What is DuoResp Spiromax?
DuoResp Spiromax is a combination inhaler with budesonide and formoterol – the same active ingredients as in Symbicort. It is used for treating asthma and COPD and offers an equally active alternative to the Symbicort Turbuhaler.
The special Spiromax inhaler is a breath-controlled powder inhaler that is particularly easy to use: open cap, inhale cap, close cap. It visually resembles a metering aerosol, but is a dry powder inhaler.
Like Symbicort, DuoResp Spiromax can be used in the MART concept as both basic and demand therapy.
Active Ingredients & Mechanism of Action
Active ingredient: Budesonid, Formoterol
DuoResp works on the proven Budesonid/Formoterol combination:
Budesonid (ICS):
- Anti-inflammatory effect in the airways
- Reduces swelling and fog production
- Reduces bronchial hyperreagiability
- Long-term protection against asthma attacks
Formoterol (LABA):
- Fast action (1-3 minutes)
- Long-lasting bronchodilation (12 hours)
- Allows MART application
- Relaxes the bronchial muscle
Legal active ingredients such as Symbicort: The clinical efficacy is comparable to Symbicort.
Who is it suitable for?
DuoResp Spiromax is suitable for:
- Asthma in adults aged 18 years
- COPD in adults
- As MART therapy
- Alternative to Symbicort
Advantages of Spiromax:
- Especially simple operation
- Looks like a spray, but is a powder inhaler
- Integrated dose meter
- Respiratory controlled
Not suitable:
- For children and young people under the age of 18
- In case of acute severe asthma attack as the only measure
Available Dosages
DuoResp Spiromax:
- 160/4.5 μg (Budesonide/Formoterol) per single dose
- 320/9 μg per single dose
Dosing at Asthma:
- Maintenance therapy: 1-2 inhalations 2x daily
- MART: 1 inhalation 2x daily + if required
- Maximum for MART: 8 inhalations/day
For COPD:
- 2 inhalations 2x daily
How to Take
Spiromax inhalator: 1. Fold cap down (dose is loaded automatically) Two. Breathe deep (not in the inhaler) 3. Close the mouthpiece 4. Strong and deep breathing Five. Keep breath 5-10 seconds 6. cap close again 7. Rinse and sprinkle
Important notes:
- Keep up when opening
- Don't shake
- Apply regularly
- rinse mouth after inhalation
Contraindications
Do not apply at:
- hypersensitivity to budesonide, formoterol or lactose
Preview at:
- Heavy cardiovascular diseases
- QT extension
- thyroid hyperfunction
- Diabetes mellitus
- Hypokaliemia
- Lung tuberculosis
pregnant: Only with clear indication.
Style time: Benefit Risk Balance.
Possible Side Effects
Acid (1-10%):
- Mundsoor
- Heiserkeit
- Headaches
- Tremor
- Heart palp
Occasionally:
- Muscle cramps
- Unrest
- Sleep disorders
- nausea
Selten:
- Systemic corticoid effects
- Paradox bronchospasmus
- Hypokaliemia
Prevention: rinse the mouth after each inhalation.
Interactions
Reactions:
- CYP3A4 inhibitors (Ketoconazole, Ritonavir) – increased Budesonid levels
- Betablockers – can eliminate formoterol action
- QT-extending medication
- Potassium sinking drugs
Not recommended:
- At the same time other LABA
Frequently Asked Questions
Similar Medications
Is DuoResp Spiromax right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor or pharmacist.
Important Safety Information
This service operates under German pharmaceutical law (HWG). For risks and side effects, read the package leaflet and consult your doctor or pharmacist. All medications are dispensed from a licensed pharmacy in Germany.





