To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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You can complete an asthma control test if you are unsure. Please contact us for more information.






  • Cardiovascular problems such as angina or an arrhythmia
  • Hypertension
  • Hyperthyroidism
  • Any serious medical condition which could require hospitalisation

  • Betablockers (such as bisoprolol or propranolol)
  • Oral medicines for your asthma such as
    xanthine derivatives (theophylline) or steroids.
  • Diuretics.

This includes over the counter, prescription or recreational drugs.




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  • To Inform both us and your GP about any treatment-related side effects, the initiation of new medication, or changes in your medical conditions during the course of treatment.
  • To read the patient information leaflet provided with your medication before using your new treatment. If you have any questions you can contact our support team or your GP.
  • The prescribed treatment is intended exclusively for your personal use.
  • You have provided accurate and truthful responses to all the preceding questions.
  • You acknowledge that our prescribers rely on your responses as truthful and honest to make prescribing decisions and recognise that inaccurate information may result in serious health risks.
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