SMART first aid

  • Inhaler technique - largeIf you are using Symbicort SMART (Symbicort as both reliever and preventer), a special first aid plan exists that does not use a blue reliever.

    Note: If you do not use Symbicort as a reliever medication, you should use the general Asthma First Aid plan.

    • If you are on the SMART treatment program and have asthma symptoms, you should take 1 inhalation of your Symbicort whenever you need to.
    • If you need to take more than 6 Symbicort inhalations a day, you should check your asthma action plan for information on what to do, or see your doctor.
    • If you need more than 12 Symbicort inhalations in a day, you should see your doctor immediately or go to hospital the same day.

    What should I do in an emergency?

    If you have any of the following danger signs, dial 000 for an ambulance immediately:

    • Symptoms get worse quickly
    • It’s extremely difficult to breathe or speak
    • There is little or no improvement after using your Symbicort reliever.

    Whilst waiting for the ambulance, you should start Symbicort first aid:

      1. Sit upright and stay calm.
      2. Take 1 inhalation of Symbicort.  Wait 1-3 minutes. 
      3. If there is no improvement take another inhalation of Symbicort (up to a maximum of 6 inhalations).
      4. If Symbicort is unavailable use a blue reliever and follow the standard Asthma First Aid plan.
      5. Start a course of prednisolone tablets (if your doctor has advised you to do this) while waiting for an ambulance

    See your doctor immediately after a serious attack, even if the symptoms settle quickly.