After tx initiation review assess and adjust if needed Review sx and exac risk hx and blood eos Assess inhaler technique and benefits of non pharm tx e g pulm rehab self mgmt education at every visit If benefit is documented continue otherwise stop or try

<b>After tx initiation, review, assess, and adjust if needed.</b> Review sx and exac risk (hx and blood eos). Assess inhaler technique and benefits of non-pharm tx (e.g., pulm rehab, self-mgmt education) at every visit. If benefit is documented, continue; otherwise, stop or try alternative BD class. De-escalate tx when appropriate. Any change in regimen requires re-review.