BroPair Spiromax

The medicine can only be obtained with a prescription. It is available as an inhalation powder in an inhaler device.

It comes in two strengths, one containing 12.75 micrograms of salmeterol and 100 micrograms of fluticasone and a higher strength (containing 12.75 micrograms of salmeterol and 202 micrograms of fluticasone).

Patients use one inhalation twice a day (one in the morning and one in the evening); the doctor will decide which strength is appropriate (and change it when necessary) based on how severe the asthma is and how well it has been controlled. Once the asthma is controlled doctors should consider changing patients to inhaled corticosteroid alone.

Patients should be shown how to use the inhaler correctly by a doctor or other healthcare professional.

The delivered doses for BroPair Spiromax are different from other salmeterol / fluticasone containing products. BroPair Spiromax should therefore not be swapped with other salmeterol / fluticasone containing inhalers.

For more information about using BroPair Spiromax, see the package leaflet or contact your doctor or pharmacist.

The two active substances in BroPair Spiromax are well known and are present in several medicines used to treat asthma, either alone or in combination with other medicines.

Salmeterol is a long-acting beta-2 agonist. It attaches to beta-2 receptors in the muscles of the airways and causes the muscles of the airways to relax and widen, allowing the patient to breathe more easily.

Fluticasone is a corticosteroid. It reduces the activity of the immune system by attaching to receptors in various types of immune cells, blocking the release of substances involved in the inflammation process. This reduces inflammation in the airways and improves the patient’s breathing.

Two main studies in 1,375 patients with asthma have shown that BroPair Spiromax is effective at improving patients’ FEV1 (the maximum volume of air they can breathe out in one second).

In the first study, patients treated with BroPair Spiromax (containing 12.75 micrograms of salmeterol and 100 micrograms of fluticasone)  for 12 weeks had FEV1 increases of 315 ml, compared with 204 ml for patients treated with a comparable dose of inhaled fluticasone, and 53 ml for patients treated with placebo.

In the second study, patients treated with BroPair Spiromax (containing 12.75 micrograms of salmeterol and 100 micrograms of fluticasone) had FEV1 increases of 271 ml, compared with 119 ml for patients treated with a comparable dose of inhaled fluticasone, and a decrease of 4 ml for patients treated with placebo. For the higher strength BroPair Spiromax FEV1 increases were 272 ml, compared with 179 ml for patients treated with a comparable dose of inhaled fluticasone.

The most common side effects with BroPair Spiromax (which may affect up to 1 in 10 people) are nasopharyngitis (inflammation of the nose and throat), headache, cough and oral candidiasis (thrush, a fungal infection).

For the full list of side effects and restrictions of BroPair Spiromax, see the package leaflet.

BroPair Spiromax improves breathing in patients with asthma. It contains two active substances which are well known and already marketed as combination inhalers. The safety profile of BroPair Spiromax is considered similar to that of other similar inhaler medicines. The European Medicines Agency decided that BroPair Spiromax’s benefits are greater than its risks and it can be authorised for use in the EU.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of BroPair Spiromax have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of BroPair Spiromax are continuously monitored. Side effects reported with BroPair Spiromax are carefully evaluated and any necessary action taken to protect patients.

BroPair Spiromax received a marketing authorisation valid throughout the EU on 26 March 2021.