3.1.4 Compound bronchodilator preparations

LABA/LAMA combination inhalers (COPD only)

ChoiceDrugDosage
Formulary Choices

Anoro 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® 2.5/2.5 inhalation solution (tiotropium/olodaterol)

Dose:
Two inhalations once daily
Or

Ultibro Breezhaler®▼ 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.