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Consultation

Atrovent

A prescriber reads every answer. Answer honestly: a wrong answer here is not a shortcut, it is the thing that makes a medicine unsafe for you.

  1. 1About your health
  2. 2About this treatment
  3. 3About you

Allergies

Do you have any allergies to medicines? *
Which medicines, and what happened? *

Current Medications

List any medicines you take, including anything you buy without a prescription. *

Medical History

Are you being treated for any long-term condition? *
Which conditions? *
Are you aged between 18 and 75? *
Are you completing this consultation for yourself, and is the treatment solely for your own use? *
Have you been diagnosed with asthma or COPD by a doctor or asthma nurse? *
Which option best describes your current asthma treatment? *
Have you attended A&E because of your asthma or COPD in the last 12 months? *
Have you been admitted to hospital because of your asthma or COPD in the last 12 months? *
Have you ever been admitted to intensive care (ICU) because of your asthma or COPD? *
Have you ever needed non-invasive or invasive ventilation because of your asthma or COPD? *
Have you had an asthma or COPD review with your GP or asthma nurse in the last 12 months? *
Do you take a beta-blocker (for example propranolol, atenolol, bisoprolol, carvedilol, sotalol, or a beta-blocker eye drop such as timolol)? *
Are you aged 18 or over? *
Has carbocisteine been prescribed for you before by your GP or specialist, and are you ordering a continuation of that treatment? *
Do you now have, or have you ever had, a stomach ulcer or peptic ulcer? *
Have you had a review of this chest condition with your GP or specialist in the last 12 months? *
Do you have asthma or COPD? *
Have you been to hospital because of your condition in the last 12 months? *
When were you last in hospital because of your condition? *
Has a doctor or nurse checked your condition in the last 12 months? *
Are you aware that you should attend an annual review of your condition with your GP every 12 months? *
Have you been diagnosed with asthma by a doctor or asthma nurse? *
Has montelukast been prescribed for you before by your GP or specialist, and are you ordering a continuation of that treatment? *
Have you attended A&E, or been admitted to hospital, because of your asthma in the last 12 months? *
Have you ever been admitted to intensive care (ICU) or needed ventilation because of your asthma? *
Have you had an asthma review with your GP or asthma nurse in the last 12 months? *
Do you take any beta-blockers? e.g. atenolol, bisoprolol, propranolol, metoprolol, carvedilol (Yes / No) *

Current Medications

Is the inhaler you are ordering one you have used before and that was prescribed for you by your GP or specialist? *
How often do you use an inhaler for sudden symptoms such as wheezing, coughing or breathlessness? *
How many separate reliever (blue / SABA) inhalers have been prescribed or supplied to you in the last 12 months? *
Which type of inhaler are you ordering today? Choose the one that best matches how you use it, or the brand that looks most like yours. *
Which reliever inhaler are you ordering? *
If you are ordering a separate reliever (blue / SABA) inhaler, how many are you ordering today? *
SHOWN ONLY IF YOU SELECTED 2 OR 3 ABOVE. You've asked for more than one reliever inhaler. Reliever over-reliance is a sign your asthma may be poorly controlled and could pose a significant risk to your health. Your preventer, AIR or MART treatment is what keeps you well - a separate reliever eases symptoms but does not treat the underlying inflammation. Why do you need more than one reliever inhaler today? *
In the last 12 months, how many courses of steroid tablets (such as prednisolone) have you needed for your chest? *
Are you confident that you know how to use your inhaler correctly, and can you use your device without difficulty? *
Have you ever had an allergic reaction (e.g. rash, swelling, wheeze or difficulty breathing) to the inhaler you are ordering or to any of its ingredients? *
Can you confirm you understand the essential safety advice for the inhaler supplied? Use your preventer/AIR/MART treatment as prescribed; always carry your reliever; arrange a review if you need your reliever 3+ times a week; seek urgent help (999) if your reliever is not working, you are too breathless to speak, or your lips turn blue; attend your annual review and follow your action plan; never exceed the prescribed dose. *
Which preventer inhaler are you ordering? *
Do you have narrow-angle glaucoma, an enlarged prostate, bladder outflow problems, or difficulty passing urine? [Asked for antimuscarinic inhalers: Atrovent, Spiriva, Spiolto, Incruse] *
You've asked for more than one reliever inhaler. Reliever over-reliance is a sign your asthma may be poorly controlled and could pose a significant risk to your health. Your preventer, AIR or MART treatment is what keeps you well - a separate reliever eases symptoms but does not treat the underlying inflammation. Why do you need more than one reliever inhaler today? *
Do you have a severe allergy to milk protein (dairy)? [Asked for dry-powder inhalers only] *
Do you take any medicine that increases the risk of stomach bleeding, such as regular aspirin, an anti-inflammatory painkiller (e.g. ibuprofen, naproxen), a steroid, or a blood-thinning medicine (anticoagulant)? *
Which combination inhaler are you ordering? *
Do you use a reliever inhaler? (blue inhaler/Salbutamol/Ventolin) *
Which reliever inhaler are you using? *
Why are you not using a reliever inhaler? *
Have you been given inhalers within the last 2 months (including those prescribed by your GP, hospital, online etc)? *
Why are you requesting inhalers today? *
Are you taking any other inhalers/treatments for your condition? *
Please list the other inhalers/treatments you take for your condition. i.e. name of brown, pink, or purple inhaler, flutiform, seretide, clenil, flixotide etc. Include strength & dose. *
Which inhaler/treatment are you requesting today? (include strength and dose clearly). *
How many times a week are you using your reliever inhaler? *
Can you provide more information about why you are using your reliever inhaler three times or more per week? *
Which long-acting COPD inhaler are you ordering? *
Do you understand that montelukast is a daily add-on preventer tablet, and that it does NOT replace your inhaled steroid (preventer) inhaler and is NOT a reliever for sudden symptoms? *
Do you use an inhaled corticosteroid (ICS)-containing preventer or combination inhaler as prescribed (for example a brown preventer, or an ICS/LABA, AIR or MART inhaler)? *
In the last 12 months, how many courses of steroid tablets (such as prednisolone) have you needed for your asthma? *
Are you taking any of the following medicines? Phenobarbital, phenytoin, carbamazepine, or rifampicin. *
Can you confirm you understand the following essential safety advice for montelukast? Take it once daily in the evening, exactly as prescribed; keep using your regular preventer inhaler - montelukast does not replace it; montelukast does not treat a sudden attack, so always carry your reliever; STOP montelukast and seek medical advice if you notice changes in mood, behaviour or sleep, and seek urgent help for any thoughts of self-harm; seek urgent help for signs of an allergic reaction (facial/lip/tongue swelling, widespread rash, wheeze or breathing difficulty); arrange an asthma review if your symptoms do not improve, keep returning, or worsen. *

Lifestyle

Do you currently smoke? *
Please give more details (eg Do you have occupational asthma, exercise induced asthma, seasonal asthma, COPD, wheeze) *
Do you drink alcohol heavily, or do you have significant liver problems? *

Allergies

Have you ever had an allergic reaction to carbocisteine or any of its ingredients? *
Can you confirm you understand the following essential safety advice for carbocisteine? Take it exactly as prescribed (the dose is often reduced once your phlegm improves); it works alongside, and does not replace, your regular chest treatment; stop and seek urgent advice if you develop stomach pain, black or tarry stools, or vomit blood (possible stomach bleeding); seek urgent help for signs of an allergic reaction (facial/lip/tongue swelling, widespread rash, wheeze or breathing difficulty); see your GP if you cough up blood, your cough changes or lasts more than 3 weeks, or your symptoms worsen; carbocisteine should be stopped if it is not helping. *
Have you ever had an allergic reaction to montelukast or any of its ingredients? *

Your answers are seen by the prescriber reviewing your order and the dispensing pharmacist. They are not used for marketing.