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.

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