Asthma Treatment

A licensed doctor reviews your answers before recommending this treatment.

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Treatment

Asthma Treatment

€25 — reviewed by a licensed doctor before your treatment is confirmed.

Datos del paciente

Nombre completo del pacienteCorreo electrónicoTeléfono

Fecha de nacimiento

Enter a date up to 21/10/2026.

PPS number (opcional)

Necesario en documentos médicos de tu país. También puedes completarlo en tu perfil más tarde.

Farmacia preferida (opcional)

Escriba al menos 2 caracteres para buscar.

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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?

Dirección del paciente

Necesaria para documentos médicos y materiales físicos.

DirecciónPiso / unidad (opcional)CiudadEircode (optional)

Consentimiento de uso de datos (RGPD)

Confirmo que los datos anteriores son correctos y consiento en una videoconsulta con el médico seleccionado.Consiento que mis datos personales y médicos sean procesados por Global Health y compartidos con sus clínicas tratantes y red médica — incluidas clínicas en otros países — para fines de atención, mejora del servicio y seguridad. Política de privacidadQuiero recibir actualizaciones de la cita por WhatsApp (opcional)