This research investigated how asthma patients in North Macedonia perceive pharmacist involvement and education on inhaler use. Between July and September 2024, a cross-sectional survey was conducted at the University Clinic for Pulmonology and Allergology in Skopje, enrolling 187 adult patients with asthma. Although 69% reported following their prescribed treatment, 13.9% had never received guidance on inhaler use, and only 27.3% had received instructions from a pharmacist. Nearly all participants (96.3%) were interested in medication counseling from pharmacists, yet fewer than half (48.7%) were willing to engage in pharmacist-led inhaler training. Patient adherence was significantly linked to both gender (p = 0.040) and prior inhaler education. The findings highlight a gap in patient recognition of pharmacists’ clinical contributions, suggesting that expanding pharmacist-driven training in community settings and strengthening collaboration with physicians could enhance asthma care and improve healthcare efficiency.
