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Aerivio Spiromax

Aerivio Spiromax is a treatment taken with an inhaler by patients with severe asthma or chronic obstructive pulmonary disease (COPD). The medication is taken on a daily basis when it is prescribed and it helps to prevent attacks of breathlessness or wheeziness from taking place.

This medicine is not available to request via our online service. The only treatments that we can prescribe for asthma are Ventolin, Airomir, BricanylSalamol, and the Salamol Easi-breathe Inhaler. If you are still having trouble with your symptoms please visit the NHS website for services in your area.

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  • Allergy to salmeterol or fluticasone
  • Heart disease
  • Fast heart beat or irregular heart beat
  • Overactive thyroid gland
  • High blood pressure
  • Diabetes mellitus
  • Low potassium in your blood
  • Tuberculosis
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  • Beta blockers 
  • Atenolol
  • Propranolol
  • Sotalol
  • Ketoconazole
  • Itraconazole
  • Erythromycin
  • Ritonavir
  • Cobicistat
  • Corticosteroids (by mouth or injection)
  • Diuretics
  • Other bronchodilators such as salbutamol (unless prescribed by your own GP to use in conjunction with this medication, or in the event of an asthma attack)
  • Xanthine medicines (often used for asthma)
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Salmeterol and fluticasone shouldn't be used in the event of an asthma attack. It should be used twice daily to prevent breathlessness and wheezing. If you experience an asthma attack, you should use a reliever inhaler.
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  • You have an allergy to salmeterol or fluticasone
  • You've used this treatment in the past and suffered from serious side effects
  • You're already using salmeterol or fluticasone in another medicinal form or to treat another condition
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What is Aerivio Spiromax?

Aerivio Spiromax is a medication used to treat asthma and chronic obstructive pulmonary disease (COPD). The treatment comes in an inhaler which is used on a regular basis to stop breathlessness and wheeziness coming on. Aerivio Spiromax should be used only by adults (with severe asthma or COPD) aged 18 years and older.

How does Aerivio Spiromax work?

Aerivio Spiromax contains two medicines which are called Salmeterol and Fluticasone Propionate. Salmeterol is a long-acting bronchodilator which helps the airways in the lungs to stay open, making it easier for air to get in and out and allow normal breathing. Fluticasone Propionate is a corticosteroid that’s included to reduce any swelling and irritation in the lungs.

This treatment is used to prevent an attack of breathlessness or wheezing from taking place. If such a thing were to happen, then patients will use a different type of inhaler known as a fast-acting reliever (rescue) inhaler, such as salbutamol.

How do I use Aerivio Spiromax?

Your doctor or nurse plus your information leaflet should provide detailed instructions on how to use and maintain the inhaler correctly. The recommended dose when using Aerivio Spiromax is one inhalation twice a day. That applies whether you’re treating asthma or COPD.

When prescribed this medication, it is to be taken every day until your doctor advises you to stop. You should not stop taking Aerivio Spiromax or alter the dose without talking to your doctor first. It’s also important to keep your inhaler dry and clean, so if necessary you can wipe the mouthpiece of the inhaler after use with a dry cloth or tissue.

What are the side effects of Aerivio Spiromax?

Like with all medicines, it is possible to experience side effects while using this medication but not everyone gets them. One of the most commonly reported side effects from using Aerivio Spiromax are headaches, which usually get better as treatment progresses. When this medication is used to treat COPD, an increased number of colds is also often reported. Other frequently reported side effects include the following:

  • Thrush in the mouth and throat. An anti-fungal medicine may be prescribed to you to treat this issue
  • Sore tongue, hoarse voice and throat irritation. It may help to rinse your mouth out with water and spit it out immediately and/or brush your teeth after taking each dose of the medicine
  • Aching, swollen joints and muscle pain
  • Muscle cramps
  • Bruising and fractures (when treating COPD)
  • Inflammation of the sinuses (when treating COPD)
  • A reduction in the amount of potassium in the blood (when treating COPD)

It has also been reported that when treating COPD, potential side effects also include pneumonia and bronchitis (lung infection). You should tell your doctor if you notice symptoms of this condition which can include fever or chills, increased mucus production, changes in mucus colour and an increase in coughing or breathing difficulties.

Other side effects are possible but also rarely occur among patients. However, if you do experience any that are particularly troubling or last an unusually long time, then contact your doctor or nearest hospital emergency department as soon as possible.

Can I use Aerivio Spiromax?

Precautions may need to be taken before you’re ok to start using Aerivio Spiromax. Talk to your doctor, nurse or pharmacist for advice prior to using this medication if any of the following apply to you:

  • You have a heart disease and/or you’ve noticed you have an irregular or fast heart beat
  • You are pregnant, breast-feeding or think you may be pregnant
  • You have been told you have an intolerance or allergy to lactose, other sugars or milk (this medication contains a type of sugar found in milk called lactose)
  • You have an overactive thyroid gland
  • You have high blood pressure
  • You have diabetes mellitus (taking Aerivio Spiromax could increase your blood sugar)
  • You have low potassium in your blood
  • You have or have had tuberculosis or other lung infections
  • You experience blurred vision or other visual disturbances

What if I inhale too much of this medication?

If you accidentally take more doses of Aerivio Spiromax than recommended, then you should speak to your doctor or pharmacist about this as soon as possible. You may experience some side effects such as a faster or unusual heartbeat. Other symptoms you might get can include shakiness, dizziness, a headache, muscle weakness and aching joints. If you use too much of this medication on multiple occasions, then it may cause a reduction in the amount of steroid hormones produced by your adrenal glands.

What if I forget a dose of this medication?

If you forget to take a dose of Aerivio Spiromax, then simply skip it and take the next one at the usual time. It is never wise to take a double dose to compensate for a missed one. On a similar note, you should not stop using this medication or suddenly reduce your dosage without checking with your doctor first. Such action could make your breathing worse or even cause problems with your adrenal glands.

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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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