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These might include: Stopping smoking Getting a yearly flu vaccine Getting a pneumococcal vaccine Exercise or pulmonary rehabilitation Avoiding environmental air pollution If your COPD has reached the exacerbated stages, you may need medication such as bronchodilators to open the airways of the lungs, antibiotics to kill infection, or corticosteroids to reduce inflammation in the airways

There were three studies using a prospective, double-blind, randomized, and placebo-control design [22, 89, 90]