This Appropriate Care Guide (ACG) outlines the overall recommendations to managing stable COPD. With a particular focus on inhalers, it highlights the stepwise approach to selecting appropriate inhalers.
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Managing stable COPD - focusing on inhalers (Sep 2018)
||Check smoking status and offer smoking cessation counselling at every opportunity.
||Use LAMA when response to short-acting bronchodilators is inadequate.
||Offer LAMA+LABA in patients with persistent symptoms and exacerbations.
||Use ICS with LAMA+LABA only when there are further exacerbations despite LAMA+LABA therapy.
||Switch patients on ICS without exacerbations in the past year to LAMA or LAMA+LABA.
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