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1. COPD is not Asthma; ACOS needs to be differentiated
2. Risk of inhaled corticosteroids as 1st line treatment
3. Treatment to preserve lung function and sustained bronchodilation
4. GOLD Chart : LAMA ->LAMA w LABA ->LAMA w LABA/ICS
5. ACOS: to start treatment as Asthma predominant
6. Choose a steroid with the least pneumonia risk
7. Add on a LAMA that is indicated for both asthma and COPD
8. Choosing the right device targeting the small airways
Spirometry Appointment
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LABA ICS
LAMA +
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