COPD inhaler guide

Request review of your daily COPD inhaler online

For adults with COPD confirmed by a breathing test who have been stable on the same daily inhaler for at least 3 months.

Start online

Start a $59 online review for COPD inhaler continuation.

COPD is a long-term lung condition. This visit may help you continue your current daily inhaler when your condition is stable. The physician reviews your symptoms and inhaler label before deciding whether a refill is appropriate. Regular breathing tests and in-person reviews remain part of your care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Running low on your usual daily COPD inhaler
Breathing that is at your usual baseline
Stable home oxygen use with a usual inhaler refill need
Stable, well-controlled asthma along with COPD

May fit online care

Adults 18 and older
You are an adult with COPD confirmed by spirometry, a breathing test
You have been stable on the same daily inhaler for at least 3 months
You have no flare-up now
You keep up with regular breathing tests and in-person review
You can upload your current inhaler label or prescription

Look for another care setting

Severe shortness of breath at rest or trouble speaking in full sentences, blue or gray lips or fingertips, new confusion or unusual drowsiness, chest pain, coughing up blood, sudden unexplained shortness of breath, fainting, or new one-sided leg swelling (call 911; these can also mean a blood clot or heart problem, not just COPD).
A flare-up now: breathing, cough, or phlegm worse than usual over the last days, phlegm that turned yellow, green, or brown, fever, or needing your rescue inhaler much more often than usual.
Oral steroids or antibiotics for a COPD flare in the last 4 weeks, or a hospital or emergency visit for breathing in the last 3 months.
A pulse-oximeter reading below 90 percent right now, or a flare of your asthma (stable home oxygen use and stable, well-controlled asthma are not automatic exclusions by themselves: tell us either way and the physician will review it within the standard turnaround).
New swelling of both legs or sudden weight gain.
Never having had spirometry, or not being sure of the diagnosis.
Being too breathless to leave the house.
Pregnancy or breastfeeding.

What to have ready

A photo of your current inhaler label or prescription
Your current symptoms and rescue-inhaler use
Your smoking status
Your vaccine history

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Can I keep getting my COPD inhaler through online visits?

There is no set limit, as long as you stay stable and keep up with your regular in-person breathing tests and checkups. The doctor decides each time whether continuing is right for you.

Can this visit change my inhaler or treat a flare-up?

This option continues an existing daily regimen. It does not start a new inhaler class or treat a flare-up.

Does home oxygen or asthma rule out a refill?

Stable home oxygen use and stable, well-controlled asthma do not automatically rule out review. Tell the physician about both so your request can be assessed.

What does the physician review?

The physician reviews your inhaler label or prescription, symptoms, rescue-inhaler use, smoking status, vaccines, and safety questions specific to your medicine.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Asthma inhaler refill CGM prescription Cholesterol treatment (statins)Diabetes dose adjustment Epinephrine renewal and allergy plan Prescription refill