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Are you aged between 18-75?
We are unable to supply you with medication for erectile dysfunction. Please consult your GP.
Do you smoke?
You are eligible for treatment, however, smoking can cause asthma flare-ups (or "attacks") to happen more often.
In the last year have you ever been hospitalised or had to visit A+E due to your asthma?
We are unable to supply you with this medication. Please consult your GP.
Have you previously been prescribed a salbutamol inhaler by a doctor or nurse?
You must agree to this before continuing.