Table 2. GOLD 2016: pharmacologic therapy for stable COPD.
Patient | Recommended No. 1. choice | Alternative choice | Other possible treatment |
---|---|---|---|
A | SAMA or SABA | LAMA or LABA or SABA+SAMA | Theophyllin |
B | LAMA or LABA | LAMA+LABA | SABA and/or SAMA, theophyllin |
C | Inhaled corticosteroid+LABA or LAMA | LAMA+LABA or LAMA+PDE-4-inhibitor or LABA+PDE-4-inhibitor | SABA and/or SAMA, theophyllin |
D | Inhaled corticosteroid+LABA and/or LAMA | Inhaled corticosteroid+LAMA+LABA or inhaled corticosteroid+LABA+PDE-4-inhibitor or LAMA+LABA or LAMA+PDE-4-inhibitor | Carbocysterin, N-acetylcysteine, SABA and/or SAMA, theophyllin |
Adopted from Global Initiative for Chronic Obstructive Lung Disease (2016)1, http://www.goldcopd.org.
GOLD: Global Initiative for Chronic Obstructive Lung Disease; COPD: chronic obstructive pulmonary disease; SAMA: short-acting antimuscarinic; SABA: short-acting beta-agonist; LAMA: long-acting antimuscarinics; LABA: long-acting β2-agonists; PDE-4: phosphodiesterase 4.