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Job code: AIR06/25 July 2025
Bronchodilators (beta-2 agonists and muscarinic antagonists) are central to the management of COPD and are usually given on a regular basis to control symptoms. Use of ICS in stable COPD tends to be reserved for those with moderate to severe disease, where ICS/LABA combination has been shown to be more effective than either component alone in improving lung function, health status and reducing exacerbations. However this needs to be balanced against the increased risk of pneumonia.1
GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines support use of ICS in COPD when there is a history of hospitalisations for COPD exacerbations, or ≥2 moderate exacerbations per year.1
GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines support use of ICS in COPD9
GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines support use of ICS in COPD when there is a history of hospitalisations for COPD exacerbations, or ≥2 moderate exacerbations per year, or when eosinophil counts are high (>300 cells/µl). However they should not be used in patients with a history of repeated pneumonia events.1
NICE Guidelines for COPD
Currently NICE suggests that ICS/LABA should be considered in people who;3
For the full NICE guidelines on COPD, visit NICE.org.uk
Adverse events should be reported. Reporting forms and information can be found at: https://yellowcard.mhra.gov.uk/
Adverse events should also be reported to Wockhardt UK. Please contact us or email us at drug.safety@wockhardt.co.uk
REFERENCES
1. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for Diagnosis, Management, and prevention of chronic obstructive pulmonary disease 2021 report. Available at https://goldcopd.org Accessed February 2024
2. WockAIR® SmPC
3. NICE pathways Stable COPD:inhaled therapy August 2020 Available at https://pathways.nice.org.uk/pathways/chronic-obstructive-pulmonary-disease Accessed May 2021