triple therapy (LAMA/LABA/ICS)

Answer

Switch to SABA only

Answer

Add LABA to create LAMA/LABA

Answer

Add ICS/LABA and stop LAMA

Answer

Add theophylline

ukmla MCQ (SBA): COPD step-up therapy

A 67-year-old man with COPD (FEV₁ 45% predicted) has frequent exacerbations (3 in the last year) despite a LAMA. He has blood eosinophils 0.35×10⁹/L. What is the next inhaled therapy step?