By vgreene, 5 March, 2019 If on ICS+LABA: add LAMA; either remove steroid2 (LAMA+LABA: (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol) or go to triple tx (ICS+LAMA+LABA) using multiple inhalers
By vgreene, 5 March, 2019 If on single LABA or LAMA: Use LAMA+LABA combo1 (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol)
By vgreene, 5 March, 2019 Eval response, escalate and de-escalate as needed. ✓inhaler technique every visit
By vgreene, 5 March, 2019 Continue short-acting BD for sx rescue: SAMA (ipratropium), SABA, (albuterol, levalbuterol), for all pts
By vgreene, 5 March, 2019 If on LAMA+LABA (+/- ICS): Switch inhaler device type and/or switch specific drugs in the combination. Investigate dyspnea causes. If on ICS, consider eliminating it2
By vgreene, 5 March, 2019 If on ICS+LABA: add LAMA; either remove steroid2 (LAMA+LABA: (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol) or go to triple tx (ICS+LAMA+LABA) using multiple inhalers
By vgreene, 5 March, 2019 If on single LABA or LAMA:1 Use LAMA+LABA combo (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol)
By vgreene, 4 March, 2019 If on ICS+LABA: add LAMA; either remove steroidS (LAMA+LABA: (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol) or go to triple tx (ICS+LAMA+LABA) using multiple inhalers
By vgreene, 4 March, 2019 If on single LABA or LAMA: Use LAMA+LABA combo (aclidinium/formoterol, glycopyrronium/formoterol, tiotropium/olodaterol, umeclidinium/vilanterol)