16th February 2025

A 65-year-old woman with COPD is reviewed in clinic. She has been struggling with breathlessness over the last few months

A 65-year-old woman with COPD is reviewed in clinic. She has been struggling with breathlessness over the last few months, which she finds frightening. She has been using a fan at home and the physiotherapists have given her some breathing techniques, but she is asking if there are any medications she can try.

Her blood tests today are normal and her observations are as follows: BP 130/70 mmHg, HR 67 bpm, sats 96% on room air, RR 24/minute, T 36.3 degrees Celsius.

What is the most appropriate medication to start from the following?

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