Fluticasone/vilanterol (By breathing)


Fluticasone Furoate (floo-TIK-a-sone FURE-oh-ate), Vilanterol Trifenatate (vye-LAN-ter-ol trye-FEN-a-tate)

Treats symptoms of chronic obstructive pulmonary disease (COPD). This medicine is a combination of a steroid and a bronchodilator.

Brand Name(s)

Breo Ellipta

When This Medicine Should Not Be Used

How to Use This Medicine


  • Take your medicine as directed. Too much of this medicine can cause serious side effects. Use this medicine at the same time every day.
  • This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
  • This medicine is a powder that is used with its own inhaler device.
    • To use:
      • Open the cover of the inhaler until you hear a clicking sound. The inhaler is now ready to use. Do not close the cover until you have taken your dose. If you open and close the cover without inhaling the dose, you will lose the medicine. Do not take more than 1 puff per day.
      • Before you inhale your dose, breathe out fully, and try to empty your lungs as much as possible.
      • Place the mouth piece of the inhaler in your mouth and breathe in a steady, deep breath. Do not breathe in through your nose.
      • Remove the inhaler from your mouth. Hold your breath for about 3 to 4 seconds, then breathe out slowly.
    • When you have finished all your inhalations, rinse your mouth out with water.
    • The inhaler has a window that shows the number of doses that are left. The counter will turn red when the inhaler has fewer than 10 doses left. This will remind you to refill your prescription.

If a dose is missed:

  • Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Do not take more than 1 puff per day.

How to Store and Dispose of This Medicine

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep the medicine in the foil tray. Do not open it until you are ready to use the inhaler for the first time.
  • Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed. Throw away this medicine 6 weeks after it was opened or when the counter reads "0."
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • This medicine should not be used together with similar inhaled medicines such as arformoterol (Brovana®), budesonide/formoterol (Symbicort®), formoterol (Foradil®, Perforomist®), indacaterol (Arcapta®), or salmeterol (Serevent®).
  • Make sure your doctor knows if you have used medicine for depression (such as amitriptyline, nortriptyline, Elavil®) or an MAO inhibitor (such as Eldepryl®, Marplan®, Nardil®, or Parnate®) within the past 2 weeks.
  • Tell your doctor if you are using conivaptan (Vaprisol®), medicine to treat seizures (such as carbamazepine, phenytoin, Dilantin®), medicine to treat depression (such as nefazodone, Serzone®), medicine to treat an infection (such as clarithromycin, itraconazole, ketoconazole, telithromycin, troleandomycin, voriconazole, Nizoral®), medicine to treat HIV or AIDS (such as indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, Crixivan®, Kaletra®, Norvir®), a diuretic (water pill, such as furosemide, hydrochlorothiazide [HCTZ], torsemide, Lasix®), or certain blood pressure medicines (such as amlodipine, atenolol, clonidine, lisinopril, metoprolol, Benicar®, Cozaar®, Diovan®).

Warnings While Using This Medicine

  • Make sure your doctor knows if you are pregnant or breastfeeding, or if you have liver, heart, or blood vessel disease, high blood pressure, heart rhythm problems (such as prolonged QT interval), seizures, or low potassium in the blood. Tell your doctor if you have thyroid problems, osteoporosis, diabetes, cataracts, or glaucoma.
  • Tell your doctor if you have any infections, such as herpes of the eye, chicken pox, measles, or tuberculosis. This medicine could worsen these infections.
  • Do not use this medicine to treat a COPD attack. Your doctor may prescribe another medicine that you should use when you have a COPD flare-up.
  • Do not use this medicine to treat asthma. This medicine may increase the risk of a life-threatening asthma attack.
  • This medicine may cause increased trouble breathing that may be life-threatening. Tell your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after you inhale this medicine.
  • Too much of this medicine or long-term use may increase your risk of adrenal gland problems. Tell your doctor if you have more than one of these symptoms while you are using this medicine: darkening of the skin, diarrhea, lightheadedness, dizziness, or fainting, loss of appetite, mental depression, muscle pain or weakness, nausea, skin rash, unusual tiredness or weakness, or vomiting.
  • Long-term use of this medicine may cause bone weakness or osteoporosis. Ask your doctor for more information.
  • Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments. You should also have regular eye exams while you use this medicine.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Changes in skin color, dark freckles, cold feeling, weakness, tiredness, nausea, vomiting, weight loss
  • Chest pain
  • Eye pain or vision loss
  • Fast, pounding, or uneven heartbeat
  • Fever, chills, cough, runny or stuffy nose, sore throat, and body aches
  • Lightheadedness, dizziness, or fainting
  • Muscle pain or weakness, unusual tiredness
  • Worsening of breathing problems

If you notice these less serious side effects, talk with your doctor:

  • Blurred vision or change in your vision
  • Dry mouth
  • White patches in your mouth or throat (thrush), pain when eating or swallowing

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Version Info

  • Last reviewed on 8/4/2014

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch)

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2013 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.