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*UPDATED* Hospital visiting changes, home testing kits, Vaccine info, general info and guidance for public, NHSGGC staff, and community-based services.

COPD Medication

Click for HERE for information on exacerbations and inhalers


Defined as an acute onset of increase in breathlessness, cough or sputum production, or change in sputum colour, sustained for at least a day.

  1. Step up current short acting beta-2 agonist.
  2. Initiate Prednisolone 40mg/day for 5 days.  
  3. Antibiotic only if purulent sputum – 5 days of: Amoxicillin 500mg three times daily or Doxycycline 200mg once then 100mg daily. Use Clarithromycin 500mg twice daily if doxycycline not tolerated and if no drug interactions.
  4. If you offer self-initiation of antibiotics and / or steroids, ensure a written plan reflecting the above.


Click on the links below to view information and guidance on each inhaler technique and protocol:

• How to use your Volumatic Spacer

• How to use your Turbohaler

• How to use your Pressurised Metered-Dose Inhaler (pMDI)

• How to use your HandiHaler

• How to use your Easyhaler

• How to use your Easi-Breathe

• How to use your Aerochamber Spacer

• How to use your Accuhaler

How to use your Spiromax

• How to use your Nexthaler

• How to use your Genuair



Last Updated: 12 October 2021