3.1.4 Compound bronchodilator preparations

LABA/LAMA combination inhalers (COPD only)

Choice	Drug
Formulary Choices	Anoro Ellipta ®▼ DPI 55/22 (umeclidinium /vilanterol)
	Or
	Duaklir Genuair®▼ DPI 340/12 (aclidinium/formoterol)
	Or
	Spiolto Respimat® soft mist 2.5/2.5 inhalation solution (tiotropium/olodaterol)
	Or
	Ultibro Breezhaler® DPI 85/43 inhalation powder capsules with device (indacaterol/glycopyrronium)

Prescribing Notes

• Consider a LAMA/LABA combination in patients with severe breathlessness symptoms and low risk of exacerbations before considering addition of ICS.
• All LABA/LAMA combination inhalers are less costly than the combined costs of the single inhalers and may be more convenient for patients.