By vgreene, 6 November, 2014 If environment risks: Reduce occupation dust/fume/gas and indoor/outdoor pollutant exposure [B]
By vgreene, 6 November, 2014 If smoker, cessation tx [A]using ≥1 first-line tx:3 Nicotine gum/inhaler/spray/patch or meds (bupropion SR, nortriptyline, varenicline); use drugs along w/ intervention program; counsel at every visit7
By vgreene, 6 November, 2014 Alternative: Combine 2 of these: Long-acting anticholinergic, LABA, PDE4i (roflumilast)1
By vgreene, 6 November, 2014 1st-line: Either inhaled steroid + LABA combo (budesonide/formoterol, fluticasone/salmeterol, fluticasone/vilanterol, mometasone/formoterol) or a long-acting anticholinergic (aclidinium, tiotropium, umeclidinium)