A patient with COPD collecting tiotropium says breathlessness is worsening and they still smoke ten cigarettes daily. They ask what will help most.

Question

A patient with COPD collecting tiotropium says breathlessness is worsening and they still smoke ten cigarettes daily. They ask what will help most. What would you advise the patient?

Accepted Answer

Offer smoking cessation support and arrange clinical review of symptoms

Answer

Reduce the dose for a few days if mild symptoms occur

Answer

Stop treatment and restart when symptoms have fully settled

Answer

Take an extra dose if symptoms are troublesome later the same day

Answer

Continue as currently used and mention concerns at the next routine review

COPD smoking cessation — GPhC CRA MCQ

A patient with COPD collecting tiotropium says breathlessness is worsening and they still smoke ten cigarettes daily. They ask what will help most. What would you advise the patient?