Pharmacologic Management:
- Bronchodilator medications are central to symptom management in COPD, and should be prescribed on an as-needed or regular basis to prevent or reduce symptoms
- Inhaled corticosteroids (ICS) and oral corticosteroids in most moderate to severe COPD patients
- Antibiotics: Patients presenting with symptoms and risk factors for bacterial infection may benefit from antibiotic treatment
- Mucolytic (mucokinetics, mucoregulators) and antioxidant agents (NAC, carbocysteine)
Patient "education" is the most important thing. Doctor will give information and advice, and assumes that knowledge will lead to behaviour change. Topics such as smoking cessation, correct use of inhaler devices, early recognition of exacerbation, decision making and taking action, and when to seek help, surgical interventions, considering advance directives, and others will be better dealt with using self-management interventions.
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