Treatment Questions | Pharma Aesthetics

Answer medical questions to order

Have you read the important medical information about salbutamol inhalers?

Yes No

Have you used salbutamol inhalers before?

Yes No

Have you had an asthma/breathing clinic check-up in the last 12 months and do you have an asthma plan?

Yes No

Asthma checks include advice on: measuring peak flow inhaler technique use of spacer devices

Do you know which type of inhaler you are already using: 'metered aerosol', 'dry powder', or 'breath actuated'?

Yes No

At the end of the consultation you will need to choose between the three types of inhaler and request the one you already use. You can request EITHER a 'metered aerosol' (Ventolin Evohaler), OR a 'dry powder' (Ventolin Accuhaler), OR a 'breath actuated' (Salamol Easi-Breathe) inhaler. 'Metered aerosols' (Ventolin Evohaler) inhalers release a puff of salbutamol when the end of the inhaler is pressed down. 'Dry powder' (Ventolin Accuhaler) inhalers release a puff of powdered salbutamol by breathing in. 'Breath actuated' (Salamol Easi-Breathe) inhalers release a puff of salbutamol triggered by breathing in.

Are you aware our doctors normally allow an average of 1 inhaler per 2 months to be supplied?

Yes No

If requesting more than an average of 1 inhaler per 2 months, please send a message from your account area explaining the reason to the doctors after making your order. If doctors decline an order a full refund is given.

Are you aware your GP must be informed about your inhaler usage?

Yes No

You can enter your GP details at the next stage.

Are you aware salbutamol inhalers do not replace other inhalers and medicines?

Yes No

Are you aware new medicines you start, with or without a prescription, can interact with salbutamol inhalers?

Yes No

It is unlikely a new medicine will interact with salbutamol. Check the 'patient information leaflet' supplied with inhalers, or with our doctors, or your GP or pharmacist.

Do you smoke?

Yes No

Are you pregnant or expecting to be pregnant whilst using a salbutamol inhaler?

Yes No

Are you aware you should seek urgent medical help if the following apply?

Yes No

You need to use your salbutamol inhaler more than 4 times daily. Your inhaler relieves symptoms for less than 4 hours. Your breathing is getting worse, despite using treatment. You get chest pains or increasing tightness in the chest after using your inhaler.

Are you aware you should have an early check-up with a nurse or doctor if the following apply?

Yes No

You need to use your salbutamol inhaler more than 3 times a week. You are having ongoing breathing symptoms such as a cough at night, uncontrolled shortness of breath, or worsening breathing symptoms

Do you have any further medical information or questions?

Yes No

Is there anything you do not understand or do you need further help?

Do the following apply to you?

Yes No

The inhaler is for my own use and I will not share with anyone else I will read the patient information leaflet supplied with the inhaler I am over 18 and I agree to identity verification checks I have completed this questionnaire myself and fully understand all the information My responses are honest and accurate, and I understand that this is necessary for a safe medical assessment I agree to the terms & conditions, privacy policy, data sharing policy & consent to cookies

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Asthma inhalers / Salbutamol inhalers

Answer medical questions to order

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