{"id":7797,"date":"2021-03-01T07:26:17","date_gmt":"2021-03-01T07:26:17","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7797"},"modified":"2022-12-29T16:14:25","modified_gmt":"2022-12-29T16:14:25","slug":"duoresp-spiromax","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/duoresp-spiromax\/","title":{"rendered":"DuoResp Spiromax &#8211; Budesonide Uses, Dose, And Side Effects"},"content":{"rendered":"\n<p><strong>DuoResp Spiromax 160 micrograms \/ 4.5 micrograms\u00a0inhaled powder\u00a0budesonide\/formoterol fumarate dihydrate.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What DuoResp Spiromax Is And What Is Duoresp Spiromax Used For<\/h2>\n\n\n\n<p>DuoResp Spiromax contains two different active substances: budesonide and formoterol fumarate dihydrate.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Budesonide belongs to a group of medicines called\u00a0corticosteroids\u00a0or\u00a0steroids.\u00a0It reduces and prevents swelling and\u00a0inflammation\u00a0in the lungs and helps you breathe easier.<\/li><li>Formoterol fumarate dihydrate belongs to a group of medicines called &#8216;long-acting \u03b2\u00a0<sub>2<\/sub>\u00a0-adrenoreceptor agonists&#8217; or &#8216;bronchodilators.&#8217;\u00a0It works by relaxing the muscles in your airways.\u00a0It opens up the airways and helps you breathe easier.<\/li><\/ul>\n\n\n\n<p><strong>DuoResp Spiromax is only for adults 18 years of age or older.<\/strong><\/p>\n\n\n\n<p><strong>DuoResp Spiromax should NOT be used by children 12 years of age or younger or by adolescents 13 to 17 years old.<\/strong><\/p>\n\n\n\n<p>Your doctor has prescribed this medicine to treat\u00a0asthma\u00a0or chronic\u00a0obstructive pulmonary disease\u00a0(COPD).<\/p>\n\n\n\n<p><strong>Asthma<\/strong><\/p>\n\n\n\n<p>DuoResp Spiromax can be prescribed for\u00a0asthma\u00a0in two different ways.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>)\u00a0<strong>You may have been prescribed two asthma inhalers:\u00a0DuoResp Spiromax and a separate &#8220;on-demand inhaler&#8221;<\/strong>\u00a0with, for example,\u00a0salbutamol.<ul><li>Use DuoResp Spiromax every day.\u00a0It helps prevent the onset of asthma symptoms such as shortness of breath and wheezing.<\/li><li>Use your emergency inhaler when you experience asthma symptoms to make it easier to breathe again.<\/li><\/ul><\/li><li>)\u00a0<strong>You may have been prescribed DuoResp Spiromax as your only asthma inhaler.<\/strong><ul><li>Use DuoResp Spiromax every day.\u00a0It helps prevent the onset of asthma symptoms such as shortness of breath and wheezing.<\/li><li>Use DuoResp Spiromax when you need extra\u00a0inhalation\u00a0or puffs to relieve asthma symptoms, make it easier to breathe again, and agree with your doctor to prevent asthma symptoms from occurring (eg when exercising or being exposed to\u00a0allergens\u00a0).\u00a0You do not need a separate\u00a0inhaler\u00a0for that.<\/li><\/ul><\/li><\/ol>\n\n\n\n<p><strong>Chronic&nbsp;obstructive pulmonary disease&nbsp;(COPD)<\/strong><\/p>\n\n\n\n<p>COPD is a long-term disease of the airways in the lungs that has often been caused by cigarette smoking.\u00a0Symptoms may include <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Shortness of breath<\/li><li>Chest discomfort<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">Cough<\/a><\/li><\/ul>\n\n\n\n<p>DuoResp Spiromax can also be used to treat the symptoms of severe COPD in adults.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What You Need To Know Before Using DuoResp Spiromax<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do Not Use DuoResp Spiromax<\/h2>\n\n\n\n<p>If you are allergic to budesonide, formoterol fumarate dihydrate, or the other ingredient of this medicine (listed in section 6).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings And Cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before using DuoResp Spiromax if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You have\u00a0diabetes<\/li><li>You have a lung infection<\/li><li>If you have high\u00a0blood pressure\u00a0or if you have ever had a heart problem (including an uneven heartbeat, a very fast\u00a0pulse, narrowing of the\u00a0arteries\u00a0or\u00a0heart failure\u00a0)<\/li><li>You have problems with the thyroid gland or adrenal glands<\/li><li>You have low levels of\u00a0potassium\u00a0in your blood<\/li><li>You have severe liver problems<\/li><li>You regularly drink alcohol.<\/li><\/ul>\n\n\n\n<p>If you have been taking cortisone tablets for\u00a0asthma\u00a0or COPD, your doctor may reduce the number of tablets you should take when you start using DuoResp Spiromax.\u00a0If you have been taking cortisone tablets for a long time, your doctor may want to take regular blood tests.\u00a0When the treatment with cortisone tablets is reduced, you may feel a general feeling of illness even if your respiratory symptoms improve.\u00a0You may get a stuffy or runny nose, weakness, <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">joint pain<\/a>, muscle aches, and rash (\u00a0eczema\u00a0).\u00a0Contact your doctor immediately if you get any of these symptoms or if symptoms such as headache, fatigue, nausea, or vomiting occur.\u00a0You may need to take other medicines if you develop symptoms of\u00a0allergies\u00a0or\u00a0arthritis.\u00a0You should talk to your doctor if you are wondering if you should continue to use DuoResp Spiromax.<\/p>\n\n\n\n<p>Your doctor may consider adding cortisone tablets to your regular treatment if you have an illness such as a respiratory infection or before surgery.<\/p>\n\n\n\n<p>Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children And Young People<\/h2>\n\n\n\n<p><strong>Children or adolescents should not use this medicine under 18 years of age.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other Medicines And DuoResp Spiromax<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>In particular, tell your doctor or pharmacist if you are taking any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Beta-blockers\u00a0(e.g., atenolol or propranolol for high\u00a0blood pressure or heart disease), including\u00a0eye drops\u00a0(eg\u00a0timolol\u00a0for\u00a0glaucoma\u00a0)<\/li><li>Oxytocin\u00a0is given to pregnant women to initiate labour<\/li><li>Medicines for fast or irregular heartbeat (eg\u00a0quinidine,\u00a0disopyramide\u00a0\u00a0procainamide,\u00a0and terfenadine)<\/li><li>Drugs such as\u00a0digoxin\u00a0that are often used to treat\u00a0heart failure<\/li><li>Diuretics\u00a0(e.g.,\u00a0furosemide\u00a0), also called\u00a0diuretics, are used to treat high\u00a0blood pressure<\/li><li>Oral cortisone tablets (e.g.,\u00a0prednisolone\u00a0)<\/li><li>Xanthine drugs (eg theophylline or aminophylline) commonly used to treat\u00a0asthma<\/li><li>Other bronchodilators (eg\u00a0salbutamol\u00a0)<\/li><li>Tricyclic antidepressants\u00a0(e.g., amitriptyline) and the antidepressant nefazodone<\/li><li>Antidepressant drugs such as\u00a0monoamine oxidase inhibitors\u00a0and those with similar properties (eg\u00a0antibiotic\u00a0et furazolidone, and the <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/treatment-of-cancer-in-children\/\">chemotherapy<\/a> drug procarbazine)<\/li><li>Antipsychotic phenothiazines (eg chlorpromazine and prochlorperazine)<\/li><li>Drugs known as &#8220;HIV protease inhibitor&#8221; (ritonavir) are used to treat\u00a0HIV\u00a0&#8211;\u00a0infection<\/li><li>Medicines to treat\u00a0infections\u00a0(eg\u00a0ketoconazole, itraconazole, voriconazole, posaconazole, clarithromycin, and telithromycin)<\/li><li>Medicines for\u00a0Parkinson&#8217;s disease\u00a0(eg\u00a0levodopa\u00a0)<\/li><li>Medicines for thyroid problems (eg levothyroxine).<\/li><\/ul>\n\n\n\n<p>Some medicines may increase the effects of DuoResp Spiromax, and your doctor may want to monitor you closely if you are taking these medicines (eg some medicines for HIV: ritonavir, cobicistat).<\/p>\n\n\n\n<p>If any of the above apply to you, or if you are unsure, talk to your doctor, pharmacist, or nurse before using DuoResp Spiromax.<\/p>\n\n\n\n<p>Also, tell your doctor, pharmacist, or nurse if you need general anaesthesia in connection with an operation or a dental procedure to reduce the risk of the medicines affecting each other.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy And Breastfeeding<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor, pharmacist, or nurse for advice before taking this medicine &#8211; DO NOT use this medicine unless your doctor tells you to.<\/li><li>If you become pregnant while using DuoResp Spiromax, do NOT stop using DuoResp Spiromax without contacting your doctor\u00a0<strong>immediately<\/strong>.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving And Using Machines<\/h2>\n\n\n\n<p>DuoResp Spiromax is unlikely to affect the ability to drive and use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">DuoResp Spiromax Contains Lactose<\/h2>\n\n\n\n<p>Lactose\u00a0is a type of sugar found in milk.\u00a0If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How To Use DuoResp Spiromax<\/h2>\n\n\n\n<p><strong>what type of inhaler is Duoresp spiromax<\/strong><\/p>\n\n\n\n<p>Always use this medicine exactly as your doctor or pharmacist has told you.\u00a0Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It is important to use DuoResp Spiromax every day, even if you do not have any symptoms of&nbsp;asthma&nbsp;or COPD&nbsp;at that time.<\/li><li>If you are using DuoResp Spiromax for&nbsp;asthma, your doctor will want to check your symptoms regularly.<\/li><\/ul>\n\n\n\n<p><strong>Asthma<\/strong><\/p>\n\n\n\n<p>DuoResp Spiromax can be prescribed for\u00a0asthma\u00a0in two different ways.\u00a0Depending on your prescription, the amount of DuoResp Spiromax and when to use it.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are prescribed DuoResp Spiromax and a separate vidbehov inhalator, read the section\u00a0&#8220;(A) Using DuoResp Spiromax and a separate vidbehov-\u00a0inhaler.<\/li><li>If you have been prescribed DuoResp Spiromax as your only\u00a0inhaler, read the section\u00a0<strong>\u201c(B) Using DuoResp Spiromax as your only asthma inhaler.\u201d<\/strong><\/li><\/ul>\n\n\n\n<p><strong>(A) Use DuoResp Spiromax and a separate&nbsp;inhaler<\/strong><\/p>\n\n\n\n<p><strong>Use your DuoResp Spiromax every day.\u00a0<\/strong>It helps prevent the onset of asthma symptoms.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Duoresp Spiromax How To Use?<\/h2>\n\n\n\n<p><strong><em><span style=\"text-decoration: underline;\">Duoresp Spiromax dosage:<\/span><\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Adults (18 years and older)<\/li><li>1\u00a0inhalation\u00a0twice daily, taken in the morning and the evening.<\/li><li>Your doctor may increase the\u00a0dose\u00a0from one to 4 inhalations twice daily.<\/li><\/ul>\n\n\n\n<p>If your symptoms are under control, your doctor may ask you to take medicine once a day.<\/p>\n\n\n\n<p>Your doctor will help you manage your\u00a0asthma\u00a0and adjust the\u00a0dose of\u00a0one of the medicines to the lowest\u00a0dose\u00a0needed to keep your asthma under control.\u00a0Suppose your doctor thinks you need a lower dose than what is available from your DuoResp Spiromax. In that case, your doctor may\u00a0prescribe\u00a0another\u00a0inhaler\u00a0with the same active ingredients as your DuoResp Spiromax but with a lower corticosteroid dose.\u00a0However, do not adjust the number of\u00a0inhalations\u00a0prescribed by your doctor without talking to your doctor first.<\/p>\n\n\n\n<p><strong>Use your separate&nbsp;inhaler&nbsp;if&nbsp;needed to treat asthma symptoms as they occur.<\/strong><\/p>\n\n\n\n<p>Always carry your emergency\u00a0inhaler\u00a0with you\u00a0to relieve sudden attacks of shortness of breath and wheezing.\u00a0Do not use DuoResp Spiromax to treat these asthma symptoms.<\/p>\n\n\n\n<p><strong>(B) Use DuoResp Spiromax as the sole asthma inhaler<\/strong><\/p>\n\n\n\n<p>Only use DuoResp Spiromax this way if your doctor tells you to.<\/p>\n\n\n\n<p><strong>Use your DuoResp Spiromax every day.\u00a0<\/strong>It helps prevent the onset of asthma symptoms.<\/p>\n\n\n\n<p><strong>Recommended\u00a0dose<\/strong><\/p>\n\n\n\n<p>Adults (18 years and older)<\/p>\n\n\n\n<p>1 inhalation in the morning&nbsp;<strong>and<\/strong>&nbsp;1 inhalation in the evening<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>2 inhalations in the morning<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>2 inhalations in the evening.<\/p>\n\n\n\n<p>Your doctor may increase the\u00a0dose\u00a0from one to 2 inhalations twice daily.<\/p>\n\n\n\n<p>Also, use DuoResp Spiromax as an &#8217;emergency inhaler&#8217; to treat asthma symptoms when they occur and prevent them from occurring (e.g., when exercising or being exposed to\u00a0allergens\u00a0).\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you get asthma symptoms, take 1&nbsp;inhalation&nbsp;and wait for a few minutes.<\/li><li>Take another&nbsp;inhalation&nbsp;if you do not feel better.<\/li><li>Do not take more than 6&nbsp;inhalations&nbsp;at a time.<\/li><\/ul>\n\n\n\n<p>Always carry DuoResp Spiromax with you to relieve sudden attacks of shortness of breath and wheezing.<\/p>\n\n\n\n<p>A total daily\u00a0dose\u00a0of more than 8 inhalations is usually not required.\u00a0However, your doctor may allow you to take up to 12 inhalations a day for a limited time.<\/p>\n\n\n\n<p>See a doctor if you need to take 8 or more daily inhalations regularly.\u00a0Your treatment may need to be changed.<\/p>\n\n\n\n<p>DO NOT use more than 12 inhalations over 24 hours.<\/p>\n\n\n\n<p>If you exercise and experience asthma symptoms, use DuoResp Spiromax as described here.\u00a0However, do not use DuoResp Spiromax just before exercise to prevent asthma symptoms from occurring.<\/p>\n\n\n\n<p><strong>Chronic\u00a0obstructive pulmonary disease\u00a0(COPD)<\/strong><\/p>\n\n\n\n<p><strong>Recommended dose:<\/strong><\/p>\n\n\n\n<p>Adults (18 years and older)<\/p>\n\n\n\n<p>2\u00a0inhalations\u00a0twice daily, taken in the morning and the evening.<\/p>\n\n\n\n<p>Your doctor may also prescribe another bronchodilator, e.g.,\u00a0an anticholinergic drug (such as tiotropium or ipratropium bromide), for your COPD.<\/p>\n\n\n\n<p><strong>Prepare your new DuoResp Spiromax.<\/strong><\/p>\n\n\n\n<p>Before using your DuoResp Spiromax&nbsp;<strong>for the first time<\/strong>, you must prepare it for use as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Open the foil bag by tearing it from the notch at the top of the foil bag and removing the inhaler.<\/li><li>Check the dose indicator to see 120 inhalations in the inhaler.<\/li><li>Write down the date when the foil bag was opened on the label on the inhaler.<\/li><li>Do not shake the inhaler before use.<\/li><\/ul>\n\n\n\n<p><strong>How to inhale<\/strong><\/p>\n\n\n\n<p>Each time you need to\u00a0inhale, follow the instructions below.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Hold the inhaler<\/strong>\u00a0with the translucent burgundy protective cap for the mouthpiece down.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130411000116#\" rel=\"noopener\"><\/a><\/li><li>Open the protective cap of the nozzle by folding it down until a clear click is heard.\u00a0The drug is measured.\u00a0Your\u00a0inhaler\u00a0is now ready to use.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130411000116#\" rel=\"noopener\"><\/a><\/li><li>Exhale slowly (as much as feels comfortable).\u00a0Do not exhale through the inhaler.<\/li><li>Place the nozzle between the teeth.\u00a0Do not bite into the nozzle.\u00a0Close your lips around the nozzle.\u00a0Be careful not to block the air valve.<br>Inhale as strongly and deeply as you can through your mouth.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130411000116#\" rel=\"noopener\"><\/a><\/li><li>Remove the inhaler from your mouth.\u00a0You may feel some taste when you take your\u00a0inhalation.<br><\/li><li>Hold your breath for 10 seconds or as long as it feels comfortable.<br><\/li><li><strong>Then<\/strong>\u00a0exhale\u00a0<strong>gently<\/strong>\u00a0(do not exhale through the inhaler).\u00a0<strong>Close the protective cap of the nozzle.<\/strong><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130411000116#\" rel=\"noopener\"><\/a><\/li><\/ol>\n\n\n\n<p>If you are going to do a second\u00a0inhalation, repeat steps 1 to 7.<\/p>\n\n\n\n<p>Rinse mouth with water after each&nbsp;dose&nbsp;and spit out the water.<\/p>\n\n\n\n<p>Do not attempt to disassemble,\u00a0inhale, or twist the mouthpiece cap.\u00a0The protective cover is attached to your\u00a0inhaler\u00a0and must not be removed.\u00a0Do not use your Spiromax\u00a0inhaler\u00a0if it has been damaged or the nozzle has come loose.\u00a0Do not open or close the mouthpiece unless you are using your\u00a0inhaler.<\/p>\n\n\n\n<p><strong>Clean the Spiromax inhaler<\/strong><\/p>\n\n\n\n<p>Keep the Spiromax inhaler dry and clean.<\/p>\n\n\n\n<p>If necessary, wipe the nozzle on Spiromax with a dry cloth or cloth after use.<\/p>\n\n\n\n<p><strong>When is it time to start using a new Spiromax&nbsp;inhaler?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The dose indicator shows how many\u00a0doses\u00a0(\u00a0inhalations\u00a0) are left in the inhaler.\u00a0There are 120\u00a0inhalations\u00a0from the beginning when it is fully charged and 0 (zero)\u00a0inhalations\u00a0when it is empty.<br><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130411000116#\" rel=\"noopener\"><\/a><\/li><li>The dose indicator on the back of the inhaler shows the number of\u00a0inhalations\u00a0left as even numbers.\u00a0The spaces between the even numbers correspond to the uneven number of remaining\u00a0inhalations.<\/li><li>The numbers are red on a white background for continued\u00a0inhalation from 20 down to 8, 6, 4, and 2. Contact your doctor to get a new inhaler when the numbers turn red in the window.\u00a0<br><br>Note!<ul><li>The mouthpiece will still &#8220;click&#8221; even though the Spiromax inhaler is empty.\u00a0If you open and close the mouthpiece without\u00a0inhaling, the dose indicator will still count it as an\u00a0inhalation.\u00a0This\u00a0dose\u00a0will remain inside the inhaler until it is time for the next\u00a0inhalation. It is not possible to inadvertently take extra medicine or a double\u00a0dose\u00a0during\u00a0inhalation.\u00a0Always keep the mouthpiece closed except when using your\u00a0inhaler.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Important information about your symptoms of\u00a0asthma\u00a0or COPD<\/strong><\/p>\n\n\n\n<p>Suppose you experience difficulty breathing or wheezing while using DuoResp Spiromax. In that case, you should continue to use DuoResp Spiromax but contact your doctor as soon as possible as you may need further treatment.<\/p>\n\n\n\n<p>Contact a doctor&nbsp;<strong>immediately<\/strong>&nbsp;if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your breathing worsens if you often wake up at night and are out of breath or wheezing.<\/li><li>You feel pressure over your chest in the morning or if the pressure lasts longer than usual.<\/li><\/ul>\n\n\n\n<p>These signs may mean that your\u00a0asthma\u00a0or COPD is not sufficiently under control, and you may need another or additional treatment\u00a0<strong>immediately<\/strong>.<\/p>\n\n\n\n<p>Once your&nbsp;asthma&nbsp;is well controlled, your doctor may consider gradually reducing the&nbsp;dose of&nbsp;one of DuoResp Spiromax.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Use More DuoResp Spiromax, Then You Should<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>It would help if you took the\u00a0doses\u00a0prescribed by your doctor.\u00a0Do not exceed the prescribed number of\u00a0doses\u00a0without consulting a doctor.<\/li><li>If you use more DuoResp Spiromax than you should, contact your doctor, pharmacist, or nurse for advice.<\/li><li>The most common symptoms that can occur when you use too much DuoResp Spiromax are tremors, headaches, or a fast heartbeat.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If You Forget To Use DuoResp Spiromax<\/h2>\n\n\n\n<p>If you forget to take a\u00a0dose, take it as soon as you remember.\u00a0But do not take a double\u00a0dose\u00a0to compensate for a forgotten\u00a0dose.\u00a0If it is almost time for your next\u00a0dose, take the next\u00a0dose\u00a0at the usual time.<\/p>\n\n\n\n<p>If you experience wheezing or difficulty breathing or develop other symptoms of an asthma attack,&nbsp;<strong>use your emergency&nbsp;inhaler<\/strong>&nbsp;and then consult a doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Stop Using DuoResp Spiromax<\/h2>\n\n\n\n<p>Do not stop using your\u00a0inhaler\u00a0without first telling your doctor.<\/p>\n\n\n\n<p>If you have any further questions about the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible Side Effects<\/h2>\n\n\n\n<p>This medicine can cause side effects like all medicines, although not everybody gets them.<\/p>\n\n\n\n<p><strong>If any of the following occur, stop using DuoResp Spiromax and contact your doctor immediately:<\/strong><\/p>\n\n\n\n<p><strong>Rare side effects: may affect up to 1 in 1,000 people<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Swelling of the face, especially around the mouth (tongue or throat and difficulty swallowing) or\u00a0hives,\u00a0along with difficulty breathing (\u00a0angioedema\u00a0) and a sudden feeling of fainting.\u00a0This may mean you have had an\u00a0allergic reaction, including rash and\u00a0itching.<\/li><li>Bronchospasm\u00a0(a contraction of muscles in the airways that causes wheezing and shortness of breath).\u00a0If wheezing occurs suddenly after using the medicine, stop using it and contact a doctor\u00a0<strong>immediately<\/strong>\u00a0(see below).<\/li><\/ul>\n\n\n\n<p><strong>Very rare side effects: may affect up to 1 in 10,000 people<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Sudden, unexpected, and\u00a0acute\u00a0wheezing and shortness of breath immediately after using the inhaler (also called paradoxical\u00a0bronchospasm\u00a0).\u00a0If any of these symptoms occur<strong>, stop using DuoResp Spiromax immediately<\/strong>\u00a0and use your \u201cif needed\u201d\u00a0inhaler\u00a0if you have one.\u00a0Contact a doctor\u00a0<strong>immediately,<\/strong>\u00a0as you may need to change your treatment.<\/li><\/ul>\n\n\n\n<p><strong>Other possible side effects:<\/strong><\/p>\n\n\n\n<p><strong>Common: may affect up to 1 in 10 users<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Palpitations (you feel your heartbeat), tremors, or tremors.\u00a0If these effects occur, they are usually mild and disappear when you continue using DuoResp Spiromax.<\/li><li>Fungal infection in the mouth.\u00a0It is less likely to occur if you rinse your mouth with water after using the medicine.<\/li><li>Slight <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sore-throat\/\">sore throat<\/a>, cough, and hoarse voice.<\/li><li>Headache.<\/li><li>Pneumonia\u00a0in COPD patients.<\/li><\/ul>\n\n\n\n<p>Tell your doctor if you have any of the following symptoms while taking DuoResp Spiromax, as they may be symptoms of pneumonia:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">Fever<\/a> or chills<\/li><li>Increased mucus production changed the colour of the mucus<\/li><li>Increased cough or increased difficulty breathing<\/li><\/ul>\n\n\n\n<p><strong>Uncommon: may affect up to 1 in 100 people<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Feeling of restlessness, nervousness, worry, anxiety or anger.<\/li><li>Sleep disorders.<\/li><li>Dizziness.<\/li><li>Nausea.<\/li><li>Fast heartbeat.<\/li><li>Bruises on the skin.<\/li><li>Muscle cramps.<\/li><li>Dimsyn.<\/li><\/ul>\n\n\n\n<p><strong>Rare:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Low levels of&nbsp;potassium&nbsp;in the blood.<\/li><li>Uneven heart rhythm.<\/li><\/ul>\n\n\n\n<p><strong>Very rare:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression.<\/li><li>Behavioural changes, especially in children.<\/li><li>Chest pain or pressure over the chest (angina).<\/li><li>Disorders of the cardiac conduction system that do not cause symptoms (prolongation of the\u00a0QTc interval\u00a0).<\/li><li>When you leave a blood sample, an increased amount of sugar ( glucose ) is in the blood.<\/li><li>Taste changes, e.g.,\u00a0an unpleasant taste in the mouth.<\/li><li>Changes in\u00a0blood pressure,\u00a0et.<\/li><\/ul>\n\n\n\n<p>Inhaled corticosteroids&nbsp;can affect the normal production of steroid hormones in the body, especially if you use high&nbsp;doses&nbsp;for a long time.&nbsp;The effects include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Changes in bone density (thinning of the skeleton)<\/li><li>Cataract\u00a0(cloud of the lens of the eye)<\/li><li>Glaucoma\u00a0(increased pressure in the eye)<\/li><li>The subdued growth rate in children and adolescents\u00a0<\/li><li>Impact on the adrenal glands (small\u00a0glands\u00a0above the kidneys).\u00a0Symptoms of adrenal insufficiency may include <ul><li>Fatigue<\/li><li>Weakness<\/li><li>Stomach problems<\/li><li>Nausea<\/li><li>Vomiting<\/li><li>Pain and diarrhoea<\/li><li>Darkening skin<\/li><li>Weight loss<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>These effects are rare, and the probability of their occurrence is much less if\u00a0a corticosteroid\u00a0you inhaled than with a portico steroid tabletter.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How To Store DuoResp Spiromax<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of sight and reach of children.<\/li><li>Do not use this medicine after the expiry date stated on the carton or the label on the inhaler after EXP.\u00a0The expiration date is the last day of the specified month.<\/li><li>Store below\u00a025\u00a0\u00a0\u00b0\u00a0C.\u00a0Keep the nozzle cover closed after removing the foil cover.<\/li><li>Use within 6 months after removal from the foil cover.\u00a0Use the inhaler label to write down the date you open the foil pouch.<\/li><li>Medicines should not be disposed of via wastewater or household waste.\u00a0Ask your pharmacist how to dispose of medicines that are no longer required.\u00a0These measures will help to protect the environment.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents Of The Packaging And Other Information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content Declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are budesonide and formoterol fumarate dihydrate.\u00a0Each delivered (inhaled)\u00a0dose\u00a0contains 160 micrograms of budesonide and 4.5 micrograms of formoterol fumarate dihydrate.\u00a0This corresponds to 200 micrograms of budesonide and 6 micrograms of formoterol fumarate dihydrate.<\/li><li>The other excipient is\u00a0lactose monohydrate\u00a0(see section 2 under \u201cDuoResp Spiromax contains lactose\u201d).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What The Medicine Looks Like And The Contents Of The Pack<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>DuoResp Spiromax is an\u00a0inhalation powder.<\/li><li>Each DuoResp Spiromax\u00a0inhaler\u00a0contains 120 inhalations and is white with a translucent burgundy protective cap for the mouthpiece.<\/li><li>Packs of 1, 2, and 3 inhalers.\u00a0Not all pack sizes may be marketed.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Teva Pharma BV,<\/p>\n\n\n\n<p>Swensweg 5, 2031GA Haarlem, The Netherlands<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Norton (Waterford) Limited T \/ A Teva Pharmaceuticals Ireland<\/p>\n\n\n\n<p>Unit 27\/35, IDA Industrial Park, Cork Road, Waterford, Ireland<\/p>\n\n\n\n<p>Teva Pharmaceuticals Europe BV, Swensweg 5, 2031 GA Haarlem, The Netherlands<\/p>\n\n\n\n<p>Teva Operations Poland Sp.\u00a0z oo, Mogilska 80 Str. 31-546 Krak\u00f3w, Poland<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong><strong>Teva Pharma Belgium NV \/ SA \/ AG<\/strong><strong>Tel \/ Tel: +32 3 820 73 73<\/strong><\/td><td><strong>Luxembourg \/ Luxemburg<\/strong><strong>Teva Pharma Belgium NV \/ SA \/ AG<\/strong><strong>Tel \/ Tel: +32 3 820 73 73<\/strong><\/td><\/tr><tr><td><strong>Bulgaria<\/strong><strong>Actavis EAD<\/strong><strong>Tel&nbsp;<\/strong><strong>: +359 2 489 95 85<\/strong><\/td><td><strong>Hungary<\/strong><strong>Teva&nbsp;<\/strong><strong>Gy\u00f3gyszergy\u00e1rZrt<\/strong><strong>Tel .: +36 1 288 64 00<\/strong><\/td><\/tr><tr><td><strong>Czech Republic<\/strong><strong>Teva Pharmaceuticals CR, sro<\/strong><strong>Tel: +420 251 007 111<\/strong><\/td><td><strong>Malta<\/strong><strong>Teva Pharmaceuticals Ireland<\/strong><strong>-Ireland<\/strong><strong>Tel: +353 51 321 740<\/strong><\/td><\/tr><tr><td><strong>Denmark<\/strong><strong>Teva Denmark A \/ S<\/strong><strong>Tel: +45 44 98 55 11<\/strong><\/td><td><strong>The Netherlands<\/strong><strong>Teva Nederland BV<\/strong><strong>Tel: +31 800 0228 400<\/strong><\/td><\/tr><tr><td><strong>Germany<\/strong><strong>Teva GmbH<\/strong><strong>Tel: +49 731 402 08<\/strong><\/td><td><strong>Norway<\/strong><strong>Teva Norway AS<\/strong><strong>Tel: +47 6677 55 90<\/strong><\/td><\/tr><tr><td><strong>Eesti<\/strong><strong>UAB&nbsp;<\/strong><strong>Teva&nbsp;<\/strong><strong>Baltics Eesti subsidiary<\/strong><strong>Tel: +372 661 0801<\/strong><\/td><td><strong>Austria<\/strong><strong>ratiopharm Arzneimittel Vertriebs GmbH<\/strong><strong>Tel: +43 1 97007 0<\/strong><\/td><\/tr><tr><td><strong>Greece<\/strong><strong>Teva \u0391\u03bb\u03bb\u03ac\u03c2 \u0391.\u0395.<\/strong><strong>:\u0397\u03bb: +30 210&nbsp;<\/strong><strong>880 5000<\/strong><\/td><td><strong>Poland<\/strong><strong>Teva Pharmaceuticals Polska Sp.&nbsp;z oo<\/strong><strong>Tel .: +48 22 345 93 00<\/strong><\/td><\/tr><tr><td><strong>Spain<\/strong><strong>Teva Pharma SLU<\/strong><strong>Tel: +34 91 387 32 80<\/strong><\/td><td><strong>Portugal<\/strong><strong>Teva Pharma &#8211; Pharmaceutical Products Lda<\/strong><strong>Tel: +351 21 476 75 50<\/strong><\/td><\/tr><tr><td><strong>France<\/strong><strong>Teva Health<\/strong><strong>Tel: +33 1 55 91 7800<\/strong><\/td><td><strong>Romania<\/strong><strong>Teva Pharmaceuticals SRL<\/strong><strong>Tel: +4021 230 6524<\/strong><\/td><\/tr><tr><td><strong>Ireland<\/strong><strong>Teva Pharmaceuticals Ireland<\/strong><strong>Tel: +353 51 321 740<\/strong><\/td><td><strong>Slovenia<\/strong><strong>Pliva Ljubljana doo<\/strong><strong>Tel: +386 1 58 90 390<\/strong><\/td><\/tr><tr><td><strong>Iceland<\/strong><strong>Vistor hf.<\/strong><strong>Phone: +354 535 7000<\/strong><\/td><td><strong>Slovak Republic<\/strong><strong>Teva Pharmaceuticals Slovakia sro<\/strong><strong>Tel: +421 2 5726 7911<\/strong><\/td><\/tr><tr><td><strong>Italy<\/strong><strong>Teva Italia Srl<\/strong><strong>Tel: +39 028 917 981<\/strong><\/td><td><strong>Finland \/ Finland<\/strong><strong>Teva Finland&nbsp;<\/strong><strong>Oy<\/strong><strong>Puh \/ Tel: +358 20 180 5900<\/strong><\/td><\/tr><tr><td>11<strong>LatviaUAB Teva Baltics&nbsp;subsidiary Latvij\u0101Tel: +371 67 323 666<\/strong><\/td><td><strong>United Kingdom<\/strong><strong>Teva UK Limited<\/strong><strong>Tel: +44 1977 628 500<\/strong><\/td><\/tr><tr><td><strong>Lithuania<\/strong><strong>UAB&nbsp;<\/strong><strong>Teva Baltics<\/strong><strong>Tel: +370 5 266 02 03<\/strong><\/td><td><strong>Croatia<\/strong><strong>Pliva Hrvatska doo<\/strong><strong>Tel: + 385 1 37 20 000<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>DuoResp Spiromax is a drug that has the active senses budesonide and formoterol. It is employed to treat asthma in adults and adolescents aged 12 years and above for whom a combination product is regarded suitable.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2204,2200],"tags":[4130,5023,5022,5025,5028,5027,5024,4131,5026],"class_list":["post-7797","post","type-post","status-publish","format-standard","hentry","category-d","category-medicines","tag-budesonide","tag-budesonide-inhaled-powder","tag-budesonideside-effects","tag-duoresp-spiromax","tag-duoresp-spiromax-inhaled-powder","tag-duoresp-spiromax-side-effects","tag-inhaled-powder","tag-what-is-budesonide","tag-what-is-duoresp-spiromax"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7797","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=7797"}],"version-history":[{"count":52,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7797\/revisions"}],"predecessor-version":[{"id":41952,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7797\/revisions\/41952"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7797"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7797"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7797"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}