Greater use of patient assessment protocols in disease management in all clinical settings, a more active role in pallitative care, increasing emphasis on smoking cessation and prevention, and early detection and intervention in COPD, and an increas of using RTs in as home health coordinators and care givers.
2 tabs twice a day means exactly that, only remember a day is 24 hours and twice a day is every 12 hours, not in the morning and in the evening unless you take them at 7 in the morning and 7 at night etc., the dose has to be 12 hours apart. I would finish the course and go back to the doc if nothing has improved.
Like you, dosing twice a day means I don't need a much higher dose to hold me over the 24 hours. I can have 4-6mg twice a day instead of 18+mg once a day. The main benefit of the split dosing is less side-effects. Less foggyness, less headaches, less sexual blahness. Downside of twice a day dosing is you gotta have that gunk in your mouth twice a day instead of once. After a while that can get to you.