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Breztri vs. Advair

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Breztri Aerosphere (budesonide/glycopyrrolate/formoterol) and Advair (fluticasone/salmeterol) are both inhaled medications used for the maintenance treatment of chronic obstructive pulmonary disease (COPD). They both contain an inhaled corticosteroid (ICS) and a long-acting beta agonist (LABA), but Breztri also includes a long-acting muscarinic antagonist (LAMA), making it an ICS/LAMA/LABA combination, while Advair is an ICS/LABA combination. Breztri is specifically approved for COPD, whereas Advair is approved for both COPD and asthma, with Advair Diskus being the form used for COPD. Breztri is taken as two inhalations twice daily, while Advair Diskus is typically one inhalation twice daily for COPD. Breztri is only available as a brand-name medication, whereas Advair has a generic version called Wixela Inhub. Common side effects of Breztri include upper respiratory tract infections and pneumonia, while Advair can cause upper respiratory infections, sore throat, and headaches. Both medications can increase the risk of fungal infections in the mouth, so it's important to rinse your mouth after use. Additionally, Breztri should not be used with other LABA-containing inhalers.

Breztri

 

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Advair

(fluticasone / salmeterol)

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Summary for Breztri

Prescription only

Breztri Aerosphere is a combination inhaler that contains budesonide (an inhaled corticosteroid), glycopyrrolate (a long-acting muscarinic antagonist), and formoterol fumarate (a long-acting beta agonist). It's used for maintenance treatment of chronic obstructive pulmonary disease (COPD) in adults. Breztri is inhaled through the mouth and into the lungs twice per day every day. The most common side effects are upper respiratory tract infections and pneumonia. Breztri is brand name only and not available as a lower-cost generic.

Indications for Breztri

Pros and Cons for Breztri

Pros

  • Lowers the risk of COPD flare-ups
  • Combination of three medications in a single inhaler
  • Can be used with a spacer to make it easier to take a dose

Cons

  • Need to rinse your mouth after each dose
  • Need to inhale 2 puffs twice daily
  • Doesn't treat sudden worsening symptoms of COPD

Common Side Effects for Breztri

Warnings for Breztri

  • Not for asthma, COPD flare ups, or worsening breathing
  • Fungal infection in the mouth
  • Narrowing of your airways (bronchospasm)
  • Allergic reactions
  • Higher risk of infections
  • Changes in stress hormone levels
  • Eye and vision problems
  • Heart problems
  • Low potassium levels in the blood
  • Trouble urinating

Summary for Advair

Prescription only

Advair is a combination inhaler that contains fluticasone (an inhaled corticosteroid) and salmeterol (a long-acting beta agonist, or LABA). Advair Diskus is used for maintenance treatment of chronic obstructive pulmonary disease (COPD) and asthma in adults and children, where as Advair HFA is for asthma only. Advair (fluticasone / salmeterol) is inhaled through the mouth, typically 1 to 2 puffs twice daily. Some common side effects of this medication include upper respiratory tract infection, sore throat, and headache.

Indications for Advair

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

Pros and Cons for Advair

Pros

  • Works well to lower the risk of asthma or COPD symptoms
  • Combines two medications into a single inhaler for convenience
  • Available as two different types of inhalers (Advair Diskus and Advair HFA)

Cons

  • Can cause fungal infections (thrush) in your mouth and throat
  • Advair Diskus contains lactose, so it might not be safe for people with severe milk protein allergies
  • Doesn't replace your rescue inhaler

Common Side Effects for Advair

Advair Diskus:

  • Upper respiratory infection (up to 27%)
  • Sore throat (up to 13%)
  • Headache (up to 13%)
  • Bronchitis (up to 8%)
  • Cough (up to 6%)
  • Nausea and vomiting (up to 6%)
  • Hoarseness (up to 5%)

Advair HFA:

  • Upper respiratory infection (up to 24%)
  • Headache (up to 21%)
  • Throat irritation (up to 9%)
  • Muscle and bone pain (up to 7%)
  • Nausea and vomiting (up to 5%)

Warnings for Advair

  • Not for use in asthma attack or for worsening breathing
  • Fungal infection in the mouth
  • Narrowing of your airways (bronchospasm)
  • Higher risk of infections
  • Altered stress hormone levels
  • Delayed growth in children
  • Eye and vision problems
  • Heart problems
  • Low potassium levels in the blood
  • Allergic reactions

Prices with our coupons for Breztri vs. Advair

Price Card Drug Icon
Breztri Aerosphere1 inhaler / 120 inhalations of 160mcg/9mcg/4.8mcg
$665.69$847.96
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Price Card Drug Icon
Fluticasone/Salmeterol1 diskus inhaler / 250mcg/50mcg
$65.46$314.99
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