Adult Asthma Inhaler Refills (Asthma Maintenance)
MD-only asthma inhaler refills for adults in Georgia by secure online video visit, $49 flat-fee, no insurance required.
Running out of asthma medication can quickly lead to worsening symptoms. TeleDirectMD offers refill visits for adults with established asthma who need continuation of rescue and or controller inhalers. We use guideline-based safety checks to confirm stability and to identify red flags that require urgent in-person or emergency care.
- $49 flat-fee visit, no hidden costs
- MD-only care, no mid-level providers
- No insurance required or accepted
- Available for adults in Georgia (and 25+ states)
- Secure, encrypted video visits from home
Asthma Refill Visits by Georgia-Licensed MDs
- Maintenance and rescue inhaler refills when appropriate
- Structured screening for uncontrolled asthma
- Clear ER criteria for asthma attacks
- No controlled substances
For adults only (18+). You must be physically located in Georgia at the time of your video visit. Acute severe asthma symptoms require urgent care or ER evaluation.
What Is Asthma?
Asthma is a chronic inflammatory airway condition that can cause wheezing, chest tightness, cough, and shortness of breath. Many adults control asthma with a daily controller inhaler to reduce airway inflammation and a rescue inhaler for quick relief of symptoms.
A refill visit is appropriate when you have established asthma and need continuation of medications that have been working for you. If symptoms are worsening or severe, refills alone may not be safe. TeleDirectMD prioritizes safety screening and directs high-risk situations to in-person care.
Asthma Symptoms and Red Flags
During your visit, the MD will review current symptoms, rescue inhaler use, nighttime symptoms, recent exacerbations, and medication history to decide whether a refill visit is appropriate or whether you need urgent in-person care.
| Symptom | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person care |
|---|---|---|---|
| Needs refill but breathing is stable | Medication continuity issue | Yes | Any severe shortness of breath at rest |
| Wheezing or chest tightness only with exertion, mild | Possible mild symptoms or trigger exposure | Maybe, depends on pattern | Symptoms not improving after rescue inhaler |
| Using rescue inhaler more often than usual | Possible poor control | Maybe, depends on severity | Needing rescue inhaler multiple times per day for symptoms |
| Nighttime awakening from asthma symptoms | Uncontrolled asthma | Often no for refill-only visit | Frequent nighttime symptoms or worsening over days |
| Shortness of breath at rest or difficulty speaking full sentences | Moderate to severe exacerbation | No | Urgent care or ER evaluation recommended |
| Blue lips, severe fatigue, confusion, fainting | Impending respiratory failure | No | Call 911 immediately |
| Recent ER visit, hospitalization, or oral steroid course for asthma | Higher-risk course | Often no | Needs in-person follow-up and control plan |
| New chest pain, leg swelling, or one-sided pleuritic pain | Alternative diagnosis concern | No | Urgent evaluation recommended |
| Fever with shortness of breath | Possible infection triggering symptoms | Maybe, depends on severity | Severe respiratory distress or low oxygen concern |
| Using a rescue inhaler without any controller despite frequent symptoms | Undertreated asthma | Maybe, but may require more than refills | Uncontrolled symptoms or frequent exacerbations |
When Symptoms Might Not Be Asthma
Shortness of breath and chest tightness can also be caused by conditions that require urgent in-person evaluation. TeleDirectMD screens for these possibilities during a refill request.
- Pneumonia or viral infection: Fever, worsening cough, and systemic symptoms.
- Pulmonary embolism: Sudden shortness of breath, chest pain, leg swelling, or fainting.
- Heart failure: Leg swelling, orthopnea, rapid weight gain, or persistent shortness of breath.
- Vocal cord dysfunction: Throat tightness, inspiratory noise, poor response to albuterol.
- Cardiac ischemia: Chest pressure with exertion, diaphoresis, nausea.
When a Video Visit Is Appropriate vs. When to Go In-Person
When a Video Visit Is Appropriate
- Adult 18+ with established asthma diagnosis
- Stable breathing and no severe shortness of breath at rest
- No recent hospitalization for asthma
- Needs refill of an inhaler that has been working
- No red flags such as chest pain, fainting, or cyanosis
- Physically located in Georgia at the time of the video visit
Red Flags Requiring In-Person or ER Care
- Severe shortness of breath at rest or trouble speaking
- Rescue inhaler not helping, or symptoms rapidly worsening
- Blue lips, confusion, extreme fatigue, or fainting
- New chest pain, one-sided pleuritic pain, or leg swelling
- Recent ER visit or hospitalization for asthma
- Any concern for low oxygen
Refill Options for Adult Asthma
TeleDirectMD provides refills for asthma medications when clinically appropriate. The MD will review your current regimen, symptom control, and rescue inhaler frequency. If your symptoms suggest uncontrolled asthma or an acute exacerbation, we will recommend urgent in-person evaluation instead of a refill-only plan.
What We Can Refill
- Rescue inhalers such as albuterol.
- Controller inhalers such as inhaled corticosteroids.
- Selected combination controller inhalers when you are already established on them.
What This Visit Is Not For
- Management of an active severe asthma attack.
- Starting controlled substances.
- Complex cardiopulmonary symptom evaluation.
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Albuterol HFA 90 mcg per actuation | 2 puffs every 4–6 hours as needed | 30 days | Rescue inhaler refill for intermittent symptoms when appropriate |
| Fluticasone propionate HFA | 110 mcg 2 puffs 2 times daily | 30 days | Controller refill for persistent asthma when appropriate |
| Budesonide and formoterol | 160 mcg/4.5 mcg 2 puffs 2 times daily | 30 days | Combination controller refill when you are established on therapy |
| Montelukast | 10 mg by mouth once daily | 30 days | Selected patients with allergic triggers when appropriate |
TeleDirectMD refill visits are guideline-based and safety-first. If your symptom pattern suggests uncontrolled asthma or an acute exacerbation, we will direct you to urgent care or the ER rather than refilling without appropriate evaluation.
Home Care and Next Steps
Asthma control is safest when you have a consistent controller plan and know when to escalate care. During a refill visit, the MD will reinforce an action plan and warning signs.
- Use controller inhalers consistently as prescribed.
- Track rescue inhaler frequency. Increasing use is a warning sign of poor control.
- Avoid triggers when possible, including smoke exposure and respiratory infections.
- Seek urgent evaluation if breathing worsens quickly or if rescue inhaler is not helping.
TeleDirectMD can provide a brief work note when medically appropriate as part of your $49 visit.
What to Expect From Your TeleDirectMD Visit
TeleDirectMD provides adult-only, MD-only virtual care by secure video. Visits last about 10–15 minutes and cost $49 as a flat cash fee with no insurance involvement. During your asthma refill visit, the MD will confirm your current regimen, symptom control, rescue inhaler use, and red flags.
If you meet criteria for a stable refill visit, we can send an electronic prescription to your preferred local pharmacy in Georgia. If your symptoms suggest an exacerbation or another high-risk condition, we will explain why in-person evaluation is needed and guide you to the safest next step.
We do not prescribe controlled substances.
Asthma Inhaler Refill FAQ
Can you treat an asthma attack by video?
No. A severe asthma attack can be life-threatening and requires urgent in-person or emergency care. TeleDirectMD provides refills for stable asthma and screens for red flags that require escalation.
Can you refill my albuterol rescue inhaler?
Often, yes, when you have an established asthma diagnosis and your symptoms are stable. If you are using albuterol much more than usual, you may need in-person evaluation for uncontrolled asthma.
Can you refill my controller inhaler?
Yes, in many cases, if you are already established on therapy and your symptoms are stable. The MD will confirm dosing, adherence, and safety factors during the visit.
How do you decide if my asthma is stable enough for a refill visit?
The MD reviews current symptoms, nighttime awakening, rescue inhaler frequency, recent ER visits or oral steroid courses, and other red flags. If risk is elevated, in-person evaluation is recommended.
What rescue inhaler use suggests poor control?
If you need rescue medication multiple times per day or symptoms are worsening despite rescue use, that can signal uncontrolled asthma and requires in-person evaluation rather than a refill-only plan.
Can you prescribe oral steroids for asthma?
TeleDirectMD focuses on refill visits for stable asthma. If you have an acute exacerbation that may require oral steroids, you usually need in-person evaluation to assess severity and oxygen status.
What are the emergency warning signs of asthma?
Severe shortness of breath at rest, trouble speaking, blue lips, confusion, fainting, or rescue inhaler not helping require urgent care or ER evaluation immediately.
Do you prescribe controlled substances for asthma-related symptoms?
No. TeleDirectMD does not prescribe controlled substances.
Can you provide a work note?
TeleDirectMD can provide a brief work note when medically appropriate as part of the $49 visit.
Which states do you serve for online asthma refills?
TeleDirectMD currently serves adults located in Georgia and in more than 25 additional states. During booking, you will confirm that you are physically located in a licensed state at the time of your visit.
What if I do not have a primary care clinician?
If you need long-term asthma management, pulmonary testing, or medication adjustments, TeleDirectMD can encourage primary care follow-up. Refill visits are not a substitute for comprehensive asthma management when symptoms are uncontrolled.