By rray, 22 February, 2024 Patient Type Header (Long) GOLD group A. mMRC 0-1 or CAT <10 w/ 0-1 mod/severe exac/yr (w/o hospitalization) in past yr. Does this Patient Type contain sub types? No Patient Type Details Prescribe rescue short acting BD SABA or SAMA to all pts for immediate sx relief SABA options albuterol levalbuterol MDI NEB SAMA ipratropium MDI NEB Start long or short acting BD Long acting preferred unless SOB is only occasional A Inhaled is preferred vs oral A Regular and prn SAMA or SABA use improves FEV1 and sx A SABA SAMA combos more effective than mono tx A LABAs and LAMAs improve dyspnea reduc After tx initiation review assess and adjust if needed Review sx and exac risk hx and blood eos Assess inhaler technique and benefits of non pharm tx e g pulm rehab self mgmt education at every visit If benefit is documented continue otherwise stop or try Mitigate risks Treatments w no or uncertain benefits oral steroids C antitussives C vasodilators B drugs for primary pulm HTN B mepolizumab benralizumab dupilumab nedocromil leukotriene modifiers infliximab immunostimulants beta blockers if no CV indication for use simv