17th February 2025

A 66-year-old man with COPD comes to clinic complaining of reduced exercise tolerance and breathlessness over the last two months.

A 66-year-old man with COPD comes to clinic complaining of reduced exercise tolerance and breathlessness over the last two months. He is currently using a salbutamol inhaler and his lung function tests show:

FEV1: 50% of predicted

FVC: 70% of predicted

FEV1/FVC: 57%

He has no history of atopy and no evidence of diurnal variation in FEV1 or peak flow. What would be the most appropriate addition to his medication?

Select the SINGLE most appropriate option from the list below. Select ONE option only.