A 72-year-old man with COPD collects tiotropium Respimat. He says he will use it when he becomes acutely wheezy instead of salbutamol. He has had two

Question

A 72-year-old man with COPD collects tiotropium Respimat. He says he will use it when he becomes acutely wheezy instead of salbutamol. He has had two exacerbations in the last year and uses a spacer for salbutamol. What would you advise the patient?

Accepted Answer

Use tiotropium regularly as maintenance treatment and keep salbutamol for acute relief.

Answer

Use tiotropium every 4 hours during breathlessness and stop salbutamol.

Answer

Use tiotropium when sputum becomes purulent.

Answer

Use salbutamol once daily as maintenance and discard tiotropium.

Answer

Alternate tiotropium and salbutamol on different days.

Tiotropium maintenance counselling — GPhC CRA MCQ

A 72-year-old man with COPD collects tiotropium Respimat. He says he will use it when he becomes acutely wheezy instead of salbutamol. He has had two exacerbations in the last year and uses a spacer for salbutamol. What would you advise the patient?