4th September 2020

A 65-year-old male with a history of COPD has come in for a review of his COPD

A 65-year-old male with a history of COPD has come in for a review of his COPD. He is on a regular inhaler therapy of Salmeterol and Tiotropium. While looking at his record, you notice that he was hospitalised 1 month ago for a severe exacerbation of his COPD.  There is a letter from the consultant detailing the addition of an additional medication in line with NICE guidelines. What medication should be added?

For the patient above, please select the SINGLE most likely treatment. Select ONE option from the list above.