Practice question

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Hard"A"In severe COPD with chronic bronchitis and frequent exacerbations despite optimal inhaled therapy, roflumilast can reduce exacerbations. LABA alone or stopping ICS is inappropriate; theophylline/steroids are not recommended chronically due to limited benefit and toxicity."gold report (2025): copd strategy"

A 58-year-old with COPD and chronic bronchitis asks about additional therapy. Which is reasonable?

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