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ICS + LABA inhaler (once-daily)

Fluticasone with vilanterol

Brand names: Relvar Ellipta

Adult dose

Dose: 1 inhalation OD; 92/22 (asthma & COPD) or 184/22 (asthma)
Route: Inhaled
Frequency: OD

Clinical pearls

  • Once-daily ICS/LABA — adherence advantage
  • Not a reliever

Contraindications

  • Severe milk-protein allergy

Side effects

  • Pneumonia (COPD)
  • Oral candidiasis
  • Hoarseness
  • Headache
  • Tremor

Interactions

  • β-blockers
  • Strong CYP3A4 inhibitors
  • QT-prolonging drugs

Reference: BNF; NICE NG115/NG80; https://bnf.nice.org.uk/drugs/fluticasone-with-vilanterol/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.