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Telephone: +44 (0) 203 176 0023

Questions Related to Asthma

In order to prescribe treatments for Asthma our doctor needs some information regarding this specific condition. Please complete the following as accurately as possible.


How long have you had asthma?

Do you use a prevention medication?

Do you use a reliever inhaler?

How often do you normally use your inhaler?

What is your average peak flow?

In the last 5 years, have you been admitted to hospital because of asthma or another respiratory problem?

Do you have any cardiac problems?

Are you pregnant or breast feeding?

Do you suffer from any conditions other than asthma?

Do you have low levels of calcium in your blood?

Do you smoke?

I understand it is recommended I review my inhaler use with my GP or hospital consultant once a year.