Eval effect: If further exac, escalate either to LAMA/LABA/ICS triple combo, or switch to LABA+ICS.1 If exac still occur on LAMA/LABA/ICS: Consider adding roflumilast,1 or adding macrolide,1 or stopping ICS. ✓inhaler technique each visit

<b>Eval effect:</b> If further exac, escalate either to LAMA/LABA/ICS triple combo, or switch to LABA+ICS.¹ If exac still occur on LAMA/LABA/ICS: Consider adding roflumilast,¹ or adding macrolide,¹ or stopping ICS. &#x2713;inhaler technique each visit