Mr AB (question 2) is diagnosed with COPD and treated with a…
Mr AB (question 2) is diagnosed with COPD and treated with an ipratropium bromide inhaler 40 micrograms QDS. This works well, but three years later he returns for a review. In the last few months he has experienced 2 exacerbations of COPD and has felt more breathless than usual. His FEV1 is checked and found to be 65% of his estimated. Which treatment would be the MOST APPROPRIATE to step up to?
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