Measures that should accompany the implementation of pharmacological treatment recommendations
| Situation | Action |
| COPD diagnosis | The diagnosis has to be spirometry-confirmed (post-bronchodilator FEV1/FVC ratio <0.70) |
| In all patients | Smoking cessation assistance Vaccinations Physical activity advised Balanced diet Rehabilitation if persistent dyspnoea/disability despite appropriate medications On-demand short-acting bronchodilator(s) in case of dyspnoea Account for the patient's capabilities when choosing an inhalation device Reassess 1–3 months after therapy changes, then every 3–12 months At least annual lung function testing |
| If associated asthma | See asthma recommendations |
| Insufficient effect (persistent dyspnoea/disability and/or exacerbations under maintenance therapy) | Check Differential diagnosis Smoking cessation Pulmonary function Compliance/intake technique Therapeutic education/rehabilitation Comorbid conditions |
COPD: chronic obstructive pulmonary disease; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity.