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.
Also, once you finally stop, it is an easier transition from taking something once a day to zero times a day, than it is from taking something 2-4 times a day, to zero times a day. Also avoid complicated rituals like dissolving the medication in water and metering out portions for the taper. Simply cutting the film or tablet is all you need to do.