Primary Care

Obstructive Lung Disease

Questions discussed in this category

What factors do you consider prior to offering a trial of ICS/LABA therapy versus a methacholine challenge test in patients with suspected asthma but normal pulmonary function testing?

1 Answer available

When would you recommend prescribing an asthmatic patient budesonide/salbutamol rather than budesonide/formoterol?

6 Answers available

Do you feel high dose Symbicort or Dulera is appropriate to use for SMART despite these doses not being studied in clinical trials?

1 Answer available

Should in-office oscillometry for lung function measurements be utilized in pediatric patients who are unable to reliably perform spirometry?

1 Answer available

What is your approach to de-escalation of asthma inhaler therapy in the setting of negative bronchoprovocation testing when patients are averse to deprescribing?

At times due to limited testing resources, inhaler therapy is started based on clinical suspicion of asthma and bronchoprovocation testing is done lat...

1 Answer available

Will you incorporate ensifentrine in the treatment regimen of patients with COPD on baseline dual or triple inhaler therapy?

1 Answer available

What is your approach to de-escalation of asthma therapy if patients have remained clinically stable on triple inhaler therapy and a biologic agent?

1 Answer available

Is there a role for biologics to improve lung function in patients who have severe asthma with daily symptoms and reduced lung function but do not experience frequent exacerbations?

2 Answers available

What is your approach to inhaler therapy in a patient with asthma who cannot be on an inhaled corticosteroid due to ocular disease?

1 Answer available

What is your threshold to start triple therapy in mild to moderate asthma/COPD overlap with minimal functional limitation?

1 Answer available

What patient factors prompt you to consider starting dupilumab in patients with COPD?

Does active smoking status influence this decision?

2 Answers available

Do you prescribe bronchodilators to patients with radiographic emphysema and respiratory symptoms, but no spirometric obstruction?

How do you reconcile this with the results of the RETHINC trial?

2 Answers available

How do you choose between azithromycin and roflumilast in the management of a patient with severe COPD who remains symptomatic with frequent exacerbations despite maximal dose LABA/LAMA/ICS with demonstrated compliance and proper inhaler technique?

1 Answer available

Are there any concerns utilizing apremilast for psoriatic arthritis in patients who are also taking roflumilast for COPD?

1 Answer available

Papers discussed in this category

N Engl J Med, 2022 Sep 04

Bronchodilators in Tobacco-Exposed Persons with Symptoms and Preserved Lung Function.

American journal of respiratory and critical care medicine, 2023 Aug 15

Ensifentrine, a Novel Phosphodiesterase 3 and 4 Inhibitor for the Treatment of Chronic Obstructive Pulmonary Disease: Randomized, Double-Blind, Placebo-controlled, Multicenter Phase III Trials (the ENHANCE Trials).

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2024 Sep 14

Airway oscillometry in asthma - present and future perspectives.

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2024 Nov 26

Oscillometry in the diagnosis, assessment, and monitoring of asthma in children and adults.

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2024 Nov 15

Oscillometry-defined small airways dysfunction as a treatable trait in asthma.

Primary Care

Obstructive Lung Disease

Questions discussed in this category

Papers discussed in this category

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