TRELEGY ELLIPTA 92/55/22 micrograms inhalation powder (single dose)

2. What you need to know before you use Trelegy Ellipta

Do not use Trelegy Ellipta

• if you are allergic to fluticasone furoate, umeclidinium, vilanterol, or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor before starting to use Trelegy Ellipta

• if you have asthma(do not use Trelegy Ellipta to treat asthma)
• if you have heart problemsor high blood pressure
• if you have liver problems
• if you have tuberculosis(TB) lung infectionor any other long-standing or untreated infection
• if you have a glaucomacalled narrow-angle glaucoma
• if you have an enlarged prostate, difficulty urinating, or a blockage in the bladder
• if you suffer from epilepsy
• if you have thyroid problems
• if you have low potassium levelsin your blood
• if you have a history of diabetes
• if you experience blurred visionor other visual disturbances.

Consult your doctorif you think any of the above conditions apply to you.

Urgent breathing difficulties

If you experience chest tightness, coughing, wheezing, or difficulty breathing immediately after using your Trelegy Ellipta inhaler:

stop using this medicineand seek medical help immediately, as you may have a serious condition called paradoxical bronchospasm.

Eye problems during treatment with Trelegy Ellipta

If you experience eye pain or discomfort, blurred vision for a time, halos, colored images, as well as redness of the eyes during treatment with Trelegy Ellipta:

stop using this medicine and seek medical help immediately. These signs may be due to an acute attack of narrow-angle glaucoma.

Lung infection

If you are using this medicine to treat COPD, you may be at a higher risk of developing a lung infection called pneumonia. See section 4 "Possible side effects" for information on the symptoms to look out for while using this medicine.

Consult your doctor as soon as possible if you develop any of these symptoms.

Children and adolescents

This medicine should not be given to children or adolescents under 18 years of age.

Other medicines and Trelegy Ellipta

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. If you are not sure what your medicine contains, consult your doctor or pharmacist.

Some medicines may affect the way this medicine works or make it more likely that you will have side effects. These include:

• medicines called beta-blockers (such as propranolol), used to treat high blood pressure or other heart diseases
• ketoconazole or itraconazole, to treat fungal infections
• clarithromycin or telithromycin, to treat bacterial infections
• ritonavir or cobicistat to treat HIV
• medicines that lower the level of potassium in the blood, such as some diuretics or some medicines to treat COPD and asthma (such as methylxanthine or steroids)
• other long-acting medicines to treat respiratory problems similar to this medicine, for example, tiotropium, indacaterol. Do not use Trelegy Ellipta if you are already using these medicines.

Consult your doctor or pharmacistif you are taking any of these medicines. Your doctor may monitor you closely if you are taking any of these medicines, as they may increase the side effects of Trelegy Ellipta.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine. If you are pregnant, do not use this medicine unless your doctor tells you to.

It is not known if the components of Trelegy Ellipta can pass into breast milk. If you are breastfeeding, consult your doctor before using Trelegy Ellipta. If you are breastfeeding, do not use this medicine unless your doctor tells you to.

Driving and using machines

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

Trelegy Ellipta contains lactose

If your doctor has told you that you have an intolerance to some sugars, consult them before using this medicine.

3. How to use Trelegy Ellipta

Follow the instructions for using this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist again.

The recommended doseis one inhalation every day, at the same time each day. You only need one inhalation a day, as the effect of this medicine lasts for 24 hours.

Do not use more doses than your doctor has told you to.

Use Trelegy Ellipta regularly

It is very important that you use Trelegy Ellipta every day, as your doctor has told you. This will help you not to have symptoms throughout the day and night.

Trelegy Ellipta should notbe used to relieve a sudden attack of shortness of breath or wheezing. If you have this type of attack, you should use a fast-acting "rescue" inhaler (such as salbutamol).

How to use the inhaler

To get the full instructions, read the "Step-by-step instructions for use" at the end of this leaflet.

Trelegy Ellipta is for inhalation use only.

Trelegy Ellipta is ready to use once the tray is opened.

If your symptoms do not improve

If your COPD symptoms (shortness of breath, wheezing, coughing) do not improve or worsen, or if you are using your fast-acting "rescue" inhaler more often than usual:

contact your doctor as soon as possible.

If you use more Trelegy Ellipta than you should

If you accidentally use more medicine than you should, contact your doctor or pharmacist immediately, as you may need medical attention. If possible, show them the inhaler, packaging, or this leaflet. You may notice that your heart beats faster than normal, feel shaky, have visual disturbances, have a dry mouth, or have a headache.

If you forget to use Trelegy Ellipta

Do not inhale a double dose to make up for a forgotten dose. Inhale the next dose at the usual time. If you have wheezing or shortness of breath, use your fast-acting "rescue" inhaler (such as salbutamol), and seek medical advice.

If you stop using Trelegy Ellipta

Use this medicine for as long as your doctor recommends. Do not stop using it until your doctor tells you to, even if you feel better, as your symptoms may worsen.

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

4. Possible side effects

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

Allergic reactions

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

If you get any of the following symptoms after taking Trelegy Ellipta, stop using itand tell your doctor immediately:

• skin rash or redness, hives (urticaria)
• swelling, sometimes of the face or mouth (angioedema)
• wheezing, coughing, or difficulty breathing
• a sudden feeling of weakness or dizziness (which may cause fainting or loss of consciousness).

Urgent breathing difficulties

If your breathing or wheezing gets worse immediately after using this medicine, stop using itand seek medical help immediately.

Pneumonia (lung infection)in patients with COPD (common side effect)

If you get any of the following symptoms while using Trelegy Ellipta, consult your doctor. They could be symptoms of a lung infection:

• fever or chills
• increased production of mucus, change in the color of the mucus
• increased coughing or difficulty breathing.

Other side effects

Common(may affect up to 1 in 10 people)

• mouth thrush, white patches (spots) in the mouth or throat caused by a fungal infection (candidiasis). Rinsing your mouth with water immediately after using Trelegy Ellipta may help prevent this side effect
• nose, sinus, or throat infection
• upper respiratory tract infection
• itching, runny nose, or blocked nose
• pain in the back of the mouth and throat
• sinus inflammation
• inflammation of the lungs (bronchitis)
• flu
• common cold
• headache
• coughing
• painful or frequent urination (may be signs of a urinary tract infection)
• joint pain
• back pain
• constipation.

Uncommon(may affect up to 1 in 100 people)

• irregular heartbeat
• faster heartbeat
• hoarseness
• weakening of the bones which may cause fractures.
• dry mouth
• altered taste
• blurred vision
• increased eye pressure
• eye pain.

Rare(may affect up to 1 in 1,000 people)

• allergic reactions (see above in Section 4)
• difficulty urinating (urinary retention)
• pain or discomfort while urinating (dysuria)
• awareness of heartbeats (palpitations)
• anxiety
• shakiness
• muscle spasms
• high blood sugar levels (hyperglycemia).

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. 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.

5. Storing Trelegy 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 carton after EXP. The expiry date is the last day of the month shown.

Do not store above 30°C.

Keep the inhaler in the sealed tray to protect it from moisture and only remove it from the tray immediately before first use. Once the tray is opened, the inhaler can be used for 6 weeks. Write the date that you open the tray on the inhaler label in the space provided. The date should be written as soon as the inhaler is removed from the tray.

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

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and additional information

Trelegy Ellipta composition

The active substances are fluticasone furoate, umeclidinium bromide, and vilanterol.

Each inhalation provides a delivered dose (dose that comes out of the mouthpiece) of 92 micrograms of fluticasone furoate, 65 micrograms of umeclidinium bromide equivalent to 55 micrograms of umeclidinium, and 22 micrograms of vilanterol (as trifenatate).

The other ingredients are lactose monohydrate (see section 2 “Trelegy Ellipta contains lactose”) and magnesium stearate.

Appearance of the product and pack contents

Trelegy Ellipta is a powder for inhalation (single-dose).

The Ellipta inhaler is made up of a light grey plastic body, a beige mouthpiece cover, and a dose counter. It is packaged in a foil laminate strip pack with a peelable foil lid. The pack contains a desiccant to reduce moisture in the pack.

The active substance is presented as a white powder in separate blister strips inside the inhaler. Trelegy Ellipta is available in packs of 1 inhaler containing 14 or 30 doses (for a 14 or 30-day treatment) and in clinical packs containing 90 doses (3 inhalers of 30 doses, for a 90-day treatment). Not all pack sizes may be marketed.

Marketing authorisation holder

GlaxoSmithKline Trading Services Limited

12 Riverwalk

Citywest Business Campus

Dublin 24

Ireland

Manufacturer

Glaxo Wellcome Production

Zone Industrielle No.2

23 Rue Lavoisier

27000 Evreux

France

You can request more information about this medicinal product from the local representative of the marketing authorisation holder:

Date of last revision of this prospectus:

Other sources of information

Detailed information on this medicinal product is available on the European Medicines Agency website: http://www.ema.europa.eu.

Step-by-step instructions for use

What is the inhaler?

The first time you use Trelegy Ellipta, you do not need to make sure the inhaler is working correctly, as it contains pre-measured doses and is ready to use directly.

Your Trelegy Ellipta inhaler pack contains:

The inhaler is packaged in a tray. Do not open the tray until you are ready to inhale a dose of the medicine. When you are ready to use the inhaler, remove the lid to open the tray. The tray contains a desiccant, to reduce moisture. Dispose of the desiccant bag, do notopen, ingest, or inhale it.

When you take the inhaler out of its tray, it will be in the “closed” position. Do not open the inhaler until you are ready to inhale a dose of the medicine. You should write the “Discard by” date on the space provided on the inhaler label and on the pack. The “Discard by” date is 6 weeks from the date of opening the tray. After this date, the inhaler must not be used anymore.The tray can be discarded once it is opened.

If stored in a refrigerator, let the inhaler reach room temperature for at least 1 hour before use.

The step-by-step instructions for using the inhaler provided below can be used for both the 30-dose Ellipta inhaler (30-day treatment) and the 14-dose Ellipta inhaler (14-day treatment).

1. Read the following instructions before using the inhaler

If the inhaler lid is opened and closed without inhaling the medicine, the dose will be lost.The lost dose will be retained safely inside the inhaler, but it will not be available for inhalation.

It is not possible to accidentally administer an extra dose or a double dose through one inhalation.

For the 14-dose inhaler, the dose counter will also show half in red when there are less than 10 doses left and then will show half in red with the number 0 after the last dose used. The dose counter will appear completely red if the lid is opened again.

1. Prepare a dose

When you are ready to inhale a dose, open the inhaler lid.

Do not shake the inhaler.

• Slide the lid down until you hear a ‘click’.

Now, the medicine is ready to be inhaled.

As confirmation, the dose counter decreases by 1unit.

• If the dose counter does not decrease when you hear the ‘click’, the inhaler will not release the dose of the medicine.Take it to the pharmacist and ask for help.
• Do not shake the inhaler at any time.

1. Inhale the medicine

• While keeping the inhaler away from your mouth, breathe out as much as you can.

Do notbreathe out into the inhaler.

• Place the mouthpiece between your lips and close them firmly around the mouthpiece.

Do notblock the ventilation slots with your fingers.

• Take a long, steady, and deep breath in. Hold your breath for as long as you can (at least 3-4 seconds).
• Take the inhaler out of your mouth.
• Breathe out slowly and gently.

You may not be able to taste or feel the medicine, even when using the inhaler correctly.

Beforeclosing the lid, the inhaler mouthpiece may be cleaned using a dry tissue.

1. Close the inhaler and rinse your mouth

• Slide the lid up, to the top, to cover the mouthpiece.

• Rinse your mouth with water after using the inhaler, do not swallow.

This will make it less likely that you will get side effects such as mouth or throat ulcers.