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How these guides are written and reviewed →
An Ellipta is a flat dry-powder inhaler that loads a dose simply by sliding the cover down until it clicks. Most Ellipta medicines are taken just once a day. You then take one long, steady, deep breath in — there is nothing to shake or press.
Breo (fluticasone furoate / vilanterol), Trelegy (fluticasone / umeclidinium / vilanterol), Anoro (umeclidinium / vilanterol) and Incruse (umeclidinium) are taken once a day, at the same time each day. Taking a second dose because you feel breathless is not safe and will not help — these are not rescue medicines. Keep your separate blue reliever with you and follow your written action plan.
Examples of this type
Different medicines come in this device. Common examples include:
- Breo Ellipta (fluticasone furoate / vilanterol)
- Trelegy Ellipta (fluticasone / umeclidinium / vilanterol)
- Anoro Ellipta (umeclidinium / vilanterol)
- Incruse Ellipta (umeclidinium)
Brand names are examples only and availability changes — always go by the name on your own inhaler and your prescriber's instructions.
How to use it — step by step
Getting the best from it
- Open the cover once only — opening and closing without inhaling wastes a dose.1,2
- Do not block the air vent with your fingers.
- It is usually a once-daily preventer — take it at the same time each day.
Looking after your inhaler
Wipe the mouthpiece with a dry tissue if needed; keep dry. The counter shows doses left and turns red near the end.
Most people lose some accuracy over time.3,4 We can check your inhaler technique at your appointment.
References & evidence base
- National Asthma Council Australia. Inhaler technique for people with asthma or COPD. Information paper for health professionals. Melbourne: National Asthma Council Australia, 2026.
- Australian Commission on Safety and Quality in Health Care. Inhaler technique — device-specific checklists. Sydney: ACSQHC, 2020.
Further reading
- Sanchis J, Gich I, Pedersen S; ADMIT Group. Systematic review of errors in inhaler use: has patient technique improved over time? Chest 2016;150(2):394–406.
- Usmani OS, Lavorini F, Marshall J, et al. Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes. Respir Res 2018;19(1):10.
References are numbered in citation order (Vancouver/BMJ style) and were current at the time of writing. Always follow the leaflet for your specific device and your prescriber's instructions.
Everything starts with an assessment — your symptoms, breathing, exercise tolerance and daily function measured properly, so what follows is built on your lungs rather than an average.
Corrections: If something on this page is wrong, out of date or unclear, we want to know. Email reception@inspireclinic.au with the page name and what you believe is incorrect. Substantive corrections are made promptly, and the guide’s version and last-updated date are changed to reflect it.
