A 67-year-old male with a known history of COPD presents with increased breathlessness and decreased exercise tolerance.
A 67-year-old male with a known history of COPD presents with increased breathlessness and decreased exercise tolerance. He is a former smoker and has had two exacerbations in the past year, one of which required hospitalisation. He is currently on tiotropium (a LAMA) monotherapy. His recent blood tests show an eosinophil count of 350 cells/microlitre.
What is the most appropriate next step in his management?
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