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Appropriate Care Guide

Managing stable chronic obstructive pulmonary disease — focusing on inhalers Published on 25 September 2018


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.

Download the PDF below to access the full ACG.

Key Messages
1. Check smoking status and offer smoking cessation counselling at every opportunity.
2. Use LAMA when response to short-acting bronchodilators is inadequate.
3. Offer LAMA+LABA in patients with persistent symptoms and exacerbations.
4. Use ICS with LAMA+LABA only when there are further exacerbations despite LAMA+LABA therapy.
5. Switch patients on ICS without exacerbations in the past year to LAMA or LAMA+LABA.


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