Question

A 59-year-old man with symptomatic COPD has persistent dyspnea on tiotropium (LAMA). He had one exacerbation last year and his blood eosinophils are 80/µL. What is the best escalation of therapy?

Accepted Answer

Add LABA to create LAMA/LABA combination

Answer

Add inhaled corticosteroid (LAMA+ICS)

Answer

Switch to short-acting albuterol as needed only

Answer

Start chronic oral prednisone 5 mg daily

Answer

Add theophylline

Practice question

A 59-year-old man with symptomatic COPD has persistent dyspnea on tiotropium (LAMA). He had one exacerbation last year and his blood eosinophils are 80/µL. What is the best escalation of therapy?