<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am a COPD patient since last 6 years having acute breathtaking problems .I was chain smoker sine last 40 years. I am now 64 years. I am now unable to move even 25 meters. facing day to day asthmatic attacks. I am AK Shrivastava , 64 years , from Bhopal MP. From today, I have been advised FERONEM-200 tab. 3 times a day for 5 days. Please suggest me to resolve the problem.My mail ID is YYYYYY .My cell no. 0000. Thanks  <response>: HI almost 20 of smokers suffer COPD and its comorbidities. The disease is diagnosed by a simple test called spirometry, and it is graded accordingly. As per your symptoms you are in stage34.you need combination of inhaled bronchodilators and steroids like formoterol budesonide twice daily and inhaled geotropism 18 microgram daily. You can add tab theophylline 150 mg twice daily. If symptoms are too severe a course of oral steroid like prednisolone 40 mg daily for 10-14 days can be taken under omeprazole cover. If on arterial blood gas analysis you are in respiratory failure, better get admitted to ICUHD. Consult your family physician regarding the same. Best wishes for your health 