COPD step-up (SOB at 100 m)

HIGH-YIELD Appears 8×

Teaching point

Symptomatic COPD not controlled on SABA -> dual LABA + LAMA. Add ICS if high eosinophils / asthma overlap / frequent exacerbations. SABA always remains PRN rescue (so a patient already on LABA+LAMA+ICS who is still breathless = optimise + SABA PRN).

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