Chronic Disease Management
Respiratory Conditions — Ongoing Management Online
Asthma, stable COPD, allergic rhinitis, and other recurring respiratory symptoms benefit from consistent follow-up. A licensed healthcare provider can review an established diagnosis, assess symptom control, evaluate current medications, and determine whether treatment adjustment, in-person testing, or specialist care may be appropriate.
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About respiratory conditions
🫁 Chronic respiratory conditions — ongoing, manageable, and often undertreated
Respiratory conditions that come and go are easy to underestimate. Asthma flares feel like just a cough. COPD breathlessness gets attributed to being out of shape. Allergic rhinitis gets dismissed as seasonal annoyance. But these conditions cause real, cumulative harm when not properly managed, and most respond well to the right treatment plan.
This page covers chronic and ongoing respiratory conditions — the kind that require regular management, not just a one-time visit for acute illness. If you are looking for help with an active cold, flu, sinus infection, or COVID-19, see our Cold, Flu & Respiratory Symptoms page. This page is for the conditions you live with year-round.
What this page covers
Online asthma management for patients with a confirmed diagnosis. Online COPD management for stable patients with a confirmed diagnosis. Allergic rhinitis including hay fever and year-round nasal allergies. Chronic cough evaluation. Exercise-induced bronchoconstriction. Brief introductions to other chronic respiratory conditions and guidance on when specialist or in-person care is the right step. Acute respiratory illness is covered on our separate Cold, Flu & Respiratory Symptoms page.
⚠️ Call 911 for any of these — do not attempt a telehealth visit
Severe or rapidly worsening trouble breathing. Blue or gray lips or fingertips. Inability to speak normally because of breathlessness. Inability to walk across a room or perform basic activity because of breathlessness. Marked exhaustion, confusion, or unusual drowsiness with respiratory symptoms. Severe breathing difficulty with very quiet breathing or very little air movement. Fainting or severe chest pain. A reliever inhaler that is not helping or helping only briefly. Repeated coughing of blood, blood that is more than streaking, or blood accompanied by breathing difficulty, chest pain, or rapid worsening. Breathing difficulty with swelling of the lips, tongue, face, or throat, widespread hives, or faintness — which may signal anaphylaxis. Do not drive yourself. Even a small unexplained amount of blood in mucus requires prompt in-person assessment. New chest pressure, symptoms triggered by exertion, fainting, sweating, or pain spreading to the arm, jaw, shoulder, or back require urgent evaluation for cardiac causes, not just asthma.
Conditions we can help with
📋 Chronic respiratory conditions — what they are and how we help
Here is a plain-language overview of the most common chronic respiratory conditions. Each has a different mechanism and management approach, but all benefit from consistent, ongoing care.
- 🌬️ Asthma — online asthma management for established patients A chronic condition in which the airways become inflamed and periodically narrow, causing wheezing, chest tightness, coughing (especially at night or early morning), and shortness of breath. Triggers vary by person but commonly include allergens, cold air, exercise, respiratory infections, and irritants like smoke or strong scents. Asthma ranges from mild and infrequent to persistent and significantly limiting. It is highly manageable with the right inhaler regimen and ongoing care.
- 🫀 COPD — online COPD management for stable patients with a confirmed diagnosis An umbrella term for chronic lung conditions that cause persistent airflow obstruction that does not fully normalize after a bronchodilator. Tobacco smoke is a major cause in the United States, but COPD can also occur with occupational or environmental exposures, indoor air pollution, abnormal lung development, and alpha-1 antitrypsin deficiency. A person can develop COPD without having smoked. Symptoms, exercise capacity, exacerbation risk, and quality of life can all improve with appropriate treatment.
- 🌿 Allergic Rhinitis — hay fever and year-round nasal allergy management online Inflammation of the nasal passages triggered by allergens such as pollen, dust mites, pet dander, and mold. Symptoms include sneezing, runny or stuffy nose, itchy or watery eyes, and postnasal drip. Nasal allergies and upper-airway drainage can also contribute to chronic cough, congestion, and sleep disruption. Seasonal allergic rhinitis worsens at specific times of year; perennial allergic rhinitis is present year-round. Allergic rhinitis and asthma commonly occur together, and managing both tends to produce better outcomes than addressing one while ignoring the other.
- 😮💨 Chronic Cough — evaluation and management A cough lasting eight weeks or more in adults that persists after an acute illness has resolved. Possible causes include upper-airway cough syndrome from rhinitis or sinus disease, asthma, reflux-related conditions, smoking or inhaled irritants, and certain medications such as ACE inhibitor blood pressure drugs. More than one cause may be present. A telehealth provider can review your pattern, medication history, and associated symptoms to help determine the appropriate next step. A new or unexplained chronic cough often requires in-person examination, chest imaging, or lung-function testing before a cause can be confirmed.
- 🏃 Exercise-Induced Bronchoconstriction — evaluation and management Temporary airway narrowing during or shortly after physical activity, causing cough, wheeze, chest tightness, or shortness of breath. It can occur in people with or without diagnosed asthma. Similar symptoms can also have cardiac, upper-airway, or fitness-related causes, so new exertional breathing symptoms should be evaluated rather than automatically assumed to be bronchoconstriction. A licensed healthcare provider can assess whether your pattern fits and what treatment makes sense.
- 🔁 Recurrent Respiratory Infections — evaluation and care coordination Repeated episodes labeled as bronchitis, frequent sinus infections, or slow recovery from respiratory illness may reflect asthma, COPD, bronchiectasis, smoking or exposure-related disease, or another condition rather than simply repeated infection. Repeated antibiotic or steroid courses warrant a more complete evaluation. A licensed healthcare provider can help assess whether an underlying condition is driving the pattern.
A new chronic cough with any of these requires prompt in-person evaluation
Blood in mucus. Unexplained weight loss. Persistent fever or night sweats. Hoarseness or trouble swallowing. Recurrent pneumonia. Significant smoking history with new cough. Known cancer or immune suppression. These findings should not be managed through telehealth alone.
Conditions that require in-person or specialist evaluation
Interstitial lung disease, pulmonary fibrosis, pulmonary hypertension, lung cancer evaluation, and sleep apnea all require in-person assessment and specialist involvement. Telehealth can play a supporting role in care coordination for stable, diagnosed patients, but initial diagnosis and complex management of these conditions cannot be completed through a telehealth visit. Your licensed healthcare provider will advise when referral is the right next step.
Condition deep-dive
🌬️ Online asthma management — understanding and managing your condition
Asthma is one of the most common chronic conditions in the United States, affecting people of all ages. It is also consistently undertreated. Many people with mild-to-moderate asthma rely on a quick-relief inhaler alone when symptoms flare, without addressing the underlying airway inflammation that makes symptoms occur in the first place. Good asthma management focuses on control and prevention, not just quick relief.
MyPhysician360 supports ongoing asthma management for patients with an existing confirmed diagnosis. New asthma diagnoses generally require objective lung-function testing, usually spirometry. MyPhysician360 does not establish a new asthma diagnosis solely through a telehealth visit. Your licensed healthcare provider will advise on in-person testing if that is what your situation requires.
Recognizing asthma symptoms
- →Wheezing — a whistling or squeaky sound when breathing
- →Chest tightness or a feeling of pressure in the chest
- →Coughing that is worse at night, in the early morning, or after exercise
- →Shortness of breath with activity that used to feel easy
- →Symptoms that worsen around specific triggers: allergens, cold air, smoke, exercise, or strong scents
- →Increasing reliever inhaler use, waking at night with breathing symptoms, or activity becoming more limited may all indicate that asthma is not well controlled
Asthma treatment should include anti-inflammatory therapy
Current guidance recommends an ICS-containing treatment for adults and adolescents with confirmed asthma because airway inflammation can be present even when symptoms seem mild. Relying on a quick-relief bronchodilator alone, without an ICS-containing medication, is not recommended for most adults and adolescents. Depending on your diagnosis, inhaler availability, and treatment plan, your licensed healthcare provider may recommend an ICS-formoterol inhaler for symptom relief with or without daily maintenance use, or an ICS-containing controller used alongside a separate reliever inhaler. The right approach depends on your specific situation and your provider determines the correct medication, device, and instructions for you.
Asthma treatment options
- 💊 Reliever inhalers Reliever treatment may involve albuterol or, for selected patients, a prescribed ICS-formoterol inhaler that provides both rapid bronchodilation and inhaled corticosteroid treatment. Only specific ICS-formoterol products, strengths, and prescribed regimens are appropriate for reliever use. Do not use a maintenance inhaler for sudden symptoms unless your treatment plan specifically instructs you to do so. Increasing reliever use, worsening symptoms, or activity limitation are signals that asthma is not well controlled and that your treatment plan should be reviewed.
- 💊 Inhaled corticosteroids (ICS) — the foundation of asthma control Reduce airway inflammation over time, making airways less reactive to triggers. The most effective long-term treatment for persistent asthma. Used according to the prescribed plan — either daily, when symptoms occur, or as both maintenance and reliever treatment. Continue the medication as directed even when symptoms are controlled. After using an inhaled corticosteroid, follow the device instructions. Rinsing the mouth and spitting can help reduce the risk of oral thrush and hoarseness. A spacer may help with certain metered-dose inhalers; your pharmacist or provider can advise whether it is appropriate for your device. Inhaler technique matters significantly, and a provider or pharmacist can confirm you are using your device correctly.
- 💊 Combination inhalers Combine an inhaled corticosteroid with a long-acting bronchodilator. Not every combination inhaler is appropriate for quick-relief use — that depends on the specific medications and the treatment plan your provider designs. Long-acting bronchodilator medication should not be used alone for asthma. It should always be part of an ICS-containing regimen.
- 💊 Leukotriene-receptor antagonists Montelukast is a daily oral tablet that may be considered for selected patients, including some with both asthma and allergic rhinitis. It is generally less effective than inhaled corticosteroid treatment for preventing asthma exacerbations. Montelukast carries an FDA boxed warning for serious mood, behavior, sleep, and thinking-related effects, including suicidal thoughts or actions. Patients and caregivers should stop the medication and contact a licensed healthcare provider promptly if new neuropsychiatric symptoms occur. Do not use montelukast to treat a sudden asthma attack.
- 💊 Short courses of oral corticosteroids May be appropriate for selected moderate or severe exacerbations, but these medications can cause meaningful side effects and repeated courses indicate poor control. Repeated need for oral steroids warrants reassessment of diagnosis, inhaler technique, adherence, triggers, and controller treatment. Severe exacerbations require in-person or emergency care.
Asthma action plan
Patients with asthma should have a written asthma action plan explaining daily treatment, what to do when symptoms worsen, and when to seek urgent care. Your licensed healthcare provider can review whether you have an asthma action plan and discuss what it should include. A complete written plan may require coordination with your established primary-care or asthma clinician. Trigger identification and reduction are also important parts of asthma management that go beyond medication alone.
When asthma requires in-person or specialist care
Asthma not responding to standard treatment, frequent severe exacerbations, suspected occupational asthma, and new respiratory symptoms without a confirmed diagnosis all warrant in-person evaluation and may require pulmonology or allergy and immunology involvement. Telehealth is appropriate for patients with a confirmed diagnosis who need medication management, inhaler review, or a treatment plan assessment.
Increasing symptoms, more reliever inhaler use, or waking at night with breathing problems? Those are signals your asthma may not be controlled. A licensed healthcare provider can review your plan.
Start a VisitCondition deep-dive
🫀 Online COPD management — stable treatment and what to expect
COPD involves persistent airflow obstruction that does not fully normalize after a bronchodilator, along with chronic respiratory symptoms. Symptoms, exercise capacity, exacerbation risk, and quality of life can all improve with appropriate treatment. The course varies between individuals.
COPD diagnosis requires post-bronchodilator spirometry demonstrating persistent airflow obstruction. Symptoms or smoking history alone cannot confirm COPD. MyPhysician360 supports ongoing management for patients with a confirmed diagnosis. If you have not had spirometry, your licensed healthcare provider will discuss how to arrange that evaluation.
Common symptoms of COPD
- →Persistent cough, often producing mucus
- →Shortness of breath with activities that previously felt easy
- →Wheezing or chest tightness
- →Frequent respiratory infections
- →Fatigue and reduced exercise tolerance
- →COPD exacerbations: episodes of acutely worsening symptoms beyond your normal day-to-day variation
How COPD is managed
- 🚭 Stopping tobacco use — one of the most important steps For a person who smokes, stopping tobacco use is one of the most important steps for slowing further lung damage and reducing respiratory and cardiovascular risk. Cessation support is a priority conversation with your licensed healthcare provider and can be addressed in a telehealth visit.
- 💊 Long-acting bronchodilator inhalers — the foundation of COPD maintenance therapy Maintenance treatment commonly uses a long-acting muscarinic antagonist, a long-acting beta-agonist, or a combination of both. The right choice depends on your symptoms, exacerbation history, inhaler technique, side effects, and access. Short-acting bronchodilators may be used for intermittent symptom relief according to your treatment plan.
- 💊 Inhaled corticosteroids — for selected patients An ICS-containing regimen may be appropriate for patients with repeated exacerbations, blood eosinophil results suggesting greater expected benefit, or coexisting asthma features. It is not appropriate for every person with COPD and can increase the risk of pneumonia and oral thrush. Inhaled corticosteroid monotherapy is not standard COPD treatment. Treatment selection takes into account exacerbation history, prior infections, and individual response.
- 💉 Vaccinations People with COPD are at higher risk for serious respiratory infections. A licensed healthcare provider can review current CDC recommendations for influenza, COVID-19, pneumococcal, and RSV vaccines based on your age, smoking history, lung disease, and prior vaccination history.
- 🏋️ Pulmonary rehabilitation A structured exercise, education, and self-management program that improves breathlessness, function, and quality of life. Programs may be facility-based, home-based, or hybrid depending on local availability and patient safety. MyPhysician360 does not directly provide pulmonary rehabilitation but can help recommend appropriate referral when operationally available.
- 🧪 Alpha-1 antitrypsin deficiency testing People with confirmed COPD may be offered testing for alpha-1 antitrypsin deficiency, especially when COPD occurs at a younger age, with limited smoking exposure, or with a family history of early lung or liver disease. A licensed healthcare provider can discuss whether this testing is appropriate for your situation.
COPD exacerbations — when to seek care
New or substantially increased breathlessness, low oxygen readings, fever, chest pain, confusion, marked weakness, or reduced ability to perform basic activities requires prompt in-person evaluation. Telehealth may help a stable patient review a mild change when they have an established COPD plan, but when in doubt seek in-person care rather than waiting. Severe symptoms require 911. If you use a pulse oximeter, compare readings to your usual baseline. Severe symptoms require emergency care even when the pulse-oximeter number appears normal. Consumer pulse oximeters can be affected by movement, circulation, nail products, and device quality.
COPD and oxygen therapy
Long-term oxygen is prescribed for selected patients with documented low blood oxygen levels, not for breathlessness alone. Eligibility may require supervised oximetry, arterial blood-gas testing, or other documentation. MyPhysician360 does not start or adjust oxygen therapy. If you already use supplemental oxygen or believe you may need it, contact the clinician or pulmonary team managing your lung disease for prompt in-person assessment.
How online care can help
💻 What a virtual respiratory visit can do
Chronic respiratory conditions require ongoing care, not just occasional visits when things get bad. Telehealth is particularly useful for established patients with a confirmed diagnosis who need medication management, treatment plan reviews, and care coordination. Initial diagnosis of asthma and COPD requires objective lung-function testing that must be done in person. Telehealth supports management of patients already diagnosed and working to stay controlled.
| What a telehealth respiratory visit can do | What requires in-person or specialist care |
|---|---|
| Review symptoms, inhaler use, and how well your condition is controlled | Spirometry and lung-function testing to establish a new diagnosis |
| Review existing prescriptions or possible refills when diagnosis, treatment history, and safety information can be verified | Severe or uncontrolled asthma not responding to standard therapy |
| Review COPD inhalers for stable patients with a confirmed diagnosis | Advanced COPD requiring oxygen therapy — not managed through this service |
| Evaluate and treat allergic rhinitis; note that some decongestants can raise blood pressure or cause rebound congestion and are not appropriate for everyone | Allergy skin testing and allergen immunotherapy — require in-person allergist |
| Review chronic cough pattern and identify appropriate next steps | New chronic cough requiring imaging, lung-function testing, or specialist evaluation |
| Review an established asthma or EIB plan and prescribe appropriate treatment when supported by diagnosis, history, and clinical judgment | New exertional breathing symptoms without a confirmed diagnosis |
| Review vaccination needs and recommend in-person care when appropriate | Pulmonary hypertension, interstitial lung disease, sleep apnea, and other complex conditions |
For acute cold, flu, COVID-19, sinus, or bronchitis symptoms
Visit our separate Cold, Flu & Respiratory Symptoms page for evaluation of acute illness.
Already have a confirmed diagnosis? Telehealth is a practical fit.
If you have a confirmed diagnosis of asthma, allergic rhinitis, or stable COPD and are looking for a review of existing prescriptions or possible refills, a care plan review, or inhaler guidance, a telehealth visit can address that efficiently. A refill is not guaranteed and may require prior records, recent testing, or in-person evaluation. Bring your current medications, your inhaler list with doses, and any recent in-person visit notes or spirometry results. Have your inhalers available during the video visit so your provider can review how you use them when appropriate. Service availability and prescribing scope vary by patient age and state.
What to expect
🗓️ Your visit, start to finish
Here is what a chronic respiratory condition visit looks like from intake to plan.
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1
Describe your symptoms and history
Fill out a short intake covering your respiratory symptoms, how long you have had them, your current medications and inhalers with doses, your diagnosis history, known triggers, recent flares, vaccination status, and smoking history. Prior spirometry results are helpful if available. Have your inhalers ready for the video portion of the visit. |
2
Meet with your provider
A licensed healthcare provider reviews your intake, discusses your symptom pattern and how well your condition is currently controlled, and determines whether your current treatment is appropriate. Medication review may require verification of prior records, spirometry, or in-person evaluation before continuing or adjusting. Your provider will be direct about what they need and whether in-person evaluation is the right call. |
3
Get a plan
Your provider may review or adjust inhalers, discuss inhaler technique and trigger avoidance, review your asthma action plan, recommend vaccinations, or recommend referral to pulmonology or allergy when appropriate. When prescription treatment is appropriate, it may be sent electronically to the pharmacy you select. |
4
Follow up when things change
If symptoms worsen, if you are using your reliever inhaler more frequently, if you have a significant flare, or if a medication change needs reassessment, follow up. Ongoing management means ongoing check-ins, not a single prescription and no contact. |
What to bring to your visit
Your current inhaler list with doses and how often you use each one. Any recent in-person visits, spirometry results, or specialist notes. Current medications beyond inhalers. Smoking history (current, former, or never). Known triggers and what makes your symptoms better or worse. Prior hospitalization or emergency room visits for respiratory illness. Have your actual inhalers available during the video visit when possible.
Care connected to your pharmacy
🏪 Your inhalers. Your pharmacy. Ongoing.
Rescue and controller inhalers are available at pharmacies nationwide. When prescription treatment is appropriate, your provider may send it electronically to the pharmacy you select. Inhaler availability, formulary coverage, prior-authorization requirements, cost, and dispensing time vary by pharmacy and insurance plan. Any therapeutic substitution requires prescriber approval.
- ✓Prescriptions sent electronically to your selected pharmacy when clinically appropriate
- ✓Inhalers available at most pharmacies — stock, formulary coverage, and prior authorization vary by plan
- ✓No required membership to access our telehealth services
Frequently asked questions
❓ Respiratory conditions — your questions answered
Can I manage my asthma through telehealth?
For patients with a confirmed asthma diagnosis, yes, in many cases. A licensed healthcare provider can review your current symptom control, evaluate whether your treatment plan is appropriate, and review existing prescriptions or possible refills when diagnosis and treatment history can be verified. A refill is not guaranteed and may require prior records or recent testing. New asthma diagnoses generally require objective lung-function testing that must be done in person. MyPhysician360 does not establish a new asthma diagnosis solely through a telehealth visit.
Should I only use a rescue inhaler when I have asthma symptoms?
A quick-relief bronchodilator can open narrowed airways fast when symptoms occur, but current guidance recommends that asthma treatment include an inhaled corticosteroid because airway inflammation can be present even when symptoms seem mild. Relying on a bronchodilator alone, without an ICS-containing medication, is not recommended for most adults and adolescents. Only specific ICS-formoterol products, strengths, and prescribed regimens are appropriate for reliever use — do not use a maintenance inhaler for sudden symptoms unless your treatment plan specifically instructs you to do so. If you are currently managing your asthma with a quick-relief inhaler only, that is worth discussing with a licensed healthcare provider.
Can I get COPD medication through telehealth?
For stable, confirmed COPD, yes, in many cases. A licensed healthcare provider can review your symptoms and current treatment and review existing prescriptions or possible refills when diagnosis and treatment history can be verified. COPD diagnosis requires post-bronchodilator spirometry. If you have not had spirometry, or if your symptoms have changed significantly, an in-person assessment is the right starting point. Advanced COPD with significant breathlessness at rest, frequent severe exacerbations, or need for oxygen therapy requires in-person evaluation. MyPhysician360 does not start or adjust oxygen therapy.
I have a persistent cough that will not go away. What causes that?
A cough lasting eight weeks or more in adults has several possible causes: upper-airway cough syndrome from rhinitis or sinus disease, asthma, reflux-related conditions, smoking or inhaled irritants, and certain medications such as ACE inhibitors. More than one cause may be present. A telehealth provider can review the pattern, medication history, and associated symptoms to determine the appropriate next step. A new or unexplained chronic cough often requires in-person examination, chest imaging, or lung-function testing before a cause can be confirmed. ACE-inhibitor cough often improves after the medication is changed by the prescribing clinician, but resolution may take several weeks. Do not stop blood-pressure medication on your own.
My breathing gets tight when I exercise. What is that?
Exercise-induced bronchoconstriction causes temporary airway narrowing during or shortly after activity. Symptoms may include cough, wheeze, chest tightness, or unusual shortness of breath. Similar symptoms can have cardiac, upper-airway, or fitness-related causes, so new exertional breathing symptoms should be evaluated rather than assumed to be bronchoconstriction. Treatment may include a prescribed reliever before exercise and better control of underlying asthma. New symptoms, symptoms out of proportion to activity, chest pain, fainting, or poor response to an inhaler require in-person evaluation and may require lung-function or cardiovascular testing.
How is asthma different from COPD?
Asthma typically begins earlier in life, is often associated with allergies, and causes variable airflow limitation that responds well to inhaled corticosteroid treatment. COPD involves persistent airflow obstruction that does not fully normalize after a bronchodilator, is most often associated with smoking or long-term exposures, and is managed primarily with long-acting bronchodilators. The two can coexist, a pattern sometimes called asthma-COPD overlap. Distinguishing them accurately requires spirometry and clinical history, which is why diagnosis should be confirmed before management begins.
Can allergic rhinitis affect my asthma?
Yes, the two conditions commonly occur together. Nasal inflammation, shared allergens, and upper-airway symptoms can worsen overall respiratory comfort and asthma control in some patients. Treating clinically significant rhinitis may help, but it does not replace asthma controller treatment. Managing both conditions together tends to produce better outcomes than addressing one while ignoring the other.
Is this visit HSA or FSA eligible?
MyPhysician360 visits may be HSA and FSA eligible. Check with your plan administrator to confirm based on your specific plan.
Helpful resources
📚 Learn more about respiratory conditions
Authoritative patient resources from leading respiratory and lung health organizations.
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🌬️ Asthma Asthma Overview — Symptoms, Diagnosis, and Treatment American Lung Association Visit ALA → |
🫀 COPD COPD — Overview, Symptoms, and Management American Lung Association Visit ALA → |
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🌿 Allergic rhinitis Rhinitis — Allergic and Non-Allergic American Academy of Allergy, Asthma & Immunology Visit AAAAI → |
🤧 Acute respiratory illness Cold, Flu & Respiratory Symptoms — Online Care MyPhysician360 View page → |
Breathing should not be something you manage around.
A licensed healthcare provider can review your respiratory symptoms and established diagnosis, assess your current treatment, and determine whether medication adjustment, in-person testing, or specialist care may be appropriate. No waiting room. No required membership. Available in most states.
HSA & FSA eligible — check with your plan administrator | No required membership
Medical disclaimer: The information on this page is for general educational purposes only and does not constitute medical advice. Chronic respiratory conditions require individualized evaluation by a licensed healthcare provider. New asthma or COPD diagnoses generally require objective lung-function testing; MyPhysician360 does not establish either diagnosis solely through a telehealth visit. For COPD, post-bronchodilator spirometry is specifically required under current diagnostic guidelines. Severe or rapidly worsening breathing difficulty requires emergency care — call 911. Oxygen therapy is not started or adjusted through this service. MyPhysician360 does not directly provide pulmonary rehabilitation; appropriate programs may be facility-based, home-based, or hybrid and require referral or coordination outside this service. Allergy immunotherapy requires in-person allergist involvement and is not managed through this service. Montelukast carries an FDA boxed warning for serious neuropsychiatric effects including suicidal thoughts or actions; patients should discuss risks with their licensed healthcare provider. Acute respiratory illness including cold, flu, COVID-19, sinusitis, and bronchitis is addressed on our Cold, Flu & Respiratory Symptoms page. Content is informed by guidelines from the American Lung Association, the Global Initiative for Asthma (GINA), the Global Initiative for Chronic Obstructive Lung Disease (GOLD), and the MyPhysician360 URI Clinical Protocol. Prescribing decisions are made by a licensed healthcare provider on an individual basis. MyPhysician360 services are available in most states. Services are not currently available in Mississippi or Alaska.