How To Your Ellipta Inhaler
To get the most benefit, it is important to use the correct technique. Ask your doctor, pharmacist or nurse to show you how to use your Ellipta inhaler. Here is some guidance:
Health Navigator & Auckland District Health Board, NZ, 2018
Using your Ellipta inhaler
- Remove the device from the foil packing.
- Open: Pull back the mouth piece cover until you hear a click. Hold the device upright at all times. Breath out away from the device.
- Inhale your dose: Press your lips around the mouthpiece without covering the air vents on either side. Begin to breathe in rapidly and deeply through your mouth. Hold your breath for up to 10 seconds. Breathe out slowly. Close the mouth piece cover.
Cleaning and storing your Ellipta inhaler: Clean your device once a week by wiping the mouthpiece with a clean dry tissue. Do not wash the mouthpiece or allow it to get wet when cleaning. Close the device when not in use. Store it in a cool dry place, away from heat and moisture.
When to start a new inhaler: There is a window on the front of your Ellipta inhaler called a dose counter. When it turns red it is time to get a new inhaler.
How Long Does It Take To Work
Breo begins working as soon as you take it. But you may not notice an improvement right away. This is because its a drug thats used for long-term treatment. Itll gradually improve the way your lungs work and help prevent COPD flare-ups and asthma attacks later.
Most people start to breathe easier about 15 minutes after taking a dose of Breo.
Can Breo Ellipta 200/25 Mcg/inhal Dry Powder Inhaler 30 Blisters Be Stopped Immediately Or Do I Have To Stop The Consumption Gradually To Ween Off
In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.
It’s wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.
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Monoamine Oxidase Inhibitors And Tricyclic Antidepressants
Vilanterol, like other beta2-agonists, should be administered with extreme caution to patients being treated with monoamine oxidase inhibitors, tricyclic antidepressants, or drugs known to prolong the QTc interval or within 2 weeks of discontinuation of such agents, because the effect of adrenergic agonists on the cardiovascular system may be potentiated by these agents. Drugs that are known to prolong the QTc interval have an increased risk of ventricular arrhythmias.
What Should I Avoid While Using Fluticasone And Vilanterol
Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using a steroid such as fluticasone.
Do not use a second inhaled bronchodilator unless your doctor tells you to. This includes formoterol , arformoterol , indacaterol , olodaterol , salmeterol , or vilanterol .
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Existe Una Versin Genrica De Breo Ellipta
Breo Ellipta es un producto de marca con ingredientes activos fluticasona y vilanterol. Por el momento, no existe una versión genérica de Breo Ellipta para el consumidor. Los cupones de SingleCare pueden ayudarte a ahorrar hasta un 80% en los medicamentos de tu familia. Puedes visitar tu farmacia local para ver si estos cupones son aceptados.
Reduction In Bone Mineral Density
In replicate 12-month trials in 3,255 subjects with moderate to severe COPD, bone fractures were reported by 2% of subjects receiving the fluticasone furoate/vilanterol combination compared with < 1% of subjects receiving vilanterol 25 mcg alone .
Similar findings were seen in a mortality trial with a median treatment duration of 1.5 years in 16,568 subjects with moderate COPD and cardiovascular disease.
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Breo And Incruse Ellipta
The drug combination of Breo and Incruse Ellipta is used to treat COPD only. Incruse Ellipta is a brand-name medication that contains umeclidinium bromide, a LAMA. Breo is a combination of an ICS and a LABA .
Together, Breo and Incruse Ellipta contain three types of drugs: a LABA, a LAMA, and an ICS. This combination may help people whose COPD isnt controlled by one or two drugs. The brand-name medication Trelegy Ellipta contains these three drugs in a single inhaler. Its used once a day for COPD.
Chronic Obstructive Pulmonary Disease
Breo Ellipta 100/25 should be administered as 1 inhalation once daily. The maximum recommended dosage is 1 inhalation of Breo Ellipta 100/25 once daily, the only strength indicated for the treatment of COPD.
If shortness of breath occurs in the period between doses, an inhaled, short-acting beta2-agonist should be taken for immediate relief.
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Before You Start To Use It
Your doctor should give you a personal Action Plan to help manage your asthma or COPD. This plan will include what medicines to take regularly to control your asthma or COPD, as well as what “reliever” medicines to use when you have sudden attacks of breathlessness or wheezing.
Ask your doctor or pharmacist if you have any questions about your Action Plan.
Talk to your doctor before you use BREO ELLIPTA if you:
- have liver disease, as you may be more likely to have side effects. If you have moderate or severe liver disease, your doctor will limit your dose to the lower strength of BREO ELLIPTA .
- have heart problems or high blood pressure
- if you have ever been told you have diabetes or high blood sugar
- are being or have ever been treated for tuberculosis or pneumonia
- have eye problems such as glaucoma or cataracts
- have weak bones
- have problems with your thyroid
- have seizures
- have any long-standing or untreated infections or have recently been exposed to chickenpox or measles or been around anyone who has chickenpox or measles
- have any other medical conditions
- if you have a problem with your immune system
Check with your doctor before you use BREO ELLIPTA if you think any of these apply to you.
Tell your doctor if you are pregnant or plan to become pregnant or are breast-feeding. Your doctor can discuss with you the risks and benefits involved.
More Common Side Effects
Possible side effects depend on how your body responds to either Breo 100/25 for chronic obstructive pulmonary disease or Breo for asthma.
More common side effects when used for COPD
The more common side effects of Breo 100/25 in people with COPD can include:
- back and joint pain
More common side effects when used for asthma
The more common side effects of Breo in people with asthma can include:
- abnormal heart rhythm
- voice loss
More common side effects when used for COPD or asthma
The more common side effects of Breo 100/25 in people with COPD and Breo in people with asthma can include:
- inflammation in lung airways
- cough
- oral thrush or esophageal thrush
- respiratory infections such as the common cold or flu
- sore throat
- pneumonia
Most of these side effects may go away within a few days or a couple of weeks. If theyre more severe or dont go away, talk with your doctor or pharmacist.
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What Should I Discuss With My Healthcare Provider Before Using Fluticasone And Vilanterol
You should not use this medicine if you are allergic to fluticasone, vilanterol, or milk proteins.
Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks.
Tell your doctor if you have ever had:
- glaucoma or cataracts
- heart disease, high blood pressure
- liver disease
- any type of infection or
- osteoporosis.
Long-term use of steroids may lead to bone loss , especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk.
Tell your doctor if you are pregnant. It is not known whether this medicine will harm an unborn baby. However, having untreated or uncontrolled asthma during pregnancy may cause complications such as low birth weight, premature birth, or eclampsia . The benefit of treating asthma may outweigh any risks to the baby.
It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.
Fluticasone and vilanterol is not approved for use by anyone younger than 18 years old.
How To Use Breo Ellipta Blister With Inhalation Device
Read the Patient Information Leaflet and Instructions for Use provided by your pharmacist before you start using this medication and each time you get a refill. Follow the illustrated directions for the proper use of this medication. If you have any questions, ask your doctor or pharmacist.
Inhale this medication by mouth as directed by your doctor, usually once daily. Do not use more than 1 inhalation daily. If you open and close the cover without inhaling this medication, you will lose the dose. If this happens, you should load a new dose and inhale it.
If you have been using a quick-relief inhaler on a regular daily schedule , you must stop this schedule and only use it as needed for sudden shortness of breath. Contact your doctor for details.
If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug last.
To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle, rinse your mouth with water and spit out after each use. Do not swallow the rinse water.
Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day. Do not increase your dose, use this medication more often, or stop using it without talking to your doctor. Also, do not use other long-acting beta agonists while using this medication.
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Excessive Use Of Breo Ellipta And Use With Other Long
Breo Ellipta should not be used more often than recommended, at higher doses than recommended, or in conjunction with other medicines containing LABA, as an overdose may result. Clinically significant cardiovascular effects and fatalities have been reported in association with excessive use of inhaled sympathomimetic drugs. Patients using Breo Ellipta should not use another medicine containing a LABA for any reason.
When You Must Not Use It
Don’t use BREO ELLIPTA
- if you are allergic to lactose or milk protein
- if you are allergic to fluticasone furoate, vilanterol or any other ingredients of BREO ELLIPTA .
If you think either of these applies to you, don’t use BREO ELLIPTA until you have checked with your doctor.
Some of the symptoms of an allergic reaction may include:
- shortness of breath
- swelling of the face, lips, tongue or other parts of the body
- rash, itching or hives on the skin
BREO ELLIPTA contains lactose.
If you have been diagnosed with an intolerance to some sugars, or to milk protein, talk to your doctor before you use BREO ELLIPTA.
BREO ELLIPTA is not usually recommended for use during pregnancy.
If you are pregnant, if you think you may be pregnant don’t use BREO ELLIPTA without asking your doctor. Your doctor will consider the benefit to you and the risk to your baby of taking BREO ELLIPTA while you are pregnant.
If you are breast-feeding, check with your doctor before you take BREO ELLIPTA. It is not known whether the ingredients of BREO ELLIPTA can pass into breast milk.
Do not give this medicine to a child under the age of 12 years. Safety and effectiveness in children younger than 12 years have not been established.
BREO ELLIPTA 200/25 is not recommended in asthma patients aged 75 years and older.
If you are not sure whether you should start taking this medicine, talk to your doctor.
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What Should I Ask My Doctor
The sections above describe the typical Breo Ellipta dosages provided by the drug manufacturer. If your doctor recommends Breo Ellipta for you, theyll prescribe the dosage thats right for you.
Remember, you shouldnt change your dosage of Breo Ellipta without your doctors recommendation. Only use Breo Ellipta exactly as prescribed. Talk with your doctor if you have questions or concerns about your current dosage.
Here are some examples of questions you may want to ask your doctor:
- Should my dosage of Breo Ellipta change if the drug isnt working for my condition?
- Will my dosage of Breo Ellipta be different if I use a rescue inhaler for asthma?
- Does my dosage of Breo Ellipta need to change if I have serious liver problems?
For the latest information and personal stories from others living with your condition, sign up for the Healthline COPD or allergies and asthma newsletter.
Before Taking This Medicine
You should not use Breo Ellipta if you are allergic to fluticasone, vilanterol, or milk proteins.
Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks.
To make sure Breo Ellipta is safe for you, tell your doctor if you have:
Long-term use of steroids may lead to bone loss , especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk.
Tell your doctor if you are pregnant. It is not known whether Breo Ellipta will harm an unborn baby. However, having untreated or uncontrolled asthma during pregnancy may cause complications such as low birth weight, premature birth, or eclampsia . The benefit of treating asthma may outweigh any risks to the baby.
It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.
Breo Ellipta is not approved for use by anyone younger than 18 years old.
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Drug Forms And Administration
Both Breo and Advair come in an inhaler.
Breo forms and administration
Breo comes in a disposable light gray and blue inhaler. The inhaler contains two foil blister strips of powder medication:
- One strip contains either 100 mcg or 200 mcg of fluticasone furoate per blister.
- The other strip contains 25 mcg of vilanterol trifenatate per blister.
Each strip contains 30 blisters, for a total of 30 doses. Each time you fully open the inhaler cover, a new dose is ready for you. For both COPD and asthma, you inhale the drug once per day.
Advair Diskus forms and administration
Advair Diskus comes in a powder inhaler. The inhaler contains a foil blister strip of powder medication. It includes 100, 250, or 500 mcg of fluticasone propionate and 50 mcg of salmeterol per blister. For both COPD and asthma, you inhale the drug twice per day.
Local Effects Of Inhaled Corticosteroids
In clinical trials, the development of localized infections of the mouth and pharynx with Candida albicans has occurred in subjects treated with Breo Ellipta. When such an infection develops, it should be treated with appropriate local or systemic antifungal therapy while treatment with Breo Ellipta continues, but at times therapy with Breo Ellipta may need to be interrupted. Advise the patient to rinse his/her mouth with water without swallowing following inhalation to help reduce the risk of oropharyngeal candidiasis.
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Before You Use Breo Ellipta
Bronchodilators similar to vilanterol as a class of medicines can very rarely be associated with an increased risk of potentially life-threatening worsening of your asthma. However, not treating your asthma sufficiently can also similarly put you at risk. Your doctor has weighed any risks of you using BREO ELLIPTA against the benefits they expect it will have for you. You can talk to your doctor about the risks and benefits of using this medicine.
Hypersensitivity Reactions Including Anaphylaxis
Hypersensitivity reactions such as anaphylaxis, angioedema, rash, and urticaria may occur after administration of Breo Ellipta. Discontinue Breo Ellipta if such reactions occur. There have been reports of anaphylactic reactions in patients with severe milk protein allergy after inhalation of other powder medications containing lactose therefore, patients with severe milk protein allergy should not use Breo Ellipta .
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How Many Doses Of Breo Ellipta Are There In An Inhaler
Each Breo Ellipta inhaler comes with two foil strips of blister packs. Each foil strip contains one of the active ingredients of the drug.
Each strip has 30 blisters, which provides a 30-day supply of Breo Ellipta.
Until youre ready to take a dose of Breo Ellipta, dont open the inhaler or foil strips. This might cause you to lose a dose of the drug.
What Happens If You Take Two Doses Of Breo Ellipta
Its important to use Breo Ellipta exactly as your doctor has prescribed. If youre having trouble breathing between daily doses of Breo Ellipta, do not take an extra dose.
Taking two doses of Breo Ellipta can cause serious side effects, such as heart palpitations, high blood pressure, muscle cramps, shortness of breath, or headache. See the What should be done in case of overdose? section below for more information.
Instead, let your doctor know if youre having breathing problems between Breo Ellipta doses. Theyll prescribe a rescue inhaler for managing immediate breathing problems.
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How Supplied/storage And Handling
Breo Ellipta is supplied as a disposable light grey and pale blue plastic inhaler containing 2 foil strips, each with 30 blisters . One strip contains fluticasone furoate , and the other strip contains vilanterol . A blister from each strip is used to create 1 dose. The inhaler is packaged within a moisture-protective foil tray with a desiccant and a peelable lid in the following packs:
- NDC 0173-0859-10 Breo Ellipta 100/25 30 inhalations
- NDC 0173-0859-14 Breo Ellipta 100/25 14 inhalations , institutional pack
- NDC 0173-0882-10 Breo Ellipta 200/25 30 inhalations
- NDC 0173-0882-14 Breo Ellipta 200/25 14 inhalations , institutional pack
Store at room temperature between 68°F and 77°F excursions permitted from 59°F to 86°F . Store in a dry place away from direct heat or sunlight. Keep out of reach of children.
Breo Ellipta should be stored inside the unopened moisture-protective foil tray and only removed from the tray immediately before initial use. Discard Breo Ellipta 6 weeks after opening the foil tray or when the counter reads 0 , whichever comes first. The inhaler is not reusable. Do not attempt to take the inhaler apart.