Online Consultation
The information you provide is kept strictly confidential and will be reviewed by a clinician. The listed questions are designed to provide the prescriber with sufficient information to make an informed decision regarding the treatment’s suitability.
Prescription Summary
Your Health Questions
What is your biological sex?
Men
Women
Other
Do you believe you have the ability to make healthcare decisions for yourself?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Have you been diagnosed with any medical conditions or health issues?
Yes
No
Are you taking any medications currently? This includes both prescription-only and over-the-counter medications, as well as homoeopathic remedies.
Yes
No
Do you have any type of allergies or intolerances?
Yes
No
Is there anything else you'd like to add so that our prescriber can prescribe responsibly?
Yes
No
How much do you weigh?
What is your height?
What is your blood pressure?
Low(below 90/60)
Normal(between 90/60 ad 140/90)
High(above 140/90)
Would you like us to inform your GP about this consultation and any prescribed treatments?
Yes
No
We are committed to providing safe online treatments; however, in accordance with our policy, we cannot offer you treatment for this condition without informing your GP once you are approved for a treatment.
Your Medical Assessment
Are you aged between 18 and 65?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Do you know how and when to use your inhaler?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Have you phoned an ambulance or had emergency breathing treatment in the recent year?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Do you inhale more than four times every day?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Has your doctor or nurse diagnosed you with asthma?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Has your Asthma been evaluated by a doctor or nurse in the recent year?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Have you received a prescription for Ventolin (salbutamol) in the recent 12 months?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Is your asthma well controlled?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Do you have an allergy (hypersensitivity) to Ventolin (salbutamol) or have you ever experienced an allergic reaction to an asthma inhaler?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Are you nursing, pregnant, or planning to become pregnant within the next six months?
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Have you been diagnosed with any of the conditions listed below?
- The thyroid gland is overactive
- Angina or a history of heart problems such as an irregular or rapid heartbeat
- Blood pressure that is too high
- Any critical medical condition that necessitates emergency hospitalisation
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Are you taking any of the following medications?
- Medicines for an irregular or fast heartbeat
- Medicines for your asthma (apart from your existing inhaler) such as oral asthma tablets
- Xanthine derivatives (such as theophylline) or steroids to treat asthma
- Water tablets (diuretics), sometimes used to treat high blood pressure or a heart condition
Yes
No
We are unable to provide you with treatment. Please consult your GP.
Do you realise that if your asthma does not improve within 1 hour of using your inhaler, you must seek medical attention?
Yes
No
We are unable to provide you with treatment. Please consult your GP.