COPD (chronic obstructive pulmonary disease) – is an environmentally mediated chronic inflammatory disease, mainly affecting the lower (distal) respiratory tract, which characterized by the development at first partially reversible, and as a result of irreversible airflow obstruction. This disease occurs usually in predisposed individuals and is characterized by long, steadily progressing techeniem.Do recently "COPD" stands for "chronic obstructive pulmonary disease" and treated as a collective term that includes chronic obstructive pulmonary disease environmentally mediated system with the predominant involvement of the distal airways. Throughout the world, been an increase in morbidity, and only 25% of cases the disease is diagnosed in a timely manner. Areas of COPD: – reducing the influence of risk factors – treatment with a stable course of disease – treatment of an exacerbation of the disease decrease the influence of risk factors implies a complete cessation of smoking. Smoking cessation is the single most effective and economically sound manner, allowing to reduce the risk of developing COPD and prevent disease progression. Treatment of stable COPD: – non-drug treatment (with the exception of risk factors, oxygen therapy, rehabilitation programs) – drug therapy – Oxygen therapy is used surgical treatment for patients with respiratory failure. The use of oxygen in patients with chronic hypoxemia should be constant, time-consuming and is usually conducted at home. Rehabilitation programs should include patient education, assessment and correction of nutrition, physical exercise. Pharmacotherapy of COPD includes the following groups of drugs: – bronchodilators – steroids – mucolytic tools – vaccines basic principle of treatment – a step increase therapy depending on the severity of the disease. To date, none of the available drugs for the treatment of COPD does not prevent progression of the disease and does not affect the long-term prognosis. However, in Currently available is ample evidence that smoking cessation and optimal bronchodilator therapy are responsible for reducing the frequency and severity of exacerbations of COPD.