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3.1.4 Compound bronchodilator preparations

LABA/LAMA combination inhalers (COPD only)

ChoiceDrugDosage
Formulary ChoicesAnoro Ellipta ®▼ DPI
55/22
(umeclidinium /vilanterol)
Dose: One inhalation daily

Or

Duaklir Genuair®▼ DPI 340/12 (aclidinium/formoterol)

Dose: One inhalation twice daily


Or

Spiolto Respimat® soft mist 2.5/2.5 inhalation solution (tiotropium/olodaterol)

Dose: Two inhalations once daily

Or

Ultibro Breezhaler® DPI 85/43 inhalation powder capsules with device (indacaterol/glycopyrronium)

Dose: One inhalation daily

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.