Start long or short acting BD1 long acting preferred unless SOB is only occasional A o LAMA options aclidinium glycopyrrolate revefenacin tiotropium DPI MDI umeclidinium o LABA options arformoterol formoterol olodaterol salmeterol o SAMA ipratropium MDI N

<b>Start long- or short-acting BD¹</b> (long-acting preferred unless SOB is only occasional [A]):<br>
o <b>LAMA options:</b> <a href=https://online.epocrates.com/e/deeplink/drugs/10a6460/Tudorza%20Pressair><u>aclidinium</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a8073/Lonhala%20Magnair><u>glycopyrrolate</u>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a8445/Yupelri><u>revefenacin</u></a>, tiotropium (<a href=https://online.epocrates.com/e/deeplink/drugs/10a3658/Spiriva%20HandiHaler><u>DPI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a7025/Spiriva%20Respimat><u>MDI</u></a>), <a href=https://online.epocrates.com/e/deeplink/drugs/10a7034/Incruse%20Ellipta><u>umeclidinium</u></a><br>
o <b>LABA options:</b> <a href=https://online.epocrates.com/e/deeplink/drugs/10a4620/arformoterol%20inhaled><u>arformoterol</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a2466/formoterol%20inhaled><u>formoterol</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a6955/Striverdi%20Respimat><u>olodaterol</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a2468/Serevent%20Diskus><u>salmeterol</u></a><br>
o <b>SAMA:</b> ipratropium (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4060/Atrovent%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a418/ipratropium%20bromide%20inhaled><u>NEB</u></a>)<br>
o <b>SABA options:</b> <a href=https://online.epocrates.com/e/deeplink/drugs/10a3308/albuterol%20inhaled><u>albuterol</u></a>, levalbuterol (<a href=https://online.epocrates.com/e/deeplink/drugs/10a4146/Xopenex%20HFA><u>MDI</u></a>, <a href=https://online.epocrates.com/e/deeplink/drugs/10a2202/levalbuterol%20inhaled><u>NEB</u></a>)