LABA/ICS Combination Inhalers

Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 

Advair 

AirDuo Respiclick 

Breo Ellipta 

Dulera 

Symbicort 



Here are the LABA/ICS combination inhalers available - 3 Dry Powder Inhalers (DPI) and 3 HFA inhalers (includes propellant). For the HFA inhalers, they are the traditional type of inhaler that most people think of. These require priming and can be used with a spacer. DPI’s do not have the propellant, so patients need to take a deep quick breath to get the powder into their lungs. These combo LABA/ICS inhalers are very commonly used in asthma, but may also be part of a patients COPD regimen (see one of my old posts for the COPD treatment algorithm). Listed are the normal dosing schedules, but note that each brand has a variety of strengths too.

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One interesting point is that the fluticasone/salmeterol Respiclick is the only one that is available in a generic form. Breo Ellipta is the only one that is dosed 1 puff once daily. 



Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx



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