Preventer inhalers for the respiratory condition asthma usually comprise of a steroid drug and are used daily to prevent symptoms from developing by working to reduce inflammation in the airways. As the inflammation has subsided, there is less risk of the airways becoming narrow and causing symptoms like wheezing. The brown preventer inhaler is usually taken twice a day. Your doctor may advise you to use the brown inhaler more often if you are experiencing a regular flare-up of symptoms. Medical Specialists™ Pharmacy have noticed a worrying trend of asthma patients very rarely or even not using their brown inhalers at all and over-using the blue reliever inhaler. You should always remember it can take between 7 to 14 days for the brown preventer to build up its effect, or sometimes as long as six weeks, and will not give immediate relief of symptoms like the blue inhaler offers. Basically, the impact of the brown inhaler is built over time and will decrease the chance of an asthma occurring by slowly building resistance to triggers. In fact, you may find your asthma is well controlled by regular use of the preventer and find you need to use your reliever inhaler less often, if at all. This is particularly significant following a national review claiming that around two thirds of UK deaths from asthma in the UK — including nearly all cases where a child is involved – could have been averted if there was less complacency amongst doctors, carers and the patients themselves, with a quarter of sufferers receiving unsatisfactory care. The report, led by the Royal College of Physicians, found a shocking number of needless deaths that experts described as “a tragic waste of life”. Only Estonia and Spain has higher death rates than the UK in the Western world, and there are huge concerns about the increasing death toll. For instance, in 2012 there were 1,250 asthma related deaths – a 10% increase over the previous three years. The new review states 800 of those could have been prevented with better care. The National Review of Asthma Deaths — the biggest single study looking into the circumstances involved with asthma deaths — examined 195 deaths within the UK. It was discovered that in about a quarter of the cases, care was not of a satisfactory standard and in 83% of cases, there was room for improvement. Dr Mark Levy, a GP and one of the authors of the report, said ‘complacency’ was a fair word to describe the situation. “We have known about the identifiable or preventable factors relating to asthma deaths since 1966,” he said. “The shocking and surprisingly sad thing about this report is that we still find preventable factors in over 70% of cases, some of which are pretty serious. For instance, 45% of those who died did not call or obtain help, which indicates that either these patients weren't too worried about their asthma or they'd never been told how to recognise the danger signs.” Those who died tended to over-use their blue reliever inhaler to subside the symptoms of an asthma attack as these inhalers help to open the airways for easier breathing. They do not treat the underlying problems however, and this is something many asthma patients do not realise. “They don't address the inflammation,” said Levy. “It's like painting a rusty pipe.” Unsurprisingly, the study found an alarming under-use of the brown preventive inhalers. The review has called for each hospital and GP practice around the UK to have a specified doctor in charge of asthma services and who should work at improving asthma care. In addition, patients need to be monitored more thoroughly according to the review, so that action is taken at the first instance if it is apparent that a patient’s asthma is no longer under control. It is recommended that each asthma patient should keep a personal asthma action plan to help them realise when the condition begins to get worse and when to seek further help. If you seek help from Medical Specialists™ for your asthma, you can be assured of an efficient and discrete service. We offer a wide range of both blue reliever inhalers, such as Ventolin Evohaler and brown preventer inhalers, such as Qvar Easi-Breathe. Patient care is at the core of our aims and our GMC-registered doctors will carefully review your consultation to decide your suitability for that medication and then also assess the frequency of your orders with us thereafter. This is essential as if mentioned earlier, you are requiring too many relievers, it could be a sign of underlying problems with your asthma and we would recommend you see your own GP for further monitoring as you may need to undergo a lung function test. This is essential to determine if your asthma is getting worse or to check if your asthma is improving with treatment.