Question

A 70-year-old man with a history of smoking presents with chronic productive cough. Spirometry shows FEV1/FVC 0.55 and FEV1 45% predicted. He uses a short-acting beta agonist as needed. According to COPD-X, what is the most appropriate next-step pharmacological therapy?

Accepted Answer

Add a long-acting bronchodilator (LABA or LAMA) regularly

Answer

Add a short-acting muscarinic antagonist only

Answer

Start inhaled corticosteroid monotherapy

Answer

Start oral Theophylline as first-line maintenance

Answer

No maintenance therapy is needed

Practice question

A 70-year-old man with a history of smoking presents with chronic productive cough. Spirometry shows FEV1/FVC 0.55 and FEV1 45% predicted. He uses a short-acting beta agonist as needed. According to COPD-X, what is the most appropriate next-step pharmacological therapy?