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MediumRespiratory MedicineCOPD initial pharmacotherapyukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 72-year-old ex-smoker has chronic cough and sputum. Spirometry confirms FEV1/FVC 0.6 (post-bronchodilator), FEV1 58% predicted. He has frequent winter exacerbations. What is the preferred initial inhaled therapy?

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