What should I do during an asthma attack, and when should I call for help?
Sit upright and use the prescribed reliever according to your asthma action plan as soon as an attack starts. Call emergency services for worsening breathing, difficulty speaking, failure to improve after the prescribed treatment, or no available inhaler. Do not wait an hour when symptoms are severe.
Details
Use your personal plan
A blue reliever and an inhaler used for both maintenance and relief have different instructions. Follow the medicine, dose and maximum in your plan rather than copying instructions for another device. Use a spacer when prescribed and compatible.
Signs requiring immediate help
Inability to speak in sentences, blue lips, drowsiness, confusion or severe breathing effort are danger signs. An attack can remain serious even if wheezing becomes quieter. Call emergency services, follow the dispatcher’s instructions and do not drive yourself. Avoid being alone if possible.
After improvement
Arrange prompt follow-up, preferably within two days, to review the cause, plan, technique and medicine supply. Steam and home remedies are not substitutes for emergency treatment. If breathing difficulty returns or worsens, seek help again rather than waiting for the follow-up appointment.
Related reading: Are asthma inhalers addictive, and why might they be needed long term?.