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A flare-up – sometimes called an acute exacerbation – is when your COPD dose or how to take your bronchodilator medicine – to help with your symptoms. Learn more about exacerbations and find out what to watch for. However, you can do a lot to help reduce your risk of exacerbations. Here's how:. Preventing an exacerbation · Do not smoke. · Take your daily medicines as prescribed. · Avoid colds and influenza (flu). · Avoid second-hand smoke; air pollution; Protect yourself from infection · Get about 8 hours of sleep every night. · Try to exercise for at least 30 minutes on most days. · Have healthy foods including