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Revinty Ellipta
fluticasone furoate, vilanterol

Package leaflet: Information for the user


Revinty Ellipta 92 micrograms/22 micrograms inhalation powder, pre-dispensed Revinty Ellipta 184 micrograms/22 micrograms inhalation powder, pre-dispensed


Fluticasone furoate/vilanterol


Read all of this leaflet carefully before you start using this medicine because it contains important information for you.


- Keep this leaflet. You may need to read it again.

- if you think the above applies to you, don’t use Revinty Ellipta until you have checked with your doctor.


Warnings and precautions

Talk to your doctor before you use Revinty Ellipta:

- long-acting beta2-adrenergic agonists, such as salmeterol


Tell your doctor or pharmacist if you are taking any of these medicines. Your doctor may wish to monitor you carefully if you are taking any of these medicines as they may increase the side effects of

Revinty Ellipta.


Pregnancy and breast-feeding


If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. Don’t use this medicine if you are pregnant unless your doctor tells you that you can.


It is not known whether the ingredients of this medicine can pass into breast milk. If you are breast- feeding, you must check with your doctor before you use Revinty Ellipta. Don’t use this medicine if you are breast-feeding unless your doctor tells you that you can.


If you are breast-feeding, check with your doctor before you use Revinty Ellipta.


Driving and using machines

This medicine is unlikely to affect your ability to drive or use machines.


Revinty Ellipta contains lactose

If you have been told by your doctor that you have an intolerance to some sugars, or to milk protein, contact to your doctor before using this medicine.


  1. How to use Revinty Ellipta


    Always use this medicine exactly as your doctor has told you to. Check with your doctor, nurse or pharmacist if you are not sure.

    How much to use Asthma

    The recommended dose to treat asthma is one inhalation (92 micrograms of fluticasone furoate and

    1. micrograms of vilanterol) once daily at the same time each day.


      If you have severe asthma, your doctor may decide that you should use one inhalation of the higher strength inhaler (184 micrograms fluticasone furoate and 22 micrograms of vilanterol). This dose is also used once daily at the same time each day.


      COPD

      The recommended dose to treat COPD is one inhalation (92 micrograms of fluticasone furoate and 22 micrograms of vilanterol) once daily at the same time each day.


      The higher strength of Revinty Ellipta (184 micrograms fluticasone furoate and 22 micrograms of vilanterol) is not suitable for the treatment of COPD.


      Revinty Ellipta is for inhalation use.

      Use Revinty Ellipta at the same time each day as it is effective over 24 hours

      It is very important that you use this medicine every day, as instructed by your doctor. This will help to keep you free of symptoms throughout the day and night.


      Revinty Ellipta should not be used to relieve a sudden attack of breathlessness or wheezing. If you get this sort of attack you must use a quick-acting inhaler (such as salbutamol).


      If you feel you are getting breathless or wheezy more often than normal, or if you are using your quick- acting inhaler more than usual, see your doctor.


      How to use Revinty Ellipta

      See ‘Step-by-step instructions’ after section 6 of this leaflet for full information.


      Revinty Ellipta is for inhalation use. You do not need to prepare Revinty Ellipta in any special way, not even the first time you use it.


      If your symptoms do not improve

      If your symptoms (breathlessness, wheezing, cough) do not improve or get worse, or if you are using your quick-acting inhaler more often


      contact your doctor as soon as possible.


      If you use more Revinty Ellipta than you should

      If you accidentally use more Revinty Ellipta than your doctor has instructed, talk to your doctor or pharmacist. You may notice that your heart is beating faster than usual, you feel shaky or have a headache.


      If you have used more than instructed for a long period of time, it is particularly important that you ask your doctor or pharmacist for advice. This is because larger doses of Revinty Ellipta may reduce the amount of steroid hormones produced naturally by your body.


      If you forget to use Revinty Ellipta

      Do not inhale a double dose to make up for a forgotten dose. Just take your next dose at the usual time.


      If you become wheezy or breathless, or develop any other symptoms of an asthma attack, use your quick-acting inhaler (e.g. salbutamol), then seek medical advice.


      Do not stop using Revinty Ellipta without advice

      Use this medicine for as long as your doctor recommends. It will only be effective as long as you are using it. Do not stop unless your doctor advises you to, even if you feel better.


      If you have further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

  2. Possible side effects


    Like all medicines, this medicine can cause side effects, although not everybody gets them.


    Allergic Reactions


    Allergic reactions are rare (may affect up to 1 in 1,000 people).

    If you have any of the following symptoms after taking Revinty Ellipta stop taking this medicine and tell your doctor immediately.

    • skin rash (hives) or redness

    • swelling, sometimes of the face or mouth (angioedema)

    • becoming very wheezy, coughing or having difficulty in breathing

    • suddenly feeling weak or light headed (which may lead to collapse or loss of consciousness)


      Immediate breathing difficulties


      Immediate breathing difficulties after using Revinty Ellipta are rare.

      If your breathing or wheezing gets worse straight after using this medicine, stop using it and get medical help immediately.


      Pneumonia (infection of the lung) (common side effect, may affect up to 1 in 10 people)

      Tell your doctor if you have any of the following while taking Revinty Ellipta – they could be symptoms of a lung infection:

      • fever or chills

      • increased mucus production, change in mucus colour

      • increased cough or increased breathing difficulties Other side effects include:

        Very common side effects

        These may affect more than 1 in 10 people:

      • headache

      • common cold


        Common side effects

        These may affect up to 1 in 10 people:

        • sore, raised patches in the mouth or throat caused by a fungal infection (candidiasis). Rinsing your mouth out with water immediately after using Revinty Ellipta may help stop this side effect developing.

        • inflammation of the lungs (bronchitis)

        • infection of the nose sinuses or throat

        • flu (influenza)

        • pain and irritation in the back of the mouth and throat

        • inflammation of the sinuses

        • itchy, runny or blocked nose

        • cough

        • voice disorders

        • weakening of the bones, leading to fractures

        • stomach pain

        • back pain

        • high temperature (fever)

        • joint pain

        • muscle spasms

          Uncommon side effects

          This may affect up to 1 in 100 people:

        • irregular heartbeat

        • blurred vision

        • increase in blood sugar (hyperglycaemia)


    Rare side effects

    These may affect up to 1 in 1,000 people:

    • heart beating faster (tachycardia)

    • awareness of heart beat (palpitations)

    • tremor

    • anxiety


    Reporting of side effects


    image

    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V

    . By reporting side effects you can help provide more information on the safety of this medicine.


  3. How to store Revinty Ellipta


    Keep this medicine out of the sight and reach of children.


    Do not use this medicine after the expiry date which is stated on the pack after EXP. The expiry date refers to the last day of that month.


    Do not store above 25°C.


    Keep the inhaler inside the sealed tray to protect from moisture and only remove immediately before first use. Once the tray is opened, the inhaler can be used for up to 6 weeks, starting from the date of opening the tray. Write the date the inhaler should be thrown away on the label in the space provided. The date should be added as soon as the inhaler has been removed from the tray.


    If stored in a refrigerator, allow the inhaler to return to room temperature for at least an hour before use.


    Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.


  4. Contents of the pack and other information What Revinty Ellipta contains

    • The active substances are fluticasone furoate and vilanterol.

    • For the 92/22mcg dose: each single inhalation provides a delivered dose (the dose leaving the mouthpiece) of 92 micrograms of fluticasone furoate and 22 micrograms of vilanterol (as trifenatate).

    • For the 184/22 dose: each single inhalation provides a delivered dose (the dose leaving the mouthpiece) of 184 micrograms of fluticasone furoate and 22 micrograms of vilanterol (as trifenatate).

    • The other ingredients are lactose monohydrate (See section 2) and magnesium stearate.


What Revinty Ellipta looks like and contents of the pack

Revinty Ellipta is an inhalation powder, pre-dispensed.

The Ellipta inhaler is a light grey inhaler with a yellow mouthpiece cover and a dose counter. It is packaged in a foil laminate tray with a peelable foil lid. The tray contains a desiccant sachet, to reduce moisture in the

packaging. Once you have opened the lid of the tray, throw the desiccant away – do not eat or inhale it. The inhaler does not need to be stored in the foil laminate tray once it has been opened.


The inhaler contains two aluminium foil laminate strips of 14 or 30 doses. Multipacks contain 3 x 30 dose inhalers.


Marketing Authorisation Holder:


GlaxoSmithKline (Ireland) Limited 12 Riverwalk

Citywest Business Campus

Dublin 24 Ireland


Manufacturer:


Glaxo Wellcome Production Zone Industrielle No.2,

  1. Rue Lavoisier,

    27000 Evreux, France


    For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:


    België/Belgique/Belgien GlaxoSmithKline Pharmaceuticals s.a./n.v. Tél/Tel: + 32 (0) 10 85 52 00

    Lietuva

    UAB “BERLIN-CHEMIE MENARINI BALTIC” Tel: +370 52 691 947

    lt@berlin-chemie.com


    България

    “Берлин-Хеми/А. Менарини България” EООД Teл.: +359 2 454 0950

    bcsofia@berlin-chemie.com

    Luxembourg/Luxemburg GlaxoSmithKline Pharmaceuticals s.a./n.v. Belgique/Belgien

    Tél/Tel: + 32 (0) 10 85 52 00


    Česká republika GlaxoSmithKline s.r.o. Tel: + 420 222 001 111

    cz.info@gsk.com

    Magyarország

    Berlin-Chemie/A. Menarini Kft.

    Tel.: +36 23501301

    bc-hu@berlin-chemie.com


    Danmark

    GlaxoSmithKline Pharma A/S Tlf: + 45 36 35 91 00

    dk-info@gsk.com

    Malta

    GlaxoSmithKline (Ireland) Limited Tel: +356 80065004


    Deutschland

    BERLIN-CHEMIE AG Tel.: +49 (0) 30 67070

    Nederland GlaxoSmithKline BV Tel: + 31 (0) 33 2081100


    Eesti

    OÜ Berlin-Chemie Menarini Eesti Tel: +372 667 5001

    ee@berlin-chemie.com

    Norge GlaxoSmithKline AS Tlf: + 47 22 70 20 00

    Ελλάδα

    Guidotti Hellas A.E.

    Τηλ: +30 210 8316111-13

    Österreich

    GlaxoSmithKline Pharma GmbH Tel: + 43 (0)1 97075 0

    at.info@gsk.com


    España

    FAES FARMA, S.A. Tel: + 34 900 460 153

    aweber@faes.es

    Polska

    GSK Services Sp. z o.o. Tel.: + 48 (0)22 576 9000


    France

    MENARINI France

    Tél.: + 33 (0)1 45 60 77 20

    Portugal

    BIAL, Portela & Ca. SA. Tel: + 351 22 986 61 00

    info@bial.com


    Hrvatska

    Berlin-Chemie Menarini Hrvatska d.o.o.

    Tel: +385 1 4821 361

    office-croatia@berlin-chemie.com

    România

    GlaxoSmithKline (Ireland) Limited Tel: +40 800672524


    Ireland

    GlaxoSmithKline (Ireland) Limited Tel: + 353 (0)1 4955000

    Slovenija

    Berlin-Chemie / A. Menarini Distribution Ljubljana d.o.o.

    Tel: +386 01 300 2160

    slovenia@berlin-chemie.com


    Ísland

    Vistor hf.

    Sími: + 354 535 7000

    Slovenská republika

    Berlin-Chemie / A. Menarini Distribution Slovakia s.r.o.

    Tel: +421 2 544 30 730

    slovakia@berlin-chemie.com


    Italia

    1. Menarini Industrie Farmaceutiche Riunite s.r.l. Tel: +39-055 56801

Suomi/Finland GlaxoSmithKline Oy Puh/Tel: + 358 (0)10 30 30 30


Κύπρος

GlaxoSmithKline (Ireland) Limited Τηλ: +357 80070017

Sverige GlaxoSmithKline AB Tel: + 46 (0)8 638 93 00

info.produkt@gsk.com


Latvija

SIA Berlin-Chemie/Menarini Baltic Tel: +371 67103210

lv@berlin-chemie.com

United Kingdom (Northern Ireland) GlaxoSmithKline (Ireland) Limited Tel: + 44 (0)800 221441

customercontactuk@gsk.com


This leaflet was last revised in <{MM/YYYY}>



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Step by step instructions


What is the Ellipta inhaler?

When you first use the Ellipta inhaler you do not need to check that it is working properly, and you do not need to prepare it for use in any special way. Just follow these step-by-step instructions.


Your Revinty Ellipta inhaler carton contains


Tray lid



Inhaler

Carton


This leaflet


Desiccant


Tray


image

image

The inhaler is packaged in a tray. Don’t open the tray until you are ready to start using your new inhaler. When you are ready to use your inhaler, peel back the lid to open the tray. The tray contains a desiccant sachet, to reduce moisture. Throw this desiccant sachet away – don’t open, eat or inhale it.


Desiccant

When you take the inhaler out of its tray, it will be in the ‘closed’ position. Don’t open the inhaler until you are ready to inhale a dose of medicine. When the tray is opened, write the “Discard by” date on the inhaler label in the space provided. The “Discard by” date is 6 weeks from the date you opened the tray. After this date the inhaler should no longer be used. The tray can be discarded after first opening.


The step-by-step instructions shown below for the 30-dose Ellipta inhaler (30 day supply) also apply to the 14-dose Ellipta inhaler (14 day supply).


  1. Read this before you start


    If you open and close the cover without inhaling the medicine, you will lose the dose.

    The lost dose will be securely held inside the inhaler, but it will no longer be available. It is not possible to accidentally take extra medicine or a double dose in one inhalation.


    image


  2. Prepare a dose


    Wait to open the cover until you are ready to inhale your dose. Do not shake the inhaler.

    • Slide the cover down until you hear a “click”.


      image


      Your medicine is now ready to be inhaled.

      The dose counter counts down by 1 to confirm.


      • If the dose counter does not count down as you hear the “click”, the inhaler will not deliver medicine. Take it back to your pharmacist for advice.

  3. Inhale your medicine


    • While holding the inhaler away from your mouth, breathe out as far as is comfortable.

      Don’t breathe out into the inhaler.


    • Put the mouthpiece between your lips, and close your lips firmly around it.

      Don’t block the air vent with your fingers.


      image

    • Take one long, steady, deep breath in. Hold this breath for as long as possible (at least 3-4 seconds).


    • Remove the inhaler from your mouth.


    • Breathe out slowly and gently.


      You may not be able to taste or feel the medicine, even when you are using the inhaler correctly. If you want to clean the mouthpiece, use a dry tissue, before you close the cover.


  4. Close the inhaler and rinse your mouth


    • Slide the cover upwards as far as it will go, to cover the mouthpiece.


      image

    • Rinse your mouth with water after you have used the inhaler, do not swallow.

This will make it less likely that you will develop a sore mouth or throat as side effects.