Treatment: Bronchodilators and Oral Corticosteroids

Bronchodilators

Use short-acting bronchodilators to treat breathlessness. These can be given either via a hand held inhaler with spacer or via nebuliser.

Consider use of oral corticosteroids

NICE recommends that in the absence of significant contraindications, oral corticosteroids should be considered in patients in the community who have an exacerbation with a significant increase in breathlessness which interferes with daily activities. (Grade B) NICE recommends prednisolone 30mg / day for 7 to 14 days. GOLD recommends 40mg / day for 5 days.