We are aware of increasing requests for inhalers from patients who have not had them for a significant period. Each patient should be reviewed on an individual basis and certainly not all patients should have these prescribed, as there should be a clinical need for this. Patients who have not had these for at least 18 months probably do not need a prescription but may need them prescribing in future if they have a clinical need. There is a risk to general supply of these for those who do need them if we significantly change the normally prescribing rate
