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

fluticasone furoate / vilanterol

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

Breo Ellipta (fluticasone furoate / vilanterol) is a maintenance inhaler used every day to help manage asthma and chronic obstructive pulmonary disease (COPD). It's a combination of two medications: fluticasone, a corticosteroid that reduces swelling in your lungs, and vilanterol, a long-acting beta agonist (LABA) that helps relax your airways. The typical dose is one puff by mouth once a day. Breo Ellipta (fluticasone furoate / vilanterol) isn't for sudden breathing problems or asthma attacks. Side effects include oral thrush, sore throat, and headache.

Last reviewed on September 8, 2025
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What is Breo Ellipta (fluticasone furoate / vilanterol)?

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

How Breo Ellipta (fluticasone furoate / vilanterol) works

Breo Ellipta (fluticasone furoate / vilanterol) is a combination of two medications.

  • Fluticasone furoate is a corticosteroid. It works by lowering swelling and irritation in your lungs. This helps make breathing easier.

  • Vilanterol is a long-acting beta agonist. It relaxes the muscles in your airways. This opens up the lungs, helping air flow more easily.

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

Drug Facts

Common BrandsBreo Ellipta
Drug ClassInhaled corticosteroid / LABA
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only

More on Breo Ellipta (fluticasone furoate / vilanterol) essentials

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Avg retail price
$380.620
GoodRx discount
$380.62
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What are the side effects of Breo Ellipta (fluticasone furoate / 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

Asthma (adults):
  • Common cold symptoms (7-10%)
  • Headache (5-8%)
Asthma (children):
  • Common cold symptoms (10%)
  • Upper respiratory tract infection (7%)
COPD:
  • Common cold symptoms (9%)
  • Upper respiratory tract infection (7%)
  • Headache (7%)
  • Oral thrush (5%)

Other Side Effects

Asthma (adults):
  • Oral thrush
  • Hoarseness
  • Flu infection
  • Upper respiratory tract infection
  • Sore throat
Asthma (children):
  • Runny nose
  • Headache
COPD:
  • Back pain
  • Joint pain
  • Flu infection
  • Cough

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Sudden narrowing of the airways: worsening trouble breathing, coughing, wheezing
  • Severe allergic reaction: rash, hives, swelling of the face or tongue, breathing problems
  • Pneumonia: more mucus, fever, more coughing, mucus that changes color, chills, more trouble breathing
  • Other infections: fever, body aches, tiredness, vomiting, pain, chills, nausea
  • Heart problems: dizziness, fatigue, tremor, nausea, rapid heartbeat, weakness, difficulty sleeping
When do Breo Ellipta (fluticasone furoate / 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 furoate / vilanterol)

thumbs-up

Pros

Long-term treatment for both COPD and asthma

Inhaled only once a day

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

Safe for children 5 years and older for asthma

thumbs-down

Cons

Won't work well for asthma attacks or COPD flare ups

Not safe for those severely allergic to milk proteins since it contains lactose

Can cause thrush in mouth or throat

No need to prime or shake the inhaler before use

pharmacist-tips

Pharmacist tips for Breo Ellipta (fluticasone furoate / vilanterol)

pharmacist
  • Take Breo Ellipta (fluticasone furoate / vilanterol) at the same time every day to help prevent asthma or COPD attacks. You can take it at any time of day, but daily use is important for the medication to work well.

    • If you miss a dose of Breo Ellipta (fluticasone furoate / vilanterol), take it as soon as you remember. Don’t take more than one dose in a day, and never take two doses at the same time. Just take your next dose at your regular time.

      • Breo Ellipta (fluticasone furoate / vilanterol) isn't for sudden asthma attacks or COPD flare-ups. If you have wheezing, coughing, shortness of breath, or chest tightness, tell your prescriber right away. Always keep a rescue inhaler like albuterol with you for emergencies.

        • Get your routine tests done on time while you're taking Breo Ellipta (fluticasone furoate / vilanterol). These checkups help your prescriber see if the medication is working and not causing problems. Tests might include blood work, breathing tests, and eye exams.

          • Store Breo Ellipta (fluticasone furoate / vilanterol) at room temperature in a dry place away from heat or sunlight. Keep unused inhalers in the original foil pouch until you’re ready to use them.

            • Write use-by date: When you open the foil pouch, write down the use-by date (6 weeks later). Throw the inhaler away when it reaches 6 weeks or shows “0” doses, whichever happens first.

              • Preparing a dose: You don't need to prime or shake the inhaler before using it. Opening the cover loads 1 dose, so only open it when you’re ready to use it.

                • Taking a dose: Hold the inhaler flat like a hamburger and slide the cover until it clicks. Breathe out fully, then put the mouthpiece in your mouth and take a long, steady, deep breath. Try to hold your breath for 3 to 4 seconds, or as long as you comfortably can.

                  • After use: Rinse your mouth with water and spit it out. This lowers your risk of oral thrush). Call your prescriber if you notice white patches in your mouth or throat.

                    • Cleaning: Wipe the mouthpiece with a dry cloth once a week. Don't rinse the inhaler with water.

                      faqs

                      Frequently asked questions about Breo Ellipta (fluticasone furoate / vilanterol)

                      Is Breo Ellipta (fluticasone furoate / vilanterol) a steroid?
                      Breo Ellipta (fluticasone furoate / vilanterol) is a combination inhaler containing two different medications. One of them is fluticasone furoate, an inhaled steroid that lowers swelling and inflammation in your lungs.
                      Is there a generic for Breo Ellipta (fluticasone furoate / vilanterol)?
                      Yes, there is a generic version of Breo Ellipta available.
                      How many puffs are in Breo Ellipta (fluticasone furoate / vilanterol)?
                      Each Breo Ellipta (fluticasone furoate / vilanterol) inhaler has 30 puffs. So it will last for 30 days if you use one puff a day. A dose counter on the front of the inhaler shows how many puffs you have left. Be sure to request a refill before your inhaler runs out so you don’t miss any doses.
                      Is it better to take Breo Ellipta (fluticasone furoate / vilanterol) in the morning or at night?
                      You can take Breo Ellipta (fluticasone furoate / vilanterol) at any time of day. Choose a time that’s easy to remember so you don’t miss a dose.
                      Does Breo Ellipta (fluticasone furoate / vilanterol) cause acid reflux?
                      No, Breo Ellipta (fluticasone furoate / vilanterol) doesn't usually cause acid reflux. If you’re having symptoms of acid reflux, talk to your primary care provider. They can help find the cause and suggest the right treatment if you need it.
                      Can Breo Ellipta (fluticasone furoate / vilanterol) cause weight gain?
                      Weight gain wasn't reported as a side effect of Breo Ellipta (fluticasone furoate / vilanterol) in clinical studies. The medication contains fluticasone furoate, a corticosteroid. In general, corticosteroids can cause weight gain, especially when taken by mouth for a long time. But since the fluticasone in Breo Ellipta (fluticasone furoate / vilanterol) is inhaled, it's less likely to cause weight gain compared to oral steroids. If you notice changes in your weight while using this inhaler, talk with your pulmonologist.
                      What's the difference between Breo Ellipta (fluticasone furoate / vilanterol) and Symbicort?
                      Both Breo Ellipta (fluticasone furoate / vilanterol) and Symbicort (budesonide / formoterol) are combination inhalers with a corticosteroid and a long-acting beta agonist (LABA). They work similarly well to treat asthma or COPD. One difference is the type of inhaler: Breo Ellipta is an Ellipta inhaler, which is a dry powder inhaler, while Symbicort is a metered-dose inhaler. Another difference is how often you take each medication. Breo Ellipta is inhaled once a day, while Symbicort is inhaled twice a day. Talk to your pulmonologist if you have more questions about comparing the two.
                      Is Breo Ellipta (fluticasone furoate / vilanterol) the same as albuterol?
                      No, Breo Ellipta (fluticasone furoate / vilanterol) and albuterol are very different medications. Breo Ellipta (fluticasone furoate / vilanterol) is a maintenance inhaler you take every day to keep airways open and prevent asthma or COPD attacks. Albuterol is a rescue inhaler that works fast during an asthma or COPD attack to make breathing easier. Most people with asthma or COPD need both a maintenance and a rescue inhaler, so be sure you know when and how to use each one.
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                      What are the risks and warnings for Breo Ellipta (fluticasone furoate / vilanterol)?

                      Breo Ellipta (fluticasone furoate / 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

                      Worsening asthma or COPD

                      • Risk factors: Using albuterol more often | Using too much Breo Ellipta (fluticasone furoate / vilanterol)*

                        Don't use Breo Ellipta (fluticasone furoate / vilanterol) during an asthma attack or COPD flare-up because it won’t give quick relief. Instead, use a rescue inhaler like albuterol if you're having trouble breathing.

                        If you notice you’re using your rescue inhaler more often than usual, tell your pulmonologist since this might mean your condition is getting worse. Never take more doses of Breo Ellipta (fluticasone furoate / vilanterol) than prescribed since this won’t help your breathing and can raise your risk for serious side effects like heart problems, tremors, and dizziness.

                        risk-warning

                        Overdose

                        • Risk factors: Using too much Breo Ellipta (fluticasone furoate / vilanterol) | Using together with other LABAs

                          Using Breo Ellipta (fluticasone furoate / vilanterol) more often, at a higher dose than prescribed, or with other LABAs can raise your risk of overdose. Taking too much can lead to serious side effects like heart problems, and in rare cases, even death. Get medical help right away if you have symptoms like chest pain, a fast or irregular heartbeat, tremor, headache, or nervousness.

                          risk-warning

                          Oral thrush

                          • Risk factor: Not rinsing and spitting after using Breo Ellipta (fluticasone furoate / vilanterol)

                            Breo Ellipta (fluticasone furoate / vilanterol) contains fluticasone furoate, a steroid that can sometimes cause a mouth and throat infection called oral thrush. To help prevent thrush, rinse your mouth with water and spit it out after each dose.

                            If you do get thrush, your pulmonologist might prescribe an antifungal medication and ask you to pause Breo Ellipta (fluticasone furoate / vilanterol). Let them 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

                            Pneumonia

                            • Risk factors: COPD

                              Studies show that people with COPD who use Breo Ellipta (fluticasone furoate / vilanterol) can have a higher risk of getting pneumonia. In some cases, pneumonia has led to hospitalization or even death. Symptoms of pneumonia can look a lot like a COPD flare-up, so it’s important to watch for warning signs such as fever, chills, cough with mucus, chest pain, or shortness of breath.

                              risk-warning

                              Higher risk of infection

                              • Risk factors: Active, chronic (long-term), or recurrent infection | Medical conditions that weaken the immune system | Taking other medications that can weaken the immune system

                                Breo Ellipta (fluticasone furoate / vilanterol) can make it harder for your body to fight infections. Infections like tuberculosis, chickenpox, and measles can be more serious if you're using this medication. Don't use Breo Ellipta (fluticasone furoate / vilanterol) if you have an active or ongoing infection without talking with your prescriber first. Let them know right away if you have signs of an infection, such as a fever, body aches, tiredness, vomiting, pain, chills, or nausea.

                                risk-warning

                                Changes in stress hormone levels

                                • Risk factors: High doses of Breo Ellipta (fluticasone furoate / vilanterol) | Taking medications that interact with Breo Ellipta (fluticasone furoate / vilanterol) | Stressful events (e.g., surgery)

                                  Breo Ellipta (fluticasone furoate / vilanterol) can be absorbed into your bloodstream. At the recommended dose, it usually doesn’t affect your adrenal glands, which make important stress hormones. But if you take more than prescribed or also take certain medicines that interact with Breo Ellipta (fluticasone furoate / vilanterol), you might experience adrenal insufficiency, a condition where your body doesn't make enough of its own steroid hormones.

                                  Let your prescriber know if you feel very tired, weak, or sick to your stomach, especially after surgery or during times of stress as these could be signs of low steroid levels.

                                  risk-warning

                                  Sudden narrowing of the airways

                                  Breo Ellipta (fluticasone furoate / vilanterol) can sometimes cause paradoxical bronchospasm, which means your airways tighten instead of relax. This is rare but can be life threatening. If you notice more wheezing, shortness of breath, or coughing after using Breo Ellipta (fluticasone furoate / vilanterol), stop using it and use a rescue inhaler (like albuterol) right away. Contact your prescriber since you might need to switch to a different treatment.

                                  risk-warning

                                  Serious allergic reactions

                                  • Risk factors: Allergy to milk proteins (lactose)

                                    Serious allergic reactions to Breo Ellipta (fluticasone furoate / vilanterol) are possible. These reactions can include hives, swelling of the face or throat, rash, or trouble breathing. Stop using this inhaler right away if you have any of these reactions and get medical help. Because Breo Ellipta (fluticasone furoate / vilanterol) contains lactose, people with a severe milk protein allergy shouldn't use this medication.

                                    risk-warning

                                    Heart problems

                                    • Risk factors: History of heart problems | Using more Breo Ellipta (fluticasone furoate / vilanterol) than recommended

                                      Breo Ellipta (fluticasone furoate / vilanterol) can sometimes affect your heart. It might raise your heart rate or blood pressure and can cause irregular heart rhythms. Your risk is higher if you take more than prescribed or if you already have heart problems like high blood pressure or irregular heartbeats. If you notice heart-related problems, your prescriber might have you stop using this medication.

                                      risk-warning

                                      Risk of bone loss

                                      • Risk factors: Using Breo Ellipta (fluticasone furoate / vilanterol) long term | Older adult | Unable to move for a long period of time | Family history of osteoporosis | Poor diet | Postmenopausal | Smoking | Using medications that can cause bone loss

                                        If you take Breo Ellipta (fluticasone furoate / vilanterol) for a long time, you might be at risk for bone loss. It's not certain if this will lead to broken bones, but your risk is higher if you're an older adult, postmenopausal, have a poor diet, smoke, or take certain medications. Your prescriber might check your bone density regularly to help protect your bone health. If you've had broken bones or a history of osteoporosis, talk to your prescriber before starting this medication.

                                        risk-warning

                                        Slowed growth in children

                                        Children who use inhaled steroids like Breo Ellipta (fluticasone furoate / vilanterol) might grow more slowly. To help lower this risk, your child's pulmonologist will prescribe the lowest dose needed to control their asthma. Your child's care team will also check their growth regularly while they use this inhaler. If you're concerned about how Breo Ellipta (fluticasone furoate / vilanterol) might affect your child's growth, talk with your child’s pulmonologist to see if it’s the best option.

                                        risk-warning

                                        Eye problems

                                        • Risk factors: Long-term use of Breo Ellipta (fluticasone furoate / vilanterol) | History of eye problems like glaucoma or cataracts

                                          Using Breo Ellipta (fluticasone furoate / vilanterol) for a long time can raise eye pressure, worsen glaucoma, or lead to cataracts. Talk to your prescriber right away if you experience blurry vision, eye discomfort, or other changes in your vision. You might need an eye exam to check for these problems.

                                          risk-warning

                                          High blood sugar and low potassium

                                          Breo Ellipta (fluticasone furoate / vilanterol) can raise blood sugar levels. Let your prescriber know if you're feeling more thirsty or hungry than usual, confused, or urinating more often. These can be signs of high blood sugar.

                                          Medications like Breo Ellipta (fluticasone furoate / vilanterol) can sometimes cause low potassium levels, which can affect your heart rhythm. This drop in potassium is usually short term and doesn’t require treatment. Let your care team know if you have muscle pain or weakness, muscle cramps, or abnormal heartbeat as these can be signs of low potassium.

                                          dosage

                                          Breo Ellipta (fluticasone furoate / vilanterol) dosage forms

                                          The average cost for 1 inhaler of 60 blisters of 100mcg/25mcg of Breo Ellipta (fluticasone furoate / vilanterol) is $401.34 with a free GoodRx coupon. This is 19.66% off the average retail price of $499.58.
                                          inhaler
                                          Inhaler
                                          DosageQuantityPrice as low asPrice per unit
                                          60 blisters of 50mcg/25mcg1 inhaler$408.54$408.54
                                          60 blisters of 100mcg/25mcg1 inhaler$401.34$401.34
                                          60 blisters of 200mcg/25mcg1 inhaler$409.27$409.27

                                          Typical dosing for Breo Ellipta (fluticasone furoate / vilanterol)

                                          Breo Ellipta (fluticasone furoate / vilanterol) comes in three different strengths:

                                          • Breo Ellipta 50/25 mcg - 50 mcg fluticasone furoate / 25 mcg vilanterol

                                          • Breo Ellipta 100/25 mcg - 100 mcg fluticasone furoate / 25 mcg vilanterol

                                          • Breo Ellipta 200/25 mcg - 200 mcg fluticasone furoate / 25 mcg vilanterol

                                          Asthma:

                                          • Adults 18 years and older: The typical dose is one puff of Breo Ellipta 100/25 mcg OR Breo Ellipta 200/25 mcg by mouth once a day.

                                          • Children 12 to 17 years: The typical dose is one puff of Breo Ellipta 100/25 mcg by mouth once a day.

                                          • Children 5 to 11 years: The typical dose is one puff of Breo Ellipta 50/25 mcg by mouth once a day.

                                          COPD:

                                          • Adults: The typical dose is one puff of Breo Ellipta 100/25 mcg by mouth once a day.

                                          More on Breo Ellipta (fluticasone furoate / vilanterol) dosage forms

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                                          contraindications-icon

                                          Breo Ellipta (fluticasone furoate / 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 furoate / vilanterol) will not be safe for you to take.
                                          • Asthma attacks

                                          • Severe episodes of asthma or COPD

                                          • Allergy to lactose or milk proteins

                                          alternatives

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

                                          There are a number of medications that your doctor can prescribe in place of Breo Ellipta (fluticasone furoate / vilanterol). Compare a few possible alternatives below.
                                          Breo Ellipta (fluticasone furoate / vilanterol)
                                          Used for:
                                          $380.62 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
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                                          • Maintenance treatment of asthma in people ages 5 years and older

                                          $347.09 Lowest GoodRx priceView Prices
                                          latest news

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

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                                          Breo Ellipta (fluticasone furoate / vilanterol) images

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                                          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

                                          GlaxoSmithKline LLC. (2024). Breo Ellipta- fluticasone furoate and vilanterol trifenatate powder [package insert]. DailyMed.

                                          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.

                                          Magee, J. S., et al. (2018). Paradoxical bronchoconstriction with short-acting beta agonist. American Journal of Case Reports.

                                          View All References (1)

                                          Prasco Laboratories. (2024). 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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