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.

Detalii pacient

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Data nașterii

Enter a date up to 21/10/2026.

PPS number (opțional)

Necesar în documentele medicale din țara ta. Poți completa și din profil.

Farmacia preferată (opțional)

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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?

Adresa pacientului

Necesară pentru documente medicale și materiale fizice.

AdresăApt / unitate (opțional)OrașEircode (optional)

Consimțământ partajare date (GDPR)

Confirm că datele de mai sus sunt corecte și consimț la o videoconsultație cu clinicianul selectat.Consimt ca datele mele personale și medicale să fie prelucrate de Global Health și partajate cu clinicile sale tratante și rețeaua medicală — inclusiv clinici din alte țări — în scopul îngrijirii, îmbunătățirii serviciului și securității. Politica de confidențialitateDoresc actualizări despre programare prin WhatsApp (opțional)