7 Tips for managing asthma during travel  

Summary: Travelling with asthma can be difficult due to potential exposure to new triggers, changes in climate, and variations in healthcare availability. However, with careful planning, it is manageable. Key tips include consulting a healthcare provider before travel, carrying an asthma kit with necessary medications together with a written asthma action plan, keeping prescriptions and medications within easy reach, and staying mindful of environmental allergens. It’s also important to prepare for altitude and weather changes, know the locations of nearby medical facilities, avoid overexertion, and manage stress. With these precautions, people with asthma can travel safely and enjoy their trips.  

Travel opens the door to new adventures, exciting sights, and unforgettable memories, but it also requires careful planning and precautions for individuals with asthma. Asthma, a chronic respiratory condition characterised by airway inflammation and breathing challenges, can be triggered by weather fluctuations, allergens, stress, or new surroundings. In 2022, around 2.8 million (11%) people in Australia were estimated to be living with asthma, proving that this widespread condition shouldn’t prevent anyone from exploring the globe. From thoughtful planning to avoiding triggers, there are plenty of ways to ensure your next adventure is as smooth and safe as possible. 

Importance of planning for asthma control while on vacation

Understanding asthma triggers

• Irritants: Chemicals, smoke, air pollution, or strong smells 
• Allergens: Dust mites, pollen, pet dander, mould 
• Weather: Humidity, cold weather, sudden temperature change 
• Illnesses: Colds, flu, and respiratory infections 
• Exercise: Particularly in cold or dry air 
• Emotions and stress: Intense emotions can affect breathing 

Also read: How Asthma Action Plans Help You Breathe Easier

Preparing before you travel

1. Consult your doctor before travelling: Arrange a check-up to ensure your asthma is well-managed. You can also consider using telehealth for a quick online appointment.
2. Review your prescriptions: Ensure your asthma medications are up to date and refill them before your trip. Prescriptions may be issued online via telehealth consultation with a doctor if required. Dr Nelson lau comments that ‘In Australia, most asthma medications are subsidised under the PBS, and it’s important to carry a letter from your GP when traveling with prescribed medications, particularly overseas.’
3. Bring sufficient medication: Pack enough inhalers and other medications for your trip, plus additional supplies in case of emergencies or delays.
4. Remember your spacer: If you utilise a spacer, make sure to include it with your inhaler for more effective medication delivery.
5. Keep inhalers in your carry-on bag: Always keep your inhaler in your carry-on luggage, rather than checked baggage, so it's readily accessible while travelling.

Also read: What is thunderstorm asthma? Symptoms and prevention

Smart packing for asthma management

1. Always keep your medications within easy reach: Carry inhalers and other asthma medications in your purse or backpack, rather than in checked luggage.
2. Bring extra doses of your medication: According to Dr Lau, check the expiry dates on all medications and consider packing double the amount you typically use, to cover delays or lost luggage.
3. Don’t leave your spacer behind: If you use a spacer with your inhaler, make sure to include it, as it helps you inhale the medicine more effectively.
4. Have your asthma action plan on hand: Bring along a written plan from your GP that outlines steps to take if your asthma worsens.
5. Include a peak flow meter in your packing: This device allows you to monitor your breathing while you’re away from home.
6. Be prepared for your asthma triggers: Pack items such as a face mask, scarf, or allergy medications to shield yourself from dust, cold air, or pollen.
7. Take copies of your prescriptions: If you’re travelling internationally, carry a letter from your doctor and copies of your prescriptions, just in case.

Asthma safety tips while travelling

1. Keep your medications in your carry-on bag: Always have your inhalers and other asthma medications with you in your hand luggage.
2. Pack additional medication: Bring along extra doses to prepare for longer stays or missed refills.
3. Understand your asthma triggers: Avoid smoke, dust, cold air, or strong odours that may aggravate your symptoms.
4. Monitor air quality and weather conditions: Be sure to check the weather and pollution levels at your destination in advance. This will help you plan appropriately and stay safe during your trip. 
5. Communicate your asthma plan: Inform those travelling with you about what to do if you experience breathing difficulties.
6. Notify airlines or accommodations beforehand: Inform them about your asthma, especially if you require special assistance or a smoke-free environment. Some airlines may require medical clearance for severe asthma or allow early boarding.
7. Take regular breaks and avoid overexertion: Pace your activities and rest when necessary to prevent triggering symptoms.
8. Obtain travel insurance: Ensure your insurance policy includes coverage for asthma care in case of an emergency while you are away.

Managing asthma on flights

Flying with asthma can be a secure and pleasant experience if you prepare in advance. The cabin air can be dry and pressurised, which might irritate your airways. To prioritise your safety, always keep your inhalers, especially your rescue inhaler, in your hand luggage instead of checked bags. This way, you can access them quickly when needed.  

Before your flight, consult your doctor if you have experienced recent asthma flare-ups or hospitalisations; they may recommend adjustments to your medication or provide additional guidance. If necessary, carry a note from your doctor that details your condition and medications for airport security. Or simply consult on-demand doctors anytime, while away. 

During the flight, stay hydrated by drinking plenty of water and avoiding caffeinated or alcoholic beverages that may dry out your airways. Try to avoid strong fragrances or aerosol sprays from fellow passengers and request a seat change if necessary. 

Staying healthy during travel

Travelling can be thrilling, but it can also disrupt your daily routines and impact your health. To maintain your well-being while travelling, ensure you get sufficient rest before and during your trip to keep your body strong. Stay hydrated by drinking plenty of water, particularly during long flights or in hot weather. 

Pack all necessary medications, including extra doses and copies of your prescriptions. Stick to regular meal times and aim to consume light, balanced meals to prevent digestive discomfort. Frequently wash your hands or use hand sanitiser to avoid catching germs in crowded areas such as airports, buses, or tourist attractions. If you have a health condition like asthma, keep your action plan accessible and make sure a travel companion knows how to assist you. 

If after the travel you feel you need to rest due to flare ups, consult your GP or a telehealth service to discuss next steps. A medical certificate can be provided if clinically appropriate.  

Conclusion:

FAQs

What is asthma?

What causes asthma?

Can summer heat make asthma worse?

Should I talk to a doctor before travelling with asthma?

What should I pack in my asthma travel kit? 

• Reliever inhaler 
• Spacer 
• Preventer inhaler 
• Peak flow meter 
• Extra medication 
• Copies of prescriptions 

How do I manage asthma during a flight?

• Carry your reliever inhaler in your hand luggage 
• Take your preventer medication as prescribed 
• Stay hydrated 
• Avoid triggers 
• Use a mask or nasal spray to combat dry air 
• Inform the crew 
• Move around on long flights to keep your breathing steady. 

Is it safe to travel to places with high pollen or pollution levels?

• Check air quality and pollen forecasts before your trip 
• Travel with all your asthma medications 
• Avoid outdoor activities during peak pollen or pollution times 
• Wear a mask 
• Stay indoors  

How can Aussies find a doctor or clinic if they have a serious asthma attack while travelling in Australia?  

• Call triple zero (000) for emergency medical assistance 
• Visit a local clinic or hospital 
• Use telehealth services