Breo Ellipta Dosages: Your GoodRx Guide

Chronic lung conditions, such as asthma and chronic obstructive pulmonary disease (COPD), are common. Many people manage these conditions with a daily maintenance inhaler. These long-term treatments help prevent symptoms and lessen the number of flare-ups (“attacks”).

Breo Ellipta (fluticasone furoate / vilanterol) is a long-acting maintenance inhaler that’s FDA-approved for asthma and COPD. It contains a combination of two medications: fluticasone furoate, an inhaled corticosteroid (steroid), and vilanterol, a long-acting beta agonist. Together, these medications help lower inflammation in the lungs and relax lung muscles to open up your airways.

Knowing how to use your Breo Ellipta inhaler is key for managing your symptoms. Below, we’ll go over the typical Breo Ellipta dosages for adults and children, as well as instructions for using it.

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What’s the typical Breo Ellipta dosage for adults?

The typical Breo Ellipta dosage is to inhale 1 dose once a day. It’s best to use this inhaler at about the same time every day. This helps provide consistent effects. Your specific dose depends on why you’re using Breo Ellipta.

Breo Ellipta comes in the following doses:

• 50 mcg fluticasone furoate / 25 mcg vilanterol (50/25 mcg)

• 100 mcg fluticasone furoate / 25 mcg vilanterol (100/25 mcg)

• 200 mcg fluticasone furoate / 25 mcg vilanterol (200/25 mcg)

Regardless of which dose you’re prescribed, be sure to rinse your mouth with water after each use. This helps prevent oral thrush (a fungal infection of the mouth and throat), a side effect that can happen with steroid inhalers.

Breo Ellipta dosage for asthma

The starting Breo Ellipta dosage for adults with asthma is to inhale 1 puff of the 100/25 mcg dose once daily. If this dose doesn’t work well enough for you, your prescriber may raise your dosage to 1 puff of the 200/25 mcg dose once daily. This is the maximum Breo Ellitpa dose for asthma.

If the 200/25 mcg dose isn’t working well for you, you’ll likely need to switch to a different maintenance asthma inhaler.

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• Saving on Breo Ellipta: Find out how you can save money on Breo Ellipta (fluticasone furoate / vilanterol).

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• Comparing the costs of asthma inhalers: See how Breo Ellipta measures up to other inhalers, and find out ways to save on your prescriptions.

Breo Ellipta dosage for COPD

The typical Breo Ellipta dosage for adults with COPD is 1 puff of the 100/25 mcg dose once daily. This is also the maximum recommended dosage. In studies, the higher 200/25 mcg dose didn’t provide any further symptom relief.

If this Breo Ellitpa dosage doesn’t work well enough for you, discuss alternative COPD inhalers with your prescriber.

What’s the typical Breo Ellipta dosage for children?

The typical Breo Ellipta dosage for children with asthma is to inhale 1 puff once daily. But the specific dose depends on your child’s age:

• Children ages 12 to 17: Inhale 1 puff of the 100/25 mcg dose once daily. This is also the maximum dosage.

• Children ages 5 to 11: Inhale 1 puff of the 50/25 mcg dose once daily. This is also the maximum dosage.

• Children under age 5: Breo Ellipta isn’t FDA-approved for children under age 5.

Breo Ellipta isn’t FDA-approved to manage COPD in children. This lung condition doesn’t normally affect children.

How do you use Breo Ellipta?

Using your inhaler correctly helps make sure you get your full dose every time. Breo Ellipta is a dry powder inhaler. The way you use it is different from how you use L-shaped metered dose inhalers.

If you’ve never used Breo Ellipta, it’s a good idea to have your prescriber or pharmacist show you how. You may also want to review the instructions that come with your Breo Ellipta inhaler.

Below are nine steps explaining how to use your Breo Ellipta inhaler:

1. Stand or sit up straight. Make sure your mouth is free of food and other substances, such as chewing gum.

2. Slide the Breo Ellipta inhaler cover open until you hear a “click.” Don’t shake it.

3. Hold the inhaler away from your body. Breathe out as much as you can.

4. Bring Breo Ellipta’s mouthpiece to your mouth. Tightly close your lips around it.

5. Breathe in deeply through your mouth. Avoid breathing in through your nose.

6. Remove the inhaler from your mouth. Hold your breath for 3 to 4 seconds (or as long as you’re able to).

7. Breathe out slowly and gently. Avoid breathing into your inhaler.

8. Check your inhaler for residue powder. Clean the mouthpiece with a dry tissue if needed.

9. Slide your Breo Ellipta’s cover closed.

Are there any dosage adjustments for health conditions?

Many medications have different dosages for people with certain health conditions, such as liver or kidney disease. But this isn’t the case for Breo Ellipta.

Your Breo Ellitpa dosage depends on your age and why you’re using the inhaler. And if you’re an adult living with asthma, your prescriber may adjust your dosage based on your symptoms.

What happens if you miss a dose of Breo Ellipta?

If you miss a dose of Breo Ellipta, use it as soon as you remember. But if it’s getting close to the time for your next dose, skip the missed one. Just administer your next dose at its usual time. Don’t use extra Breo Ellipta to try to make up for a missed dose. Doing this can lead to unwanted side effects.

If you’re having trouble remembering your doses, there are tips and tricks to help you stay on track. Examples include setting an alarm or using a medication reminder app on a smartphone. If you find yourself missing multiple doses, tell your prescriber.

What should you do if you take too much Breo Ellipta?

Accidentally inhaling an extra dose of Breo Ellipta isn’t likely to cause serious harm. But you may experience more side effects, such as tremor, raised heart rate, and palpitations. If you have an existing heart condition or high blood pressure, call your healthcare team right away if you notice a faster-than-normal heart rate.

Side effects should go away as the medications in Breo Ellitpa start to wear off. If you’re unsure about what to do because you used more Breo Ellipta doses than recommended, call a healthcare professional. You can also contact Poison Control at 1-800-222-1222 or online for guidance.

How to save on Breo Ellipta

There are many ways to save on Breo Ellipta, which is available as both a brand-name and generic medication. GoodRx can help you navigate between GoodRx coupons, copay savings cards, and patient assistance programs to save money on your prescription.

• Save with GoodRx: GoodRx can help you save 40% off the average retail price of the generic version. Generic Breo Ellipta’s price at certain pharmacies may be as low as $233.52 with a free GoodRx discount.

• Save with a copay savings card: If you have commercial insurance, you may be eligible to pay no more than $35 for brand-name Breo Ellipta using a savings card from the manufacturer.

• Save with patient assistance programs: If you’re uninsured or underinsured, you may be eligible for Breo Ellipta’s patient assistance program, which offers the medication free of cost.

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Written by:

Kristine Foley, PharmD

Kristine Foley is a licensed pharmacist with over 13 years of community pharmacy experience. She earned her Doctor of Pharmacy degree from Rutgers University.

Edited by:

Christina Aungst, PharmD

Christina Aungst, PharmD, is a pharmacy editor for GoodRx. She began writing for GoodRx Health in 2019, transitioning from freelance writer to editor in 2021.

Reviewed by:

Joshua Murdock, PharmD, BCBBS

Joshua Murdock, PharmD, BCBBS, is a licensed pharmacist in Arizona, Colorado, and Rhode Island. He has worked in the pharmacy industry for more than 10 years and currently serves as a pharmacy editor for GoodRx.

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