DuoResp Spiromax

NHS Senior Clinical Pharmacist, Irsalan Ahmed (MPharm) provides a simple explanation of the medication below:

'Duoresp contains ingredients that treats both asthma +/- COPD and can be used as an instant "rescue" medication in patients with asthma'.

If you think Duoresp Spiromax is a treatment that can help you, start an online consultation now for a registered prescriber to review. If treatment is deemed suitable, they can prescribe it, and we can deliver it to you from the comfort of your own home with a range of convenient delivery and payment options for you to choose from. If you have any questions about a medication, you should always consult your doctor with any questions prior to starting treatment, to ensure that it is safe and suitable for you.

DuoResp Spiromax is a medicine that is used to treat severe asthma and chronic obstructive pulmonary disease (COPD), such as emphysema and chronic bronchitis.

For more information on the prescription medication patients should refer to the DuoResp Spiromax 160/4.5mcg and 320/9mcg patient information leaflets.

When treating asthma, DuoResp Spiromax helps to prevent attacks of breathlessness, and when treating chronic obstructive pulmonary disease (COPD), it works to reduce the number of flare-ups.

The active ingredients in the medication help the muscles in the airways to your lungs relax, keeping them open and making it easier for air to get in and out. The medication also contains corticosteroids which reduce swelling and irritation, to help you breathe more easily.

Asthma and COPD can be debilitating illnesses that hinder daily life, while onset attacks of pain or breathlessness can be painful as well as worrying.

Taking DuoResp Spiromax will help to manage these conditions, with effects of the active ingredients lasting for a minimum of 12 hours.

Although this medication is a long-term preventative measure, it can also act as a “rescue” inhaler. This means that in the case of an attack of breathlessness, it can work as a quick fix. You can however, use it only for its long-term benefits and use a separate “rescue” inhaler, should you wish.

DuoResp Spiromax is a prescription-only medication. Always follow the advice of your doctor and read the patient information leaflet provided in the medication packet.

Your doctor or nurse should show you how to properly use your inhaler before starting on this medication. To administer a dose, start by holding the inhaler with the mouthpiece cap at the bottom and open it up until you hear a click. Breathe out normally and then place the mouthpiece between your teeth (without biting down) and close your lips around it. Breathe in through your mouth as hard as you can and hold that breath for 10 seconds. Then remove the inhaler from your mouth and breathe out gently, closing the cap after use.

You do not need to shake the inhaler before use, nor should you open the cap when you are not using it (as the dose indicator will count this as a dose and you may end up not realising when you need a new inhaler). After use, it’s also a good idea to rinse your mouth out or brush your teeth, as leftover residue from the medication can leave you with a strange taste, and can also lead to thrush of the mouth or hoarseness.

DuoResp Spiromax dosage

DuoResp Spiromax contains the active ingredients budesonide and formoterol fumarate dihydrate, at a strength of 160 micrograms and 4.5 micrograms respectively, per delivered dose.

The recommended dose differs depending on whether you’re using it to treat COPD or asthma, and whether it’s your only inhaler or you are using it alongside a “rescue” one. If you are using it to treat COPD then the recommended dose is 2 inhalations twice a day (suitably spaced apart). If you are using it only as a long-term asthma reliever then the recommended dose is 1 or 2 inhalations twice a day, although your doctor could increase this to 4 inhalations twice a day if they think you need it.

If you are using DuoResp Spiromax as a dual inhaler (for both long-term relief and as a fast-acting solution to an attack of breathlessness), then the recommended dose is 2 inhalations a day, either taken together as one dose or as two separate administrations.

In the event of an asthma attack, take 1 inhalation and then wait a few minutes to see if this relieves the pain. If it does not, then take another, however you should never take more than 6 inhalations in one go. If you regularly need to use 8 or more inhalations in a day then you should consult your doctor, however you should never exceed 12 inhalations in a 24 hour period.

Each time you use your inhaler, the dose indicator will count down so that when the numbers turn red (once your inhaler contains single digit doses), you know to see your doctor to get a new one.

If you forget to use your DuoResp Spiromax then you should skip the forgotten dose and move straight onto the next one. Don’t double up on your dose to make up for a missed one.

If you take more DuoResp Spiromax than you should, then contact your doctor or pharmacist. Side effects of overdose include your heart beating faster than usual, feeling shaky, dizzy or weak, or developing a headache.

Before taking DuoResp Spiromax, you should always first consult your doctor. You should not take DuoResp Spiromax if any of the following apply to you:

• if you are allergic to budesonide, formoterol fumarate dihydrate, or the other ingredients in this medicine

Your prescription of DuoResp Spiromax may also be affected by a number of other factors, so you should make your doctor aware if any of the following apply:

• you are diabetic
• you have a lung infection
• you have high blood pressure or you have ever had a heart problem
• you have problems with your thyroid or adrenal glands
• you have low levels of potassium in your blood
• you have severe liver problems

Like many medications with active ingredients, DuoResp Spiromax can affect or be affected by other medicines. Particular medications that you may experience this with include the following:

• Beta blockers (such as atenolol, propranolol and sotalol)
• Medicines for a fast or uneven heartbeat (such as quinidine)
• Medicines like digoxin, often used to treat heart failure
• Diuretics, also known as ‘water tablets’ (such as furosemide)
• Steroid medicines that you take by mouth (such as prednisolone)
• Xanthine medicines (such as theophylline or aminophylline)
• Other bronchodilators (such as salbutamol)
• Tricyclic antidepressants (such as amitriptyline) and the antidepressant nefazodone
• Phenothiazine medicines (such as chlorpromazine and prochlorperazine)
• Medicines to treat HIV infection
• Medicines to treat infections
• Medicines for Parkinson’s disease (such as levodopa)
• Medicines for thyroid problems (such as levothyroxine)

If you are taking any of the above medications, then you should make your doctor aware so that they can advise whether or not DuoResp Spiromax will be the best course of action for you.

If you are pregnant or breastfeeding then you should consult your doctor before starting this medication, as it’s not usually recommended unless your doctor specifically thinks it’s necessary.

The most common side effects of using DuoResp Spiromax include:

• Palpitations (awareness of your heart beating)
• trembling or shaking
• Thrush (a fungal infection) in the mouth
• Mild sore throat, coughing and a hoarse voice
• Headache
• Pneumonia (infection to the lung) in COPD patients.

If you do experience one or more of these side effects and they persist or worsen, then inform your doctor right away. You should also contact your doctor if you notice any serious side effects such as worsening of breathing ability, fainting or skin reactions.

You can safely buy DuoResp Spiromax online at UK Meds. You will first need to have an online consultation with a pharmacist independent prescriber before your order will be supplied. The online consultation will ensure that DuoResp Spiromax is the right medication for your medical condition.