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Breztri Aerosphere vs. Trelegy Ellipta

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

Key takeaways

Breztri Aerosphere (budesonide/glycopyrrolate/formoterol) and Trelegy Ellipta (fluticasone/umeclidinium/vilanterol) are both combination inhalers used for the maintenance treatment of chronic obstructive pulmonary disease (COPD). They belong to the same drug class, ICS/LAMA/LABA, which means they contain an inhaled corticosteroid, a long-acting muscarinic antagonist, and a long-acting beta agonist. However, Trelegy Ellipta is also FDA-approved for asthma, while Breztri Aerosphere is not. Breztri is taken as two inhalations twice daily, whereas Trelegy is taken as one inhalation once daily. Both medications are only available as brand names, with no generic versions. Common side effects of Breztri include upper respiratory tract infections and pneumonia, while Trelegy may cause headaches and cough. Both medications require you to rinse your mouth after use to prevent thrush, a fungal infection. Additionally, you should not use either medication for sudden breathing problems; instead, use a rescue inhaler like albuterol.

Breztri

 

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Trelegy Ellipta

 

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Summary for Breztri Aerosphere

Prescription only

Breztri Aerosphere is a triple therapy inhaler. It contains budesonide (an inhaled corticosteroid), glycopyrrolate (a long-acting muscarinic antagonist), and formoterol fumarate (a long-acting beta agonist). It's used for the maintenance treatment of chronic obstructive pulmonary disease (COPD) in adults. It's also approved for the maintenance treatment of asthma in people 12 years and older. Breztri is inhaled through the mouth twice each day. Common side effects include upper respiratory tract infections and pneumonia.

Indications for Breztri Aerosphere

Pros and Cons for Breztri Aerosphere

Pros

Cons

  • Need to take 2 puffs twice each day
  • Need to rinse your mouth after each use
  • Might cause throat irritation or hoarseness
  • Doesn't treat sudden COPD or asthma attacks

Common Side Effects for Breztri Aerosphere

Warnings for Breztri Aerosphere

  • Not for flare-ups or worsened breathing
  • Sudden tightening of your airways (bronchospasm)
  • Fungal infection in the mouth
  • Higher risk of infections
  • Steroid effects from overuse and switching from steroid pills
  • Allergic reactions
  • Effects on heart rate, heart rhythm, and blood pressure
  • Weaker bones
  • Slowed growth in children
  • Eye and vision problems
  • Trouble urinating
  • Low potassium and high blood sugar
  • Caution use in people with certain health conditions

Summary for Trelegy Ellipta

Prescription only

Trelegy Ellipta is a combination maintenance inhaler used to treat adults with chronic obstructive pulmonary disease (COPD) and asthma. It contains three active ingredients: fluticasone (a corticosteroid), umeclidinium (a long-acting muscarinic antagonist), and vilanterol (a long-acting beta agonist). Together, these help reduce airway inflammation, relax airway muscles, and help keep your airways open. The typical dose is one puff inhaled through the mouth once a day. Common side effects include headache, cough, and back pain.

Indications for Trelegy Ellipta

Pros and Cons for Trelegy Ellipta

Pros

  • Only need to inhale one puff once a day
  • Combination of three medications within a single inhaler
  • Approved for both COPD and asthma

Cons

  • Common side effects include headache and cough
  • Can't use if severely allergic to milk proteins because it contains lactose
  • Need to rinse your mouth after each dose to prevent oral thrush

Common Side Effects for Trelegy Ellipta

COPD:

  • Headache (4%)
  • Back pain (4%)
  • Changes in taste (2%)
  • Diarrhea (2%)

Asthma:

  • Common cold symptoms (up to 17%)
  • Headache (up to 9%)
  • Upper respiratory tract infection (up to 7%)
  • Bronchitis (up to 5%)
  • Sinus infection (up to 3%)
  • Back pain (up to 3%)

Warnings for Trelegy Ellipta

  • Worsening symptoms or sudden flare-ups
  • Overdose
  • Oral thrush
  • Pneumonia
  • Risk of infection
  • Changes in stress hormone levels
  • Sudden narrowing of the airways
  • Serious allergic reaction
  • Heart problems
  • Weaker bones
  • Eye problems
  • Trouble urinating
  • Worsening of certain health conditions
  • Low potassium and high blood sugar

Prices with our coupons for Breztri Aerosphere vs. Trelegy Ellipta

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
Trelegy Ellipta1 inhaler / 60 blisters of 100mcg/62.5mcg/25mcg
$676.02$864.39
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