Asthma Treatment

A licensed doctor reviews your answers before issuing this prescription.

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Prescription

Asthma Treatment

€25 — reviewed by a licensed doctor before your prescription is issued.

Patient details

Patient full nameEmailPhone

Date of birth

Enter a date up to 17/10/2026.

PPS number (optional)

Needed on medical documents in your country. You can also fill it in on your profile later.

Preferred pharmacy (optional)

Type at least 2 characters to search.

My pharmacy is not listed

IE · Asthma · Full

This form is for repeat prescriptions of asthma inhalers you're already using. If your answers suggest your asthma isn't well controlled, or if you're having a severe attack right now, please get urgent help rather than waiting for a repeat.

Your inhalers

What inhaler(s) are you currently using, and what would you like refilled? (name(s) and colour if known)

Which best describes your current regimen?

How many reliever (usually blue) inhalers have you needed in the past 12 months?

In the last 4 weeks, how often have you had:

Daytime asthma symptoms

Needed your reliever inhaler

Woken at night because of asthma

Had your normal activities limited by asthma

Your asthma history

Have you needed a course of steroid tablets for your asthma, or been to A&E or hospital because of it, in the last 12 months?

Have you ever needed intensive care or a ventilator because of your asthma?

Right now, are you severely short of breath, unable to speak in full sentences, or do your lips or fingertips look blue?

Do you smoke, or are you regularly around secondhand smoke?

When did you last have an asthma review with a doctor or nurse?

Are you requesting a refill of a long-acting reliever inhaler used on its own, without a separate steroid inhaler (e.g. one containing only salmeterol or formoterol, no combination steroid)?

Are you pregnant?

Patient address

Required for medical documents and any physical materials.

Street addressApt / unit (optional)CityEircode (optional)

Data sharing consent (GDPR)

I confirm the details above are accurate and consent to a video consultation with the selected clinician.I consent to my personal and medical data being processed by Global Health and shared with its treating clinics and medical network — including clinics in other countries — for the purpose of my care, service improvement, and security. Privacy PolicySend me appointment updates via WhatsApp (optional)