Heading off on an adventure should be exciting, not stressful—especially if you are travelling with asthma! Whether it’s a weekend getaway or a trip abroad, a bit of preparation goes a long way in ensuring a safe and enjoyable journey. Let’s explore some tips to help you manage your asthma on the go, so you can breathe easier and enjoy your travels!
Pre-travel preparation
Plan ahead for an asthma-friendly trip
Good preparation is important for travelling safely with asthma. Start by making sure you have enough asthma medicine, including relievers and preventers, to cover your trip plus a few extra days.
It is best practice to always use a spacer with your puffer, so remember to pack one of those too! Collapsible spacers may be useful and can also store your puffer inside. If you’re packing extra light, a cardboard spacer is also an option.
Keep your medicines with you on the plane, to avoid being without it if your luggage is lost or delayed.
Learn more about the types of asthma medicines you may need and brush up on how to use your devices correctly by visiting our devices and techniques page.
Here’s a handy checklist of what to pack:
- All your asthma medicines
- Spacers
- Medicines for any other health problems eg hayfever (especially if it is Spring at your destination!)
- A copy of your written Asthma Action Plan
- Letter from your doctor listing your medicines and health conditions
- Optional:
- Medic alert bracelet/tag
- Insulated medicine bag
- Insulated food bag if taking your own food due to allergies
If you have severe asthma, your respiratory specialist might also recommend taking an emergency supply of oral steroids with you, just in case.
If you have allergies, make sure you always have your allergy medicine and/or epinephrine auto-injector with you.
Consult your doctor before you go
A quick chat with your doctor can help you identify any specific risks related to your destination, like pollen exposure or air pollution levels. You can also discuss whether you might need to adjust your asthma management while you’re away.
If you’re travelling overseas, you should also carry a copy of your prescription or a letter from your doctor outlining what your medicine is, the required dosage and that it is for personal use.
Follow the specific advice related to the medicine you take if you are prescribed a monoclonal antibody (“biologic”).
Need help finding the right questions to ask? We can help—check out our support resources.
Think about travel insurance
Travel insurance that covers asthma-related medical costs is a must. Check your coverage for emergency treatment and, where possible, identify hospitals or healthcare facilities near your destination in case of a flare-up.
Scuba diving
Most people with asthma are advised not to scuba dive due to potential risks to the lungs. This includes bronchospasm, reduced lung function and other airway changes.
Research recommends that some people with asthma who want to scuba dive can do so if they have well-controlled asthma, without current chest symptoms, and normal spirometry results. However, if your asthma is triggered by exercise, emotion or cold you should not dive. Some diving societies also recommend passing a bronchial provocation challenge before being cleared to dive.
If you plan on scuba diving on holiday, talk to your doctor before booking to check if it is safe for you to do so. You should also contact the tour company to find out what their requirements are. You may need written clearance from your usual doctor.
Managing asthma during air travel
What to expect on planes
Air pressure changes, dry air in the cabin and other irritants can trigger asthma symptoms while flying. To stay on top of things, be extra sure to take your preventer medicine as prescribed in the lead-up to travelling. On the day of travel, keep your reliever medicine handy—either in a pocket or carry-on bag—and use it at the first sign of symptoms.
Here are some tips for flying with asthma:
- Use your preventer to make sure your asthma is controlled before you fly, and during your entire trip.
- Let the airline staff know you have asthma in case you need assistance.
- Have your Asthma Action Plan and reliever medicine handy in case of an emergency, so the airline staff and those around you can provide the help you need.
- Consider wearing a face mask in crowded areas of the airport or if you are concerned someone seated near you is coughing. Many flare-ups on holidays are caused by viruses picked up on planes
- If you are allergic to animals, wipe down the seat and tray before you fly. The person sat there before you might well have been a cat or dog owner.
In other countries such as the USA, it is not uncommon for people to fly with pets (or “emotional support animals”). If you are strongly sensitive to dogs or cats check if your airline permits this.
If you have food allergies, talk to your doctor about what precautions to take on the plane and get this in writing as well. It might include:
- wiping tray tables and hands,
- informing the airline beforehand and the cabin crew of allergies,
- not eating during flights or bringing known ‘safe’ foods from home (needs to be commercially sealed, not home made).
Tips for travelling to different climates
Adjusting to weather changes
Your asthma may respond differently to hot, cold or humid climates. Heat waves can increase air pollution, while cold air can be a trigger for some people. Learn more about how to manage asthma in extreme conditions, whether you’re travelling to a hot beach or a snowy mountain.
- Hot climates: Avoid doing activities during peak heat times, stay hydrated and seek air-conditioned spaces when possible. Be aware of what temperature your medicine is stored at; many medicines should be stored below 30°C.
- Cold climates: Avoid doing activities at the coldest parts of the day – think early morning and after dark. When you’re out and the air is feeling particularly cold, you can try wrapping a scarf loosely over your nose and mouth to warm the air before you breathe it in. Wearing a simple cloth mask has been shown to help protect against cold related symptoms. Be aware of what temperature your medicine is stored at and keep away from frost.
- Humid climates: Use air conditioning where possible to reduce humidity indoors and avoid strenuous activities outdoors. If you have a dry-powder inhaler, store away from moisture.
- Many countries have higher levels of pollutants in cities than Australia. You may need to increase the time you spend in areas with filtered air (air conditioning)
- Most Australians don’t live in the very crowded environments that are common in cities in other countries: try to avoid being out during commuting periods where exposure to infective agents is high
What to do in case of an asthma emergency while travelling
Recognise early symptoms
Early recognition of asthma symptoms can help stop a mild flare-up from turning serious. Make sure you know your triggers and follow your written Asthma Action Plan if symptoms begin. Remember, if you’re travelling somewhere new you may come across new scents, allergens and irritants that may be new or surprising triggers for your asthma.
If you experience symptoms that don’t improve after using your reliever medicine, seek medical help immediately. It is a good idea to have a list of emergency contacts and a list of local medical facilities handy – like doctors’ offices or hospitals.
For more advice on asthma emergencies, visit our page on managing asthma attacks.
FAQs about travelling with asthma
What should I pack when travelling with asthma?
Make sure to pack more than enough asthma medicine, your puffer and spacer, plus a copy of your written Asthma Action Plan in your carry-on.
Is air travel safe for people with asthma?
Yes! With proper preparation, most people with asthma can fly safely. Keep your reliever medicine with you at all times and consult your doctor before you fly.
How can I manage asthma symptoms in different climates?
Prepare by knowing the climate at your destination and taking necessary steps, like avoiding extreme heat or cold.
What should I do if I have an asthma attack while travelling?
Follow your written Asthma Action Plan and use your reliever medicine. If symptoms persist, seek immediate medical help.
Should I speak to my doctor before travelling with asthma?
Yes. A quick consultation can help you prepare and adjust your asthma management plan for your trip if needed.
Can I download a written Asthma Action Plan template from Asthma Australia before my trip?
Yes! Visit the Asthma Australia website for resources and tools to help you prepare.
Don’t forget to prioritise your health while travelling. If you’re planning to get vaccinated before your trip, read more about asthma and vaccinations.
Remember to have fun, stay safe and enjoy your trip!