Fluticasone, Umeclidinium, and Vilanterol
Medically reviewed on May 2, 2018.
Uses of Fluticasone, Umeclidinium, and Vilanterol:
- It is used to treat COPD (chronic obstructive pulmonary disease).
- This medicine is not to be used to treat intense flare-ups of shortness of breath. Use a rescue inhaler. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Fluticasone, Umeclidinium, and Vilanterol?
- If you have an allergy to fluticasone, umeclidinium, and vilanterol or any part of fluticasone, umeclidinium, and vilanterol.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have a milk allergy.
- If you are using another drug like this one.
- If you take other drugs called anticholinergics, like ipratropium or oxybutynin. Ask your doctor if you are not sure if any of your drugs are anticholinergic.
This is not a list of all drugs or health problems that interact with fluticasone, umeclidinium, and vilanterol.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take fluticasone, umeclidinium, and vilanterol with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Fluticasone, Umeclidinium, and Vilanterol?
- Tell all of your health care providers that you take fluticasone, umeclidinium, and vilanterol. This includes your doctors, nurses, pharmacists, and dentists.
- Call your doctor right away if your breathing problems get worse, if your rescue inhaler does not work as well, or if you need to use your rescue inhaler more often.
- Have your blood pressure checked often. Talk with your doctor.
- If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
- Do not take more of fluticasone, umeclidinium, and vilanterol or use it more often than you have been told. Deaths have happened when too much of this type of drug has been taken. Talk with your doctor.
- When changing from an oral steroid to another form of a steroid, there may be very bad and sometimes deadly side effects. Signs like weakness, feeling tired, dizziness, upset stomach, throwing up, not thinking clearly, or low blood sugar may happen. Call your doctor right away if you have any of these signs. If you have a bad injury, have surgery, or any type of infection, you may need extra doses of oral steroids. These extra steroids will help your body deal with these stresses. Carry a warning card saying that there may be times when you may need extra steroids.
- The chance of getting pneumonia is higher in people with COPD. This medicine may raise the chance of getting pneumonia. The chance of having to go to the hospital for pneumonia may also be higher. Some cases have been deadly. Talk with the doctor.
- You may have more chance of getting an infection. Wash hands often. Stay away from people with infections, colds, or flu.
- Chickenpox and measles can be very bad or even deadly in some people taking steroid drugs like fluticasone, umeclidinium, and vilanterol. Avoid being near anyone with chickenpox or measles if you have not had these health problems before. If you have been exposed to chickenpox or measles, talk with your doctor.
- Long-term use may raise the chance of cataracts or glaucoma. Talk with the doctor.
- Have an eye exam as you have been told by your doctor.
- This medicine may cause weak bones (osteoporosis) with long-term use. Talk with your doctor to see if you have a higher chance of weak bones or if you have any questions.
- This medicine is not approved for use in children. Talk with the doctor.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using fluticasone, umeclidinium, and vilanterol while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
How is this medicine (Fluticasone, Umeclidinium, and Vilanterol) best taken?
Use fluticasone, umeclidinium, and vilanterol as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Follow how to use as you have been told by the doctor or read the package insert.
- For breathing in only.
- Take fluticasone, umeclidinium, and vilanterol at the same time of day.
- To gain the most benefit, do not miss doses.
- Keep using fluticasone, umeclidinium, and vilanterol as you have been told by your doctor or other health care provider, even if you feel well.
- Do not take out the inhaler from the foil tray until right before first use.
- Do not take the device apart or wash it. Do not use it with a spacer. Do not breathe out into the device.
- Close the device after each dose. Do not open the device unless a dose is being used.
- Rinse out mouth after each use. Do not swallow the rinse water. Spit it out.
- If using more than 1 type of puffer (inhaler), ask the doctor which puffer to use first.
- Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
What do I do if I miss a dose?
- Use a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not use 2 doses at the same time or extra doses.
- Do not use more than 1 time a day.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
- Signs of high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
- Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
- Signs of a weak adrenal gland like a very bad upset stomach or throwing up, very bad dizziness or passing out, muscle weakness, feeling very tired, mood changes, not hungry, or weight loss.
- Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
- Chest pain or pressure or a fast heartbeat.
- A heartbeat that does not feel normal.
- Feeling nervous and excitable.
- Change in eyesight, eye pain, or very bad eye irritation.
- Seeing halos or bright colors around lights.
- Trouble passing urine.
- Pain when passing urine.
- Passing urine in a weak stream or drips.
- Redness or white patches in mouth or throat.
- Bone pain.
- This medicine can cause very bad breathing problems right after you take a dose. Sometimes, this may be life-threatening. If you have trouble breathing, breathing that is worse, wheezing, or coughing after using fluticasone, umeclidinium, and vilanterol, use a rescue inhaler and get medical help right away.
What are some other side effects of Fluticasone, Umeclidinium, and Vilanterol?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Back pain.
- Change in taste.
- Upset stomach or throwing up.
- Loose stools (diarrhea).
- Throat pain.
- Mouth pain.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Fluticasone, Umeclidinium, and Vilanterol?
- Store at room temperature.
- Protect from heat.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- After opening, throw away any part not used after 6 weeks or when the indicator reads zero, whichever comes first.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time fluticasone, umeclidinium, and vilanterol is refilled. If you have any questions about fluticasone, umeclidinium, and vilanterol, please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
More about fluticasone/umeclidinium/vilanterol
- Fluticasone/umeclidinium/vilanterol Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Support Group
- En Español
- 6 Reviews – Add your own review/rating
- Drug class: bronchodilator combinations
- Fluticasone, umeclidinium, and vilanterol
- Fluticasone, umeclidinium, and vilanterol Inhalation (Advanced Reading)
Other brands: Trelegy Ellipta