11th May 2025

A 61-year-old attends general practice complaining of increased breathlessness on exertion.

A 61-year-old attends general practice complaining of increased breathlessness on exertion. She has a diagnosis of chronic obstructive pulmonary disease (COPD). Medications include Symbicort (budesonide/formoterol) inhaler and salbutamol inhaler PRN alongside a rescue pack which she has had to use twice in the last 6 months. A recent echocardiogram revealed good bilateral cardiac function but revealed raised estimated mean pulmonary pressures. Given the above information, what is the most appropriate step in managing this patient’s symptoms?

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