Research has revolutionised the lives of people with asthma


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Using your blue puffer more than 2 days in 7?

Don't rely on a quick fix!

AA SABA_SocialPost_1080x1080px-Image9_RPeople often treat their asthma as a short-term condition that comes and goes when they have asthma symptoms.

But, asthma is a chronic (long-term) condition that’s always there, even when you don’t have symptoms. Managing your asthma and having good asthma control is more than relying on your blue/grey reliever medication. In fact, using your reliever medication more than 2 days per week, may actually be a sign of poor asthma control.

Take the Asthma Control Test today to find out your level of asthma control and visit your doctor for an asthma review.

How often are you using your reliever?  

An Australian study[i] surveyed almost 2700 people with asthma and found nearly 40% only used a blue reliever puffer, treating their symptoms but not the cause and 1 in 4 of these people needed urgent treatment for their condition in the previous year.

Using your reliever on more than 2 days per week (not including before exercise) means you are only addressing your immediate asthma symptoms, and not dealing with what is causing them (the underlying inflammation). This means your airways are more likely to react to triggers and increases the risk of a serious asthma flare-up. 

Frequent use of your reliever (more than 2 days per week) is a sign of poorly controlled asthma and using 3 or more blue/grey reliever puffers in 12 months is associated with an increased risk of flare-ups. 

How do relievers help to treat asthma?

Blue/grey reliever medication is a key part of asthma management. Their ability to provide quick relief of asthma symptoms means you should always carry it with you. The medication works by quickly relaxing tightened airway muscles, opening the airways up so you can breathe more easily.

Everyone with asthma should have a reliever so they can use it whenever they have asthma symptoms, it is your vital Asthma First Aid medication. If you find you need to use your reliever more than two days per week (not including before exercise) your asthma may not be well controlled.

Click here for more information on recognising the signs of an asthma flare-up and how to respond with Asthma First Aid. You can download the Asthma First Aid App from the iTunes store or Google Play. 

Apple app store Google Play store

Why might you need a preventer medication?

Most people with asthma should also have a preventer medication to manage their asthma. This is because relievers only provide short-term relief of asthma symptoms, they do nothing to treat the underlying problem of airway inflammation (redness and swelling) and excess mucus production that occurs in your airways when you have asthma.

Preventers work to reduce the inflammation in the airways. Regular use of your preventer makes the airways less sensitive, which reduces the frequency and severity of asthma symptoms (reducing the need for your reliever medication) and the risk of future flare-ups.

If you are using your blue/grey reliever more than 2 days per week it may mean your asthma is not as well managed as it could be. See your doctor to discuss whether you would benefit from preventer treatment.

Preventer medication is usually prescribed for most adults with asthma if you[ii]:

  • have had asthma symptoms twice or more during the past month, or
  • woken at night due to asthma symptoms once or more during the past month
  • had a flare-up requiring an urgent visit to a GP or emergency department in the past 12 months

If and when you are prescribed a preventer, it should be taken every day, even if you feel well.

What does poor asthma control look like?

Are you at risk of an asthma flare up? Answer these quick questions to find out:

  • Are your symptoms making you use your blue reliever puffer more than two days per week?
  • Have you had difficulty sleeping because of your asthma symptoms (including cough)?
  • Have you had your usual asthma symptoms during the day (cough, wheeze, chest tightness or breathlessness)?
  • Has your asthma interfered with your usual activities (e.g. housework, work/ school, etc.)?

If so, these are all signs that your asthma may not be under control.

How controlled is your asthma?

Poor asthma control (frequent symptoms and/or flare-ups) is a common problem in both adults and children. Research has found that for almost half of people with asthma, there is a gap between the potential control of their asthma symptoms and the level of control they currently experience. [iii]

What is good asthma control?

Most people with asthma can achieve good asthma control. This means that you:

  • Have asthma symptoms on no more than two days a week
  • Need your blue/grey reliever no more than two days a week, or even not at all
  • Experience no limitations on your activities due to asthma and
  • Don’t get any asthma symptoms at night or when you wake up

Having good asthma control is more than relying on reliever medication.

Even if you think you are in control of your asthma, ask yourself, “Am I needing my reliever on more than 2 days a week? If the answer is yes, your asthma might be controlling you.

Take the Asthma Control Test today to find out your level of asthma control and see your GP for an asthma review.

More information and resources


Cited References 

[i] Reddel HK, Ampon RD, Sawyer SM, et al. Risks associated with managing asthma without a preventer: urgent healthcare, poor asthma control and over-the-counter reliever use in a cross-sectional population survey. BMJ Open 2017;7:e016688. doi:10.1136/ bmjopen-2017-016688

[ii] National Asthma Council Australia. Australian Asthma Handbook, Version 1.3. National Asthma Council Australia, Melbourne, 2017. Website. Available from:

National Asthma Council Australia. Australian Asthma Handbook, Version 1.3. National Asthma Council Australia,

Melbourne, 2017. Website. Available from:

National Asthma Council Australia. Australian Asthma Handbook, Version 1.3. National Asthma Council Australia,

Melbourne, 2017. Website. Available from:

[iii] Reddel HK, Sawyer SM, Everett PW, Peters MJ. Asthma control in Australia: a cross-sectional web-based survey in a nationally representative population. Med J Aust 2015; 202: 492–7.

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