BUDESONIDE / FORMOTEROL (DuoResp Spiromax®)

Clinical Indication

Asthma & COPD

Comments

For adults 18 years and over. No new initiations. Continued prescribing for established, well controlled patients only.

Must be used regularly for maximum benefit; twice a day dosing. The 160/4.5 strength is licensed to be prescribed as maintenance and reliever therapy (MART).

LLR Adult Asthma Guideline (≥18 years) AIR and MART FAQ

The LLR COPD guidelines have been updated (June 2026) and ICS/LABA combinations are no longer routinely recommended as a treatment option. No NEW initiations. For patients established on this therapy, treatment should be reviewed on a case-by-case basis, taking into account clinical stability and patient preference. Ongoing prescribing should be in line with the updated COPD guidelines.

Date of classification

June 2015

Green

Medicines which could be started in any health care setting and do not require oversight by a specialist and which primary care would have full responsibility for prescribing and monitoring.