TALK TO YOUR DOCTOR

Ready to start a conversation about asthma?

If asthma symptoms are standing in the way of your everyday life, it’s time to work with your doctor to set a plan of action.

Answer the following questions, and use them as a guide when talking to your doctor about uncontrolled asthma.

The answers to this questionnaire are not intended to diagnose a condition or disease state. They should be used as a conversation starter when talking to your doctor about your treatment options for asthma. When you review this form with your doctor, have a list of your medications.

Looking for a doctor who specializes in treating asthma? Search for one here.

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1. Are you already taking medication for asthma?

2. Which of these symptoms do you experience? Choose all that apply.

3. In what ways do asthma symptoms affect your everyday life? Choose all that apply.

4. Have you ever had to seek urgent/emergency medical attention because of asthma?

5. Is there anything that is more difficult for you to do today than at your last visit because of asthma symptoms? Choose all that apply.

Email this form to yourself. This will include the answers you provided.

The email address you provide will only be used to send you this Doctor Discussion Guide form. GSK will not use the email address you provide in any other way. GSK will not sell or transfer your information to any other party for any reason.

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Discover how TRELEGY works for asthma
Approved Uses & Safety Info
Approved Uses

Once-daily TRELEGY is a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and won’t replace a rescue inhaler.

Once-daily TRELEGY is a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and won’t replace a rescue inhaler.

Important Safety Information
  • TRELEGY contains vilanterol. Long-acting beta2-adrenergic agonist (LABA) medicines such as vilanterol,
  • TRELEGY contains vilanterol. Long-acting beta2-adrenergic agonist (LABA) medicines such as vilanterol, when used alone, increase the risk of hospitalizations and death from asthma problems. TRELEGY contains an ICS, an anticholinergic, and a LABA. When an ICS and LABA are used together, there is not a