Chronic obstructive pulmonary disease (COPD) — maintenance
- Smoking cessation + vaccines are foundational
- Long-acting bronchodilator = core therapy
- Symptoms: LABA/LAMA; often dual therapy
- Exacerbations + eosinophils → consider ICS
- Triple therapy if exacerbations persist
- Roflumilast/azithro for selected frequent exacerbators
- Pulmonary rehab improves function
Use at a glance
- Smoking cessation + vaccines are foundational
Treatment options
- Long-acting bronchodilator = core therapy
- Symptoms: LABA/LAMA; often dual therapy
Choosing treatment
- Exacerbations + eosinophils → consider ICS
- Pulmonary rehab improves function
Treatment selection
- Triple therapy if exacerbations persist
- Roflumilast/azithro for selected frequent exacerbators
Self-check
- What is foundational in COPD maintenance?
Smoking cessation and vaccines.
- When should ICS be considered in COPD maintenance?
With exacerbations plus eosinophilia.
Drugs used for this (15)
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