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Fluticasone Furoate/Vilanterol Ellipta Coupon - Fluticasone Furoate/Vilanterol Ellipta 60 blisters of 100mcg/25mcg inhaler

fluticasone furoate/vilanterol ellipta

Generic Breo Ellipta
Used for Asthma, COPD
Used for Asthma, COPD

Breo is a combination inhaler used for maintenance treatment of chronic obstructive pulmonary disease (COPD) and asthma in adults and children. It contains two active ingredients, fluticasone (an inhaled corticosteroid, or ICS) and vilanterol (a long-acting beta agonist, or LABA). Breo Ellipta (fluticasone / vilanterol) is inhaled through the mouth once per day. It's available as a lower-cost generic. Side effects can differ based on your age and your Breo Ellipta (fluticasone / vilanterol) dose, but generally include upper respiratory tract infections, sore throat, and headache.

Last reviewed on March 10, 2024
basics-icon

What is Breo Ellipta (fluticasone / vilanterol)?

What is Breo Ellipta (fluticasone / vilanterol) used for?

  • Maintenance treatment of asthma

  • Maintenance treatment of COPD

How Breo Ellipta (fluticasone / vilanterol) works

Breo Ellipta (fluticasone / vilanterol) is a combination of two medications that work together to make it easier to breathe in people with asthma and COPD symptoms.

When does Breo Ellipta (fluticasone / vilanterol) start working?
Time passed since treatment started:
MINUTES
HOURS
DAYS
WEEKS
MONTHS
Initial effect
Full effect

Drug Facts

Common BrandsBreo Ellipta
Drug ClassICS / LABA combo
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only

More on Breo Ellipta (fluticasone / vilanterol) essentials

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Avg retail price
$377.43(save 34.03%)
GoodRx discount
$248.99
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What are the side effects of Breo Ellipta (fluticasone / vilanterol)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

COPD:Asthma (adults):
  • Headache (8%)
  • Common cold (7%)
Asthma (children):
  • Common cold (10%)
  • Upper respiratory tract infection (7%)

Other Side Effects

  • Sore or dry throat
  • Pneumonia
  • Bronchitis (swelling of your airways)
  • Swelling of your sinuses
  • Cough
  • Mouth or throat pain
  • Cough

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Serious allergic reaction: hives, swelling of your face, lips, or tongue, difficulty breathing
  • Sudden narrowing of your airways: difficulty breathing, wheezing, chest pain or tightness, cough
  • Heart problems: dizziness, fatigue, tremor, nausea, rapid heartbeat, weakness, or difficulty sleeping
When do Breo Ellipta (fluticasone / vilanterol) possible side effects begin and end?
Time passed since treatment started:
MINUTES
HOURS
DAYS
WEEKS
MONTHS
Sore or dry throat
Risk of oral thrush
Risk of respiratory tract infection
Fast heart rate
Seek immediate medical care if you experience this side effect.
If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
  • Increase in blood pressure
  • Low adrenal gland function—nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness
  • Muscle pain or cramps
  • Thrush—white patches in the mouth
  • Wheezing or trouble breathing that is worse after use

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

pros-and-cons

Pros and cons of Breo Ellipta (fluticasone / vilanterol)

thumbs-up

Pros

Long-term control of asthma and COPD symptoms

Inhaled only once per day, unlike other similar inhalers which are used twice per day

Might be easier to use compared to some other dry powder inhalers

thumbs-down

Cons

Can't use if you're severely allergic to milk proteins because it contains lactose

Need to rinse your mouth with water after each use to prevent fungal infections (thrush) in your mouth and throat

Doesn't replace your rescue inhaler

pharmacist-tips

Pharmacist tips for Breo Ellipta (fluticasone / vilanterol)

pharmacist
  • Take an inhalation of Breo Ellipta (fluticasone / vilanterol) at the same time once per day to prevent COPD or asthma attacks. You can take Breo Ellipta (fluticasone / vilanterol) at any time of the day, but you must take it every day for it to work well for you.

    • If you have sudden trouble breathing during an asthma attack, use your rescue inhaler. Breo Ellipta (fluticasone / vilanterol) won't treat an asthma attack as it's happening.

      • Call your pulmonologist if your breathing or peak flow meter results worsen. Also contact your pulmonologist if you're using your rescue inhaler more often than usual. These could be signs that your Breo Ellipta (fluticasone / vilanterol) dose is too low, or you need another long-acting medication to help manage your asthma.

        • Don't start any new medications while you're taking Breo Ellipta (fluticasone / vilanterol) without asking your pulmonologist or primary care provider first. Breo Ellipta (fluticasone / vilanterol) can interact with other medications, such as blood pressure medications (e.g., beta blockers) and tricyclic antidepressants. Your healthcare providers can check for interactions to make sure your medications are safe to take.

          • Store Breo Ellipta (fluticasone / vilanterol) at room temperature in a dry place away from heat or sunlight. Keep unused inhalers in the original foil pouch.

            • Breo Ellipta (fluticasone / vilanterol) expires in 6 weeks after you remove it from the foil tray. Write the expiration ("use by") date on the first blank line on the inhaler.

              • There's a dose counter on the front face of the Breo Ellipta (fluticasone / vilanterol) inhaler. It should say "30" for a new inhaler. Use this counter to keep track of when you need to get a refill.

                • You don't need to prime or shake the Breo Ellipta (fluticasone / vilanterol) inhaler before using it. Each time you open the cover of the inhaler, you're preparing 1 dose. Only open the cover of the inhaler if you're about to take a dose.

                  • When you're ready to take your dose, slide the cover on the Breo Ellipta (fluticasone / vilanterol) inhaler until it clicks and hold in a flat position, like a hamburger. Then, breathe out as long as you can. Then, without blocking the vent, place your lips firmly around the mouthpiece and take a long, steady, and deep breath.

                    • After you inhale from the Breo Ellipta (fluticasone / vilanterol) inhaler, try to hold your breath for 3-4 seconds, or for as long as you comfortably can. This gives the medication can reach deep into your lungs.

                      • After you're done using Breo Ellipta (fluticasone / vilanterol), rinse your mouth with water and then spit. This helps lower the risk of thrush (fungal infection) in the mouth and throat.

                        • Never wash the Breo Ellipta (fluticasone / vilanterol) inhaler with water or any liquid. Instead, clean the mouthpiece every once in a while by wiping it with a dry cloth. Just make sure you don't get water or moisture on or near the inhaler. Moisture can make the dry powder medication clump together and clog the inhaler.

                          faqs

                          Frequently asked questions about Breo Ellipta (fluticasone / vilanterol)

                          Is Breo Ellipta (fluticasone / vilanterol) a steroid?
                          Yes. Breo Ellipta contains two active ingredients: fluticasone (an inhaled steroid) and vilanterol (long-acting beta agonist). Both medications work together over time to help you breathe better.
                          How long does Breo Ellipta (fluticasone / vilanterol) stay in your system?
                          It can take about 5 days for most of Breo Ellipta (fluticasone / vilanterol) to leave your body after a dose. This time-frame is estimated based on the half-life of Breo Ellipta (fluticasone / vilanterol). But keep in mind that in order for Breo Ellipta (fluticasone / vilanterol) to work well to control your symptoms, you need to take this medication once daily.
                          How long does Breo Ellipta (fluticasone / vilanterol) take to work?
                          When you first start Breo Ellipta (fluticasone / vilanterol), you might feel improvements in your breathing about 15 minutes after a dose. But it can take a few weeks for your symptoms to be controlled by this medication. If you still don't notice improvements to your breathing after using Breo Ellipta (fluticasone / vilanterol) for 2 weeks, your pulmonologist might switch you to a higher strength of the inhaler to see if it helps. Or, they ask you to consider other medications for your condition.
                          What happens if you take 2 doses of Breo Ellipta (fluticasone / vilanterol)?
                          Breo Ellipta (fluticasone / vilanterol) should only be used once per day. Inhaling a single extra dose of Breo Ellipta (fluticasone / vilanterol) isn't likely to cause serious harm. But you might experience more side effects, such as sore throat or headache. But if you're constantly taking too many doses of Breo Ellipta (fluticasone / vilanterol), you're at higher risk for more serious side effects, such as chest pain or fast heart rates. If you feel like your current dose of Breo Ellipta (fluticasone / vilanterol) isn't working well, let your pulmonologist know. They'll look into raising your Breo Ellipta (fluticasone / vilanterol) dose or changing your treatment plan.
                          Can you take Breo Ellipta (fluticasone / vilanterol) every other day?
                          Breo Ellipta (fluticasone / vilanterol) is typically taken once per day for it to work as best as possible to help your breathing. The medication hasn't been studied when taken every other day, so it's not clear how well it'll work when taken this way.
                          Does Breo Ellipta (fluticasone / vilanterol) cause weight gain?
                          Weight gain isn't a side effect reported by people who used Breo Ellipta (fluticasone / vilanterol) in clinical studies. Breo Ellipta does contain fluticasone, a corticosteroid. In general, corticosteroids can cause weight gain, especially when taken by mouth and over a longer period of time. But since the fluticasone in Breo Ellipta (fluticasone / vilanterol) is inhaled, it's less likely to cause weight gain compared to oral steroids. Talk with your pulmonologist if you experience changes in weight while taking Breo Ellipta (fluticasone / vilanterol).
                          What's the difference between Breo Ellipta and Advair Diskus?
                          Both Breo Ellipta (fluticasone / vilanterol) and Advair (fluticasone / salmeterol) are combination dry powder inhalers. They each contain an inhaled steroid (ICS) and a long-acting beta agonist (LABA). Both work similarly well to treat asthma or COPD. One difference between them is they each have a different LABA as the active ingredient. Breo Ellipta contains vilanterol, whereas Advair contains salmeterol. Another difference is how often you take each medication. Breo Ellipta is inhaled once per day, whereas Advair is inhaled twice per day. Talk to your pulmonologist if you have more questions about the differences between both medications.
                          Can you take Breo Ellipta and Spiriva together?
                          Your pulmonologist might consider prescribing Breo Ellipta (fluticasone / vilanterol) and Spiriva (tiotropium) together, if your asthma or COPD symptoms aren't well-controlled by Breo Ellipta alone. Breo Ellipta is a combination of an inhaled steroid (ICS) and long-acting beta agonist (LABA), and Spiriva is an long-acting muscarinic antagonist (LAMA). These medication work in different ways to help you breathe better.
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                          warings-icon

                          What are the risks and warnings for Breo Ellipta (fluticasone / vilanterol)?

                          Breo Ellipta (fluticasone / vilanterol) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                          risk-warning

                          Not for asthma attacks, COPD flare ups, or worsening breathing

                          Don't use Breo Ellipta (fluticasone / vilanterol) if you're experiencing an asthma attack or COPD flare up because this medication won't provide immediate relief. Use a rescue inhaler, such as albuterol (Ventolin HFA), if you're having trouble breathing.

                          If you're using your rescue inhaler more often than usual, let your pulmonologist know because this could be a sign that your condition is getting worse. Don't use more doses Breo Ellipta (fluticasone / vilanterol) than recommended because this won't improve your breathing. Rather, this can raise your risk for serious side effects, such as heart problems, tremors, and dizziness.

                          risk-warning

                          Fungal infection in the mouth

                          • Risk factors: Not rinsing and spitting after using Breo Ellipta (fluticasone / vilanterol) | Weakened immune system from medical conditions or medications

                            Breo Ellipta contains fluticasone, a steroid medication. When inhaled, it can cause a fungal infection in your mouth and throat called thrush. To lower your risk for thrush, rinse your mouth with water and spit after each inhalation of Breo Ellipta (fluticasone / vilanterol). If you develop thrush, your pulmonologist might prescribe you a medication to treat this condition and ask you to temporarily stop using Breo Ellipta (fluticasone / vilanterol). Let your pulmonologist know if you notice symptoms of thrush, such as white patches in your mouth, cotton-like feeling in your mouth, pain while eating or swallowing, or loss of taste.

                            risk-warning

                            Narrowing of your airways (bronchospasm)

                            Inhaled medications, including Breo Ellipta (fluticasone / vilanterol), can sometimes cause a muscle spasm in your lungs. This can lead to difficulty breathing, wheezing, cough, and chest discomfort. If you have a hard time breathing after inhaling Breo Ellipta (fluticasone / vilanterol), use your rescue inhaler and get medical attention right away.

                            risk-warning

                            Higher risk of infections

                            Like all corticosteroid-containing medications, Breo Ellipta (fluticasone / vilanterol) can weaken your immune system and raise your risk for infections, including upper respiratory infections and pneumonia. Your risk for infections is higher if you're also taking other medications that also weaken your immune system. If you're currently being treated for a serious infection, such as tuberculosis, let your pulmonologist know. They might need to consider a different medication for your condition until you get better. Let your pulmonologist or primary care provider know right away if you have symptoms of infections, such as fever, chills, or body aches.

                            risk-warning

                            Changes in stress hormone levels

                            • Risk factors: Using Breo Ellipta (fluticasone / vilanterol) for a long time | Using too much Breo Ellipta (fluticasone / vilanterol)

                              Use Breo Ellipta (fluticasone / vilanterol) only as directed. Don't use more than the maximum number of inhalations each day. Doing so can cause more of the steroid to be absorbed into the body and raise your risk for symptoms such as higher blood sugar or blood pressure.

                              On the other hand, if you're transitioning to Breo Ellipta (fluticasone / vilanterol) from oral steroids, you might experience symptoms of low steroid hormone, such as stomach pain, loss of appetite, and nausea. When you transition to Breo Ellipta (fluticasone / vilanterol), your pulmonologist will work with you to lower your dose of oral steroids slowly over time to prevent these side effects.

                              risk-warning

                              Delayed growth in children

                              Children who use inhaled steroids, like Breo Ellipta (fluticasone / vilanterol), might experience a delay in growth. To lower the risk of growth problems, your child's pulmonologist will only prescribe the lowest dose needed to help their condition. Your child's care team will check your child's growth regularly while your child is using this medication. If you're concerned about how Breo Ellipta (fluticasone / vilanterol) might affect your child's growth, discuss with your child's pulmonologist to see if this medication is right for them.

                              risk-warning

                              Eye and vision problems

                              • Risk factors: History of glaucoma or cataracts

                                Although rare, people using inhaled steroids over a long period of time have reported having higher pressure in the eyes, glaucoma, and cataracts. Talk to your optometrist before using Breo Ellipta (fluticasone / vilanterol) if you have glaucoma or cataracts because they might ask you to come in more often for eye exams. Also speak with them if you notice any changes to your vision while using the medication.

                                risk-warning

                                Heart problems

                                • Risk factors: High blood pressure | Heart failure | Heart rate or rhythm problems | Using more Breo Ellipta (fluticasone / vilanterol) than recommended

                                  The vilanterol in Breo Ellipta might cause changes in your blood pressure, heart rate, and heart rhythm. But these side effects are typically unlikely to happen if you're taking the recommended dose of Breo Ellipta (fluticasone / vilanterol). Your pulmonologist or cardiologist might ask you to regularly check your blood pressure and heart rate at home if you have high blood pressure or other heart problems. Don't use Breo Ellipta (fluticasone / vilanterol) more often than recommended. If you find that you need to use Breo Ellipta (fluticasone / vilanterol) more often, let your providers know so they can see if you need any changes to your treatment plan. Tell your pulmonologist if you have dizziness, fatigue, tremor, rapid heartbeat, or weakness after you use Breo Ellipta (fluticasone / vilanterol).

                                  risk-warning

                                  Low potassium levels in the blood

                                  • Risk factors: Using Breo Ellipta (fluticasone / vilanterol) too much

                                    Breo Ellipta (fluticasone / vilanterol) can cause the potassium levels in your blood to drop too low. In most cases, this happens if you use more Breo Ellipta (fluticasone / vilanterol) than recommended. Drops in blood potassium levels are typically mild and your levels should go back to usual with time. Sometimes, low potassium can cause tiredness, weakness, muscle cramps, a racing heart, and a "pins and needles" feeling in your hands and feet. Tell your provider if you experience any of these symptoms while you're using Breo Ellipta (fluticasone / vilanterol). Also let your provider know if you need to use Breo Ellipta (fluticasone / vilanterol) more often than instructed. Your treatment plan might need to be adjusted to better control your symptoms.

                                    risk-warning

                                    Allergic reactions

                                    • Risk factors: Allergy to milk proteins (lactose)

                                      Allergic reactions to Breo Ellipta (fluticasone / vilanterol) are possible. These reactions can include life-threatening facial swelling, shock, and anaphylaxis (closing of the throat). Get medical attention right away if you notice hives, rash, red skin, swelling of the lips or tongue, or difficulty breathing after you use Breo Ellipta (fluticasone / vilanterol).

                                      dosage

                                      Breo Ellipta (fluticasone / vilanterol) dosage forms

                                      The average cost for 1 inhaler of 60 blisters of 100mcg/25mcg of Breo Ellipta (fluticasone / vilanterol) is $271.99 with a free GoodRx coupon. This is 27.94% off the average retail price of $377.43.
                                      inhaler
                                      Inhaler
                                      DosageQuantityPrice as low asPrice per unit
                                      60 blisters of 50mcg/25mcg1 inhaler$396.91$396.91
                                      60 blisters of 100mcg/25mcg1 inhaler$271.99$271.99
                                      60 blisters of 200mcg/25mcg1 inhaler$248.99$248.99

                                      Typical dosing for Breo Ellipta (fluticasone / vilanterol)

                                      Breo Ellipta is available in 3 different strengths: 50 mcg/25 mcg (fluticasone / vilanterol), 100 mcg/25 mcg (fluticasone / vilanterol), and 200 mcg/25 mcg (fluticasone / vilanterol).

                                      Generic fluticasone/vilanterol is available in 2 different strengths: 100 mcg/25 mcg (fluticasone / vilanterol) and 200 mcg/25 mcg (fluticasone / vilanterol).

                                      • Asthma:

                                        • Ages 18 years and older: Your prescriber will determine your dose based on how severe your asthma is and what other medications you've taken. The typical dose is 1 inhalation of Breo Ellipta 100 mcg/25 mcg (fluticasone / vilanterol) or 200 mcg/25 mcg (fluticasone / vilanterol) by mouth once daily.

                                        • Ages 12 to under 18 years (brand name Breo Ellipta only): The typical dose is 1 inhalation of Breo Ellipta 100 mcg/25 mcg (fluticasone / vilanterol) by mouth once daily.

                                        • Ages 5 to under 12 years (brand name Breo Ellipta only): The typical dose is 1 inhalation of Breo Ellipta 50 mcg/25 mcg (fluticasone / vilanterol) by mouth once daily.

                                      • COPD:

                                        • The typical dose is 1 inhalation of Breo Ellipta 100 mcg/25 mcg (fluticasone / vilanterol) by mouth once daily.

                                      drug-cost

                                      How much does Breo Ellipta (fluticasone / vilanterol) cost?

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                                      contraindications-icon

                                      Breo Ellipta (fluticasone / vilanterol) contraindications

                                      Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Breo Ellipta (fluticasone / vilanterol) will not be safe for you to take.
                                      • Treatment of sudden, severe asthma attack

                                      • Allergy to fluticasone (inhaled corticosteroid) or vilanterol (long-acting beta agonist)

                                      • Allergy to lactose or milk proteins

                                      alternatives

                                      What are alternatives to Breo Ellipta (fluticasone / vilanterol)?

                                      There are a number of medications that your doctor can prescribe in place of Breo Ellipta (fluticasone / vilanterol). Compare a few possible alternatives below.
                                      Breo Ellipta (fluticasone / vilanterol)
                                      Used for:
                                      • Maintenance treatment of asthma

                                      • Maintenance treatment of COPD

                                      $248.99 Lowest GoodRx priceView Prices
                                      Used for:
                                      • Maintenance treatment of asthma

                                      • Maintenance treatment of COPD - Advair Diskus 250/50 only

                                      $56.78 Lowest GoodRx priceView Prices
                                      Used for:
                                      • Maintenance treatment of asthma in people ages 5 years and older

                                      $339.35 Lowest GoodRx priceView Prices
                                      latest news

                                      What is the latest news about Breo Ellipta (fluticasone / vilanterol)?

                                      images

                                      Breo Ellipta (fluticasone / vilanterol) images

                                      white - Fluticasone Furoate / Vilanterol ELLIPTA 100mcg-25mcg / actuation Powder for Inhalation
                                      This medicine is White Inhaler.white - Fluticasone Furoate / Vilanterol ELLIPTA 100mcg-25mcg / actuation Powder for Inhalation

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                                      References

                                      Best studies we found
                                      View All References (6)

                                      Grant, A. C., et al. (2015). The Ellipta® Dry Powder Inhaler: Design, functionality, in vitro dosing performance and critical task compliance by patients and caregivers. Journal of Aerosol Medicine and Pulmonary Drug Delivery.

                                      Korsgaard, J., et al. (2008). Potential side effects in patients treated with inhaled corticosteroids and long-acting β2-agonists. Respiratory Medicine.

                                      MedlinePlus. (2016). Cushing’s syndrome.

                                      National Heart, Lung, and Blood Institute. (2012). Asthma care quick reference: Diagnosing and managing asthma.

                                      National Institute of Diabetes and Digestive and Kidney Diseases. (2018). Symptoms & causes of adrenal insufficiency & Addison's disease.

                                      Prasco Laboratories. (2023). Fluticasone furoate and vilanterol powder. DailyMed.

                                      GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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