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MediumRespiratoryStable COPD pharmacologic managementca-mccqe1ca-ccfpca-rcpsc-im

A 68-year-old ex-smoker (40 pack-years, quit 5 years ago) has chronic cough and exertional dyspnoea. Spirometry confirms COPD with post-bronchodilator FEV1 65% predicted. He has had one mild exacerbation in the last year. According to the 2023 CTS COPD guideline, what is the preferred initial maintenance pharmacologic therapy?

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