SABA (Short-Acting Beta-Agonist) "blue" inhalers

Changes to Asthma Treatment: What You Need to Know - updated May 2026

​Recent national news and updated guidelines from NICE (National Institute for Health and Care Excellence) have highlighted a shift in how asthma is treated in the UK.  Crane Valley PCN is committed to providing the safest, most effective care for our patients.

The Shift Away from "Blue Inhaler" Reliance

For many years, the "Blue" (SABA) inhaler has been the go-to for quick relief. However, we now know that using a blue inhaler too often—more than two or three times a week—is a sign that the underlying lung inflammation is not being properly treated. This can increase the risk of a serious asthma attack.

The New Standard of Care

NICE now recommends that many patients switch to Combination Inhalers (sometimes called MART or AIR therapy). These inhalers contain both a reliever and a low-dose steroid, ensuring that every time you treat your symptoms, you are also treating the underlying cause.

Our Plan for You

Your GP will audit their records to identify patients who might benefit most from these updated treatments.

  • No Immediate change needed: You do not need to stop using your current medication.
  • Your GP will contact you: Your clinician will discuss these changes with you during your Annual Asthma Review.
  • Proactive reviews: If you are currently using your blue inhaler frequently, you may be contacted sooner to invite you in for a chat.

When to Contact Your GP

If you feel your asthma is well-controlled, please wait for us to contact you. However, please book a routine appointment with a respiratory nurse if:

  1. ​You are using your blue inhaler 3 or more times a week.
  2. ​You are waking up at night because of your asthma.
  3. ​You have run out of your "Preventer" inhaler (usually brown, orange, or purple).

If you are having a severe struggle to breathe, always treat this as an emergency and call 999.

a woman using a blue inhaler
Page last reviewed: 08 May 2026
Page created: 08 May 2026