You can request prescription renewal for most asthma medications through Amazon Clinic. These include quick relief medications and controller medications that can help prevent asthma exacerbations.

• Short-acting beta agonists (SABAs) like albuterol sulfate (Ventolin, Proventil) and levalbuterol (Xopenex)

• Inhaled corticosteroids (ICSs) like fluticasone propionate (Flovent), budesonide (Pulmicort), and mometasone (Asmanex)
• Long-acting beta agonists (LABAs) like salmeterol (Serevent)

• Anticholinergic agents:

1) Short-acting muscarinic antagonists (SAMAs) like ipratropium bromide (Atrovent)
2) Long-acting muscarinic antagonists (LAMAs) like tiotropium bromide (Spiriva)

• ICS-LABA combination inhalers like fluticasone propionate-salmeterol (Airduo) and budesonide furoate-formoterol (Symbicort)

• Leukotriene inhibitors like montelukast (Singulair)

Oral inhalation asthma medications can be delivered via metered dose inhaler (MDI), which uses HFA to propel medication into the lungs, or via dry powder inhaler (DPI), which is breath-actuated. Some asthma drugs can also be prescribed in vial form as nebulizer solution.

Please note: This information is for general reference only. Your clinician will review your symptoms and health history to determine which (if any) treatments are medically appropriate.

Asthma experts define well-controlled asthma by the following criteria:

• Your asthma symptoms require a rescue inhaler (quick-reliever medication like albuterol) no more than 2 days/week

• Your asthma doesn't wake you up more than 2 nights/month

• Your lung function (as measured by peak expiratory flow or spirometry) is normal or within 20% of your best PEF or FEV1)

• In the past 12 months, you haven't had more than one asthma exacerbation where you needed oral glucocorticoids and/or urgent medical care

• You're able to do all your normal activities

Note: If you don't meet these criteria or you've needed to take oral steroids or receive urgent medical care within the past 4 weeks, you won't be able to get a new prescription for your asthma medication through Amazon Clinic at this time.

There are 4 main types of asthma:

• Intermittent

• Mild persistent

• Moderate persistent

• Severe persistent

Your type of asthma will determine what medication you're prescribed. But these 4 asthma diagnoses aren't set in stone. When managing asthma, healthcare providers frequently reassess their patients' symptoms, stepping up or down medication doses as appropriate. Although asthma is chronic, it's also dynamic, and it's not unusual for someone's type of diagnosis to change.

When you run out of your medication, you refill it through a pharmacy. When you run out of refills, a licensed clinician has to renew your prescription.

You can get a prescription renewal through Amazon Clinic. This renewal may be for a 30-day supply of medication, or it may include refills. Your clinician can send your new prescription to a U.S. pharmacy of your choice where you can pick up your medication or have it delivered to you.

Video visits are available in all 50 states and D.C. Message-only visits are available in 34 states. To see your visit options, first choose your state.

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