Symptoms of dyspnea

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Symptoms of dyspnea

A 72-year-old female with a history of COPD comes to the office. She is currently taking Salmeterol twice a day along with levalbuterol prn. However, she has increasing symptoms of dyspnea. What should be added to her therapy to help reduce and relieve her symptoms?

LAMA

ICS

SAMA

Theophylline