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Express Assessment

Asthma Inhaler Prescription Online — Repeat Inhalers for Diagnosed Asthma

Your inhaler is running out, you are abroad or between doctors, and your asthma is fine — that is what this is for. An EU-registered doctor reviews a 3-minute questionnaire on how controlled your asthma is, usually within 15 minutes, and renews your inhaler if it is safe to do so. Worsening asthma is not renewed online — it is assessed. €34.

  • €34, one fixed fee
  • Doctor review usually within 15 minutes
  • Daily 7am–11pm CET
  • 14 EU countries, no appointment
Start Express Assessment — €34

Express Assessments are available while you are in one of these 12 countries.

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I confirm that I am over 18 years old and that this consultation and any treatment requested are solely for myself. Any medication provided is for my personal use only.

I understand that a licensed doctor will review my responses and may decide, based on clinical judgment, whether or not to issue a prescription.

I confirm that I will provide accurate and complete information during this consultation, and will inform the consulting doctor on this platform of any relevant medical history, symptoms, or medication I am taking.

I will read the patient information leaflet (PIL) provided with any prescribed medication, including information on dosage, side effects, and warnings.

I accept responsibility for informing both the consulting doctor and my regular doctor about this consultation and any resulting changes to my health or treatment.

I confirm that I have read and understood the information provided and give my informed consent to receive medical advice or treatment remotely.

I agree to the Terms & Conditions and Privacy Policy, including the processing of my personal and health data as described.

 

 

Repeat, not new

The questionnaire is for asthma a doctor has diagnosed and an inhaler you already use. A first diagnosis needs lung-function testing, which no questionnaire can do.

Control is what the doctor checks

Reliever use more than twice a week, night waking, or an emergency visit in the last six months mean your asthma is not controlled — and a doctor should change the treatment, not just repeat it.

Only a blue inhaler? Your repeat is still reviewed

Current guidance (GINA, since 2019) advises against treating asthma with salbutamol alone; an inhaler that also contains a steroid is safer. The doctor may suggest that change and explain it.

Asthma inhaler prescription online — key facts

Who it is forAdults with diagnosed asthma that is well controlled, who need a repeat of an inhaler they already use — preventer, reliever or combination
Well controlled meansDaytime symptoms and reliever use no more than twice a week, no night waking from asthma, no limit on activity, no emergency visit or oral steroid course in the last six months
What current guidance (GINA) recommendsA steroid inhaler for every adult with asthma; a combined steroid–formoterol inhaler (ICS-formoterol) as the reliever and, if needed, as daily treatment is preferred; salbutamol-only treatment is no longer recommended
Not renewed onlineAsthma that is worsening or uncontrolled, a first diagnosis, an attack in progress, children, pregnancy with poor control, or a request to change class of inhaler without assessment
In an attackReliever not lasting four hours, difficulty speaking, blue lips, or no improvement after ten puffs of salbutamol through a spacer (with an ICS-formoterol reliever, follow your action plan — never more than six puffs at once or twelve in a day) is an emergency. Mobi Doctor must not be used in a medical emergency — call 112.
The prescriptionIn English, naming the active ingredient and strength, carrying a verification code; recognised at pharmacies across the EU under Directive 2011/24/EU; several months when the doctor agrees; the pharmacy may dispense a different brand of the same medicine, sometimes in a different device
Price and time€34, one fee; an EU-registered doctor reviews the questionnaire usually within 15 minutes, daily 7am–11pm CET; full refund if the inhaler cannot be renewed online

What is the current treatment for asthma?

Every adult with asthma should use an inhaled corticosteroid. GINA's preferred approach is a single budesonide–formoterol inhaler used as the reliever and, when needed, as daily maintenance, because treating asthma with salbutamol alone raises the risk of severe attacks. Control is judged by reliever use, night waking and activity limits, and treatment is stepped up or down at review, never repeated unchanged when control is poor.

How to get an inhaler prescription online — what happens after you press start

1. The questionnaire — about 3 minutes

It asks whether asthma has been diagnosed, which asthma medicines you take, and how well controlled it is — symptoms by day and night, night waking, daily activities. It then covers any lung-function test, reliever use in the last four weeks, emergency visits in the last six months, recent oral steroids, other conditions, all the medicines you take, allergies, pregnancy, and which asthma medicine has worked for you before.

2. The doctor's review

The doctor reads it personally. Well-controlled asthma on an established inhaler is renewed — the same active ingredient and strength — and the doctor may suggest, and explain, a move away from salbutamol-only treatment in line with current guidance. Answers showing poor control, a recent attack or oral steroids, or a request for a new class of inhaler, are not renewed from a questionnaire: the doctor moves you to a video consultation, at no extra charge, where the treatment can be stepped up properly.

3. The pharmacy

The prescription appears in your Mobi Doctor profile in English, naming the active ingredient and strength, so a pharmacy you choose in any of the 14 EU countries can dispense the equivalent — sometimes under a different brand or in a different device, which the pharmacist will show you. You pay the pharmacy for the inhaler; Mobi Doctor does not sell or dispense medicines.

Using your reliever most days, waking at night, or an attack, emergency visit or steroid course in the last six months? Book a video consultation so the treatment can be changed — and in a severe attack, call 112.

Right for the Express Assessment if

  • A doctor has diagnosed your asthma and you already use the inhaler you are asking for
  • You use your reliever no more than twice a week and do not wake at night with asthma
  • No attack, emergency visit or oral steroid course in the last six months
  • You are 18 or over and in one of the 14 EU countries Mobi Doctor covers

Book a video consultation instead if

  • You use your reliever more than twice a week, get through a reliever inhaler in a month, or wake at night with wheeze or cough
  • An attack, an emergency visit or a course of steroid tablets in the last six months
  • Asthma has never been formally diagnosed, or you want a new type of inhaler
  • Your inhaler seems to be working less well than it used to
  • You are pregnant and your asthma is not fully controlled
  • Breathlessness now that the reliever is not fixing — call 112

List every medicine you take and answer each question fully — the doctor's decision depends on it. Your answers are confidential.

Prefer to listen? The Mobi Doctor podcast episode on asthma.

Do you need a prescription for an asthma inhaler in the EU?

Yes. Every asthma inhaler — salbutamol (Ventolin), the steroid preventers, and the combination inhalers — is prescription-only in all 14 countries Mobi Doctor covers. The reason is not bureaucracy: asthma kills when it is under-treated, and the commonest pattern in asthma deaths is heavy reliever use with no steroid inhaler and no review. A prescription means a doctor has looked at how controlled your asthma is before another inhaler is handed over. The Express Assessment makes that review take three minutes of your time when your asthma is stable — and forces a proper conversation when it is not.

Why a doctor asks how often you use the blue inhaler

The GINA strategy, which most European asthma guidance follows, defines control by four questions over the last four weeks: daytime symptoms more than twice a week, any night waking, reliever use more than twice a week, any limit on activity. None means well controlled; one or two means partly controlled; three or four means uncontrolled. Reliever use is the single most telling answer, because salbutamol relieves the symptom and does nothing for the inflammation behind it — so someone using it most days is having daily asthma attacks in slow motion. That person should not have a repeat prescription; they need their preventer stepped up, their technique checked, and a review. The questionnaire asks all four questions and the doctor acts on the answers.

Salbutamol alone is no longer recommended: what GINA says about ICS-formoterol

Since 2019 GINA has recommended that every adult with asthma receives an inhaled corticosteroid, and has advised against treating asthma with a salbutamol inhaler on its own, because it increases the risk of severe attacks and death. The preferred approach is a single combination inhaler containing budesonide (or beclometasone) and formoterol, used as the reliever — one puff when needed — and, for more than mild asthma, also as regular maintenance. Formoterol works as fast as salbutamol, and every puff for symptoms delivers steroid to the airways at the moment they are inflamed, which is why this approach roughly halves severe attacks compared with salbutamol-only treatment. If you still use only a blue inhaler, the doctor may recommend this change; changing class of inhaler, though, is a conversation, so it happens in a video consultation rather than from the questionnaire alone.

Inhaler technique, spacers and what to do in an attack

Most inhalers are used wrongly, and a wrongly used inhaler is a lower dose. Pressurised inhalers (the classic aerosol) work best through a spacer, breathing in slowly and deeply as you press; dry-powder inhalers need a fast, hard breath in and no spacer. Rinse your mouth after a steroid inhaler. A written asthma action plan — what to do when symptoms rise — is something the doctor can set out. In an attack with a salbutamol reliever: sit up, take one puff every 30 to 60 seconds through a spacer, up to ten puffs; with an ICS-formoterol reliever follow your action plan — no more than six puffs at once and twelve in a day; if there is no improvement, you cannot speak in sentences, or your lips are blue, call 112. Getting worse after starting a course of oral steroids, or needing the reliever every few hours, is also a reason to be seen the same day.

Using the prescription at a pharmacy anywhere in the EU

The prescription is issued in English by an EU-registered doctor, names the active ingredient rather than a brand, and carries a verification code the pharmacist can check at mobidoctor.eu/verify. A prescription issued in one EU country must be recognised in another (Directive 2011/24/EU); the active-ingredient name is what makes that work at the counter. Dispensing is the pharmacist's decision under the rules of the country you are in, and depends on the medicine being available there. If you need a supply covering several months, say so in the questionnaire — the doctor decides the quantity. Inhaler brands and devices differ between countries: the prescription names the active ingredient and strength, and the pharmacist dispenses the local equivalent and shows you how it works. The other conditions the Express Assessment covers — 13 in all, plus repeat prescriptions — are listed on the online doctor prescription page.

Sources: Global Initiative for Asthma (GINA) — Global Strategy for Asthma Management and Prevention, current report · European Lung Foundation / European Respiratory Society — patient information on asthma

Start Express Assessment — €34 About 3 minutes to complete.

Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher
 

Asthma inhaler prescription online — your questions answered

Yes, as a repeat for diagnosed, well-controlled asthma: an EU-registered doctor reviews your questionnaire, usually within 15 minutes, daily 7am–11pm CET, and renews the inhaler you already use. Uncontrolled or worsening asthma, a first diagnosis and changes of inhaler class need a video consultation. €34, refunded in full if the inhaler cannot be renewed online.

Yes — an inhaler you already use for diagnosed, controlled asthma can be repeated when the doctor agrees: steroid preventers, combination inhalers (ICS-formoterol or ICS-salmeterol) and relievers. The prescription names the active ingredient and strength, so the pharmacy dispenses the local equivalent; a change of class or dose is a video consultation.

As a repeat, yes, if your asthma is diagnosed and controlled. But if salbutamol is the only inhaler you use, expect the doctor to raise it: GINA has not recommended salbutamol-only treatment since 2019, and a steroid-containing inhaler used as the reliever is safer. That change is discussed in a video consultation, not imposed.

Complete the questionnaire from any of the 14 countries — Spain, France, Germany, Italy, the Netherlands, Belgium, Austria, Portugal, Greece, Ireland, Denmark, Luxembourg, Malta and Romania — and the prescription is issued in English naming the active ingredient and strength. Pharmacies abroad often stock a different brand or device of the same medicine; the pharmacist can dispense the equivalent and show you how to use it.

Over the last four weeks: daytime symptoms and reliever use no more than twice a week, no waking at night because of asthma, and no limit on what you can do. Add no attack, emergency visit or steroid tablets in the last six months, and the inhaler can be repeated. Anything else, and the treatment should change rather than be repeated.

Because daily reliever use means the asthma is uncontrolled, and repeating the same treatment leaves you at risk of a serious attack. The right response is to step up the preventer, check technique and review — a video consultation, at no extra charge. The refusal is the doctor doing the job properly.

Not from the questionnaire. Starting or changing an inhaler class — moving from salbutamol-only to ICS-formoterol, for example, or adding a long-acting bronchodilator — is a conversation about technique, dose and an action plan, so it happens in a video consultation.

A single inhaler containing an inhaled corticosteroid (budesonide or beclometasone) and formoterol, a fast-acting bronchodilator. Used as the reliever — and as maintenance when needed — it treats the inflammation every time you treat the symptom, and roughly halves severe attacks compared with salbutamol alone. GINA has preferred it since 2019.

Yes, when your asthma is controlled on an established inhaler — say so in the questionnaire and the doctor decides the quantity, usually enough for a few months with a review before the next.

Sit upright; with a salbutamol reliever, one puff every 30 to 60 seconds through a spacer, up to ten; with an ICS-formoterol reliever, follow your action plan — no more than six puffs at once and twelve in a day. If you are not better, cannot speak in full sentences, or your lips or fingertips look blue, that is an emergency. Mobi Doctor must not be used in a medical emergency — call 112.

An EU-registered doctor, personally. Your questionnaire is handled confidentially. Mobi Doctor does not send it to your regular doctor or to unrelated third parties; access is limited to the treating doctor and the authorised people and providers who need it to deliver, secure or support the service, as explained in the Privacy Policy.

€34, paid when you submit, nothing more for the prescription. If the doctor decides the inhaler cannot safely be renewed online, the €34 is refunded in full and you are told what to do instead.

Medical Build Order

About 3 minutes of questions — then the doctor takes over. No waiting room.

Medically reviewed

Dr. Chrysoula I. Liakou

MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher