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Breztri 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

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 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 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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