Breo Ellipta® Inhaler for Asthma and COPD

Breo Ellipta is a prescription dry-powder inhaler used for ongoing control of asthma and COPD symptoms. It combines an inhaled corticosteroid with a long-acting bronchodilator to help reduce inflammation and keep airways open. This page explains how the medicine works, who it may suit, and how you can manage costs without insurance, including US delivery from Canada.

What Breo Ellipta Is and How It Works

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing. This combination therapy pairs fluticasone furoate, an inhaled corticosteroid that reduces airway swelling, with vilanterol, a long-acting beta2-agonist that relaxes airway muscles. It is used once daily for maintenance control and is not a rescue inhaler for sudden breathing problems. After you inhale the dose, the powder reaches the lungs to limit airway inflammation and improve airflow over time.

Respiratory conditions often need consistent control therapy. Breo Ellipta® was developed to simplify daily management with a single inhalation device. The Breo Ellipta inhaler provides measured doses from individually sealed blisters. Always keep a quick-relief inhaler available for acute symptoms as directed by your prescriber.

Who It’s For

This medicine is prescribed for maintenance treatment of asthma in patients who require both an inhaled corticosteroid and a long-acting bronchodilator. It is also indicated for long-term maintenance in COPD, including chronic bronchitis and emphysema, when a clinician determines a combination is appropriate.

It should not be used to relieve sudden breathing problems or as the first treatment for acute exacerbations. People with a severe allergy to milk proteins or any component of the device should not use it. Those with certain heart conditions, glaucoma, cataracts, decreased bone mineral density, immune system concerns, or a history of thrush should discuss risks and monitoring with their healthcare professional. See the official label for the full list of contraindications and warnings.

Explore condition guidance for Asthma and COPD.

Dosage and Usage

This is a once-daily maintenance treatment; use at the same time each day, exactly as prescribed. Do not use it to treat sudden symptoms. If your clinician adjusts the strength or schedule, always follow the official instructions provided with your prescription.

How to use the device:

• Prepare dose: Open the cover fully until you hear a click. The counter will decrease by one.
• Breathe out: Exhale away from the mouthpiece. Do not blow into the device.
• Inhale: Place lips around the mouthpiece and take one long, steady, deep breath in.
• Hold breath: Remove the inhaler and hold for about 3 to 4 seconds or as directed.
• Rinse: Spit out water after rinsing your mouth to lower the chance of thrush.

If your clinician has prescribed a spacer or additional inhalers, use them in the order described by your prescriber and label.

Some patients search for a fluticasone furoate vilanterol inhaler to understand the class. Always rely on your own prescription label for directions on frequency and strength.

For more technique tips, see Inhaler Therapy and the Combivent Respimat Guide.

Strengths and Forms

The Ellipta device contains dry-powder blisters for once-daily inhalation. Availability can vary by pharmacy and manufacturer packaging.

• Strength options: 100/25 mcg and 200/25 mcg.
• Typical device: 30-dose inhaler with a built-in counter.

Your prescriber selects the strength based on your diagnosis and response.

Missed Dose and Timing

If you miss a dose, skip it and take the next dose at your usual time. Do not take extra puffs to make up for a missed dose. If you frequently forget doses, set reminders or use a daily routine to support consistent use. Contact your healthcare professional if you have questions about timing, especially around changes in symptoms.

Storage and Travel Basics

Store the device at room temperature in a dry place. Keep it in the sealed tray until first use to protect the blisters from moisture. After opening the tray, note the counter and the discard date in the patient leaflet. Keep the cover closed when not in use, and do not wash the mouthpiece; you may wipe it dry if needed. Keep away from heat, humidity, and direct sunlight, and out of reach of children and pets.

For travel, carry your inhaler and prescription label in your hand luggage. Keep the device dry and closed during flights. If traveling across time zones, choose a local time you can remember daily. Bring enough medication for the trip plus a little extra in case of delays, and carry your prescriber’s contact information. Airport screening staff may ask to view the prescription label.

Benefits

This maintenance therapy combines an anti-inflammatory steroid with a long-acting bronchodilator in a single daily inhalation. The device is preloaded, so no priming steps or canister changes are required. Consistent use may help reduce day-to-day symptoms, lessen flare-ups, and improve activity tolerance over time. Rinsing after each dose helps lower the risk of oral thrush. Many patients appreciate the dose counter, which helps track remaining doses and supports timely refills.

Side Effects and Safety

• Headache or dizziness
• Throat irritation or hoarseness
• Cough or upper respiratory symptoms
• Oral thrush (white patches, soreness)
• Sinus discomfort or runny nose
• Muscle cramps or tremor

Serious risks are less common but can include paradoxical bronchospasm, severe allergic reactions, pneumonia in COPD, adrenal suppression, changes in blood pressure or heart rhythm, reduced bone mineral density, eye problems such as glaucoma or cataracts, hyperglycemia, and low potassium. Seek urgent medical care for breathing that suddenly worsens after use, symptoms of anaphylaxis, chest pain, or vision changes. Report side effects to your clinician promptly. Tell your prescriber if infections do not improve.

Drug Interactions and Cautions

Tell your healthcare professional about all medicines and supplements you take. Strong CYP3A4 inhibitors such as ketoconazole, ritonavir, or cobicistat can increase steroid and LABA exposure. Avoid using other long-acting beta2-agonists with this treatment. Beta-blockers may reduce effectiveness. Diuretics can increase the risk of low potassium. Use caution with MAO inhibitors or tricyclic antidepressants due to potential cardiovascular effects. If you have tuberculosis, active infections, eye pressure concerns, heart rhythm issues, or osteoporosis, discuss monitoring and risk mitigation with your prescriber.

What to Expect Over Time

With regular daily use, many people notice steadier breathing and fewer symptom flare-ups as their maintenance plan takes effect. This is not a quick-relief inhaler, so keep your rescue medicine available for sudden symptoms. Adherence matters: take it at the same time each day and track remaining doses. If control changes, your clinician may reassess your plan, which can include other inhalers or add-on therapies. For supportive strategies, see tips to Reduce Asthma Attacks.

Compare With Alternatives

Similar maintenance options include ICS/LABA combinations and, for certain COPD patients, triple therapy. Two common comparators are:

• Advair (fluticasone propionate/salmeterol), an ICS/LABA used for asthma and COPD maintenance when appropriate.
• Trelegy Ellipta (fluticasone furoate/umeclidinium/vilanterol), a once-daily triple therapy for COPD and certain asthma patients when prescribed.

Your prescriber will match the class and strength to your needs, other conditions, and inhaler technique.

Pricing and Access

We aim to make maintenance therapies more accessible with transparent Canadian dispensing. If you are comparing options, check your Breo Ellipta price alongside other inhalers to understand your out-of-pocket costs. We provide current pricing and supply information so you can plan refills ahead. For country-of-origin details, see Canada. Our checkout uses encrypted security to help protect your information.

Many visitors ask about savings through cash pricing and coupon opportunities. See our latest Promotions for general offers. Ordering is available with US shipping from Canada when your valid prescription is received and verified.

Availability and Substitutions

There is currently no FDA-approved generic equivalent for this specific combination in the U.S. If you are searching for a generic Breo Ellipta, talk with your prescriber about clinically appropriate alternatives in the same class. Depending on your diagnosis and response, a clinician may recommend another ICS/LABA or, for COPD, a different class or triple therapy. If supply is limited, your prescriber can advise on substitutions that align with your treatment goals. We do not promise restock dates.

Patient Suitability and Cost-Saving Tips

This treatment may suit adults with asthma or COPD who need both anti-inflammatory and long-acting bronchodilation in a single daily inhalation. It may not suit people with severe milk protein allergy, certain heart rhythm disorders, uncontrolled hypertension, or those who experience recurrent thrush. Your clinician will decide if this class is appropriate based on your history, lung function, and other medicines.

• Multi-month refills: Ask about 60- or 90-day supplies to reduce trips.
• Refill prompts: Set calendar reminders when the counter nears low.
• Technique check: Review inhaler steps at each visit to maintain control.
• Rinse routine: Rinse and spit after every dose to lower thrush risk.
• Keep a backup: Store a spare device if your plan allows.

When budgeting, compare Breo Ellipta cost without insurance to other maintenance inhalers your prescriber considers appropriate. Factor in the dosing schedule, device counter, and follow-up visits as you plan ongoing care.

Questions to Ask Your Clinician

• Is this combination right for my asthma or COPD control goals?
• Which strength should I start with, and how will we monitor it?
• What signs suggest I need a different inhaled therapy or device?
• How should I coordinate this inhaler with my rescue medicine?
• Which medicines might interact with my maintenance treatment?
• What should I do if I notice hoarseness, thrush, or vision changes?
• How often should we reassess my inhaler technique and symptom diary?

Authoritative Sources

FDA DailyMed Prescribing Information

Health Canada Drug Product Database

GSK Manufacturer Information

Ready to start or refill? You can buy Breo Ellipta online with prompt, express shipping that Ships from Canada to US and temperature-controlled handling when required. This page is informational and does not replace medical advice; always follow your prescriber’s instructions and the official label.