Asthma is a long-term condition in which the airways become inflamed and narrow, causing wheezing, coughing, chest tightness and breathlessness. It is controllable for most people — but only when the preventer inhaler is used daily, and only when inhaler technique is correct.
What is the difference between the two inhalers?
- Preventer (usually brown, orange or purple). Contains a steroid that reduces airway inflammation. Taken every day, even when you feel completely well. It does not help during an attack.
- Reliever (usually blue). Opens the airways within minutes. Used for symptoms and during an attack.
Needing your blue reliever three or more times a week is a sign your asthma is not controlled — that warrants a review, not simply more reliever.
How do I use an inhaler correctly?
- Shake the inhaler and breathe out fully, away from it
- Seal your lips around the mouthpiece
- Press once as you begin a slow, deep breath in
- Hold your breath for about 10 seconds
- Wait 30 seconds before a second puff
- Rinse your mouth after a steroid preventer to avoid oral thrush
A spacer improves delivery substantially and is recommended for most people, especially children.
How do I recognise an asthma attack?
Signs of an attack include the reliever not helping or wearing off within four hours, worsening cough, wheeze or chest tightness, and being too breathless to speak in full sentences, eat or sleep.
Call emergency services if lips or fingers turn blue, if the person is exhausted or confused, or if breathing is so difficult they cannot talk.
What triggers asthma?
- Respiratory infections such as colds
- Dust, pollen, mould and animal dander
- Tobacco smoke, indoor smoke and air pollution
- Cold air and exercise
- Strong scents and cleaning chemicals
When should I see a doctor?
See a doctor if you use the reliever three or more times a week, wake at night with symptoms, or have needed steroid tablets. Ask for a written asthma action plan and an annual review — both measurably reduce the chance of a serious attack.
