Breo Ellipta (Fluticasone Furoate & Vilanterol Trifenatate)

Also Known as Relvar Ellipta

Prescription medicineOnly Available By Prescription
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184/22mcg(200/25mcg) (30 doses/inhaler)
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92/22mcg(100/25mcg) (30 doses/inhaler)
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100/25mcg (14 puffs/28 blisters/inhaler)
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100/25mcg (30 puffs/60 blisters/inhaler)
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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Breo Ellipta is a prescription medication that combines two active ingredients, fluticasone furoate and vilanterol, in a dry powder inhaler. It is primarily used for the long-term maintenance and treatment of chronic obstructive pulmonary disease (COPD) and asthma.

Fluticasone furoate is an inhaled steroid that reduces inflammation in the lungs, and vilanterol is a long-acting beta-agonist (LABA) that relaxes the muscles in the airways, making breathing easier. Together, they provide anti-inflammatory and bronchodilator effects, improving lung function and reducing COPD exacerbations of asthma attacks.

Fact Table
Formula Fluticasone Furoate: C27H29F3O6S
Vilanterol Trifenatate: C24H33Cl2NO10S2
License FDA approved
Bioavailability Fluticasone Furoate: Approximately 15.2% (inhalation)
Vilanterol: Approximately 27% (inhalation)
Legal status Prescription only
Chemical Name Fluticasone Furoate: [(6a,11ß,16a,17a)-6,9-Difluoro-17-(fluoromethylthio)-11-hydroxy-16-methyl-3-oxoandrosta-1,4-dien-17-yl 2-furoate]
Vilanterol Trifenatate: [(R)-2-(4-((2-(6-((2-hydroxy-2-phenylethyl)amino)hexyl)oxy)phenyl)oxy)ethyl)-2-hydroxy-2-(4-methylsulfanylphenyl)acetate]
Elimination half-life Fluticasone Furoate: Approximately 24 hours
Vilanterol: Approximately 21 hours
Dosage (Strength) 100 mcg Fluticasone Furoate / 25 mcg Vilanterol per inhalation
200 mcg Fluticasone Furoate / 25 mcg Vilanterol per inhalation
Pregnancy Category C; consult a healthcare provider
Brands Breo Ellipta
Protein binding Fluticasone Furoate: >99%
Vilanterol: >93%
PubChem CID Fluticasone Furoate: 45376022
Vilanterol: 11512638
MedlinePlus a613047
ChEBI Fluticasone Furoate: 68563
Vilanterol: 68820
ATC code R03AK10
DrugBank Fluticasone Furoate: DB08906
Vilanterol: DB08867
KEGG Fluticasone Furoate: D08900
Vilanterol: D10136
Routes of administration Inhalation

Directions

The usual dosage is one inhalation by mouth once daily. The dosage that enters the lungs will depend on the strength of the inhaler prescription.

Rinse the mouth with warm water after each inhalation. Spit out the water, and do not swallow it. Rinsing the mouth reduces the risk of oral thrush infection.

Ingredients

The active ingredients in Breo Ellipta are fluticasone furoate and vilanterol trifenatate.

Interactions

Common drug-drug interactions with this medication may include:

  • Bepridil
  • Cisapride
  • Desmopressin
  • Dronedarone
  • Fluconazole
  • Ketoconazole
  • Levoketoconazole
  • Mesoridazine
  • Nelfinavir
  • Pimozide
  • Piperaquine
  • Posaconazole
  • Saquinavir
  • Sparfloxacin
  • Terfenadine
  • Thioridazine
  • Ziprasidone

Cautions

Tell your doctor if you have a history of cardiovascular disease, hypertension, diabetes, or seizures before starting Breo Ellipta.

Long-term use of Breo Ellipta or use at high doses may increase the risk of pneumonia, osteoporosis, and adrenal suppression.

It is not recommended for use as a rescue medication for sudden breathing problems.

Side Effects

The common adverse reactions may include:

  • Anaphylaxis
  • Bronchitis
  • Cardiac dysrhythmia
  • Cough
  • Cushing's syndrome
  • Death, Asthma-related
  • Decreased body growth
  • Decreased bone mineral density
  • Difficulty talking
  • Disorder of the cardiovascular system
  • Electrocardiogram abnormal
  • Fracture of bone
  • Headache
  • Influenza
  • Nasopharyngitis
  • Oropharyngeal candidiasis
  • Pain, Oropharyngeal
  • Paradoxical bronchospasm
  • Pneumonia
  • Premature beats
  • Sinusitis
  • Supraventricular tachycardia
  • Upper respiratory infection
  • Viral upper respiratory tract infection

References

Breo Ellipta [package insert]. Durham, NC: GlaxoSmithKline; May 2023.




Frequently Asked Questions about Breo Ellipta


What is Breo Ellipta used for?

Breo Ellipta helps treat chronic obstructive pulmonary disorder (COPD) and asthma in adults. It's not for sudden breathing problems.


How to use Breo Ellipta?

Use Breo Ellipta once daily. Open it, exhale, inhale through the mouthpiece, hold your breath, then store it.


Is Breo Ellipta a steroid?

Yes, it contains fluticasone furoate, a steroid.


What is in Breo Ellipta?

Breo Ellipta has two active ingredients: fluticasone furoate and vilanterol.


How long can you stay on Breo?

It's for long-term treatment if it's safe and effective for you.


What is the best time of day to take Breo Ellipta?

Use it at the same time every day.


Does Breo improve lung function?

Yes, it improves lung function for a full day.


Does Breo help with coughing?

Yes, it can prevent and manage asthma symptoms, including coughing.


Can Breo cause weight gain?

No, Breo Ellipta does not cause weight gain.


How many puffs of Breo can you take a day?

For asthma, one puff of the 200 mcg /25 mcg dose once a day is the max.


Why is Breo so expensive?

The cost of Breo Ellipta can vary depending on insurance, pharmacy, and it's a brand-name drug with no generic version.


What happens if you suddenly stop taking Breo?

Stopping suddenly can cause withdrawal symptoms and worsen COPD or asthma. Always talk to your doctor first.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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