Product Description: Once-daily TRELEGY is a prescription medicine used long term to treat COPD(chronic obstructive pulmonary disease), including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and won’t replace a rescue inhaler. How to use: STEP 1: Open the cover of the inhaler. Slide the cover down to expose the mouthpiece. You should hear a “click.” The counter will count down by 1 number. You do not need to shake this kind of inhaler. Your inhaler is now ready to use. If the counter does not count down as you hear the click, the inhaler will not deliver the medicine. Call your healthcare provider or pharmacist if this happens. STEP 2: Breathe out. While holding the inhaler away from your mouth, breathe out (exhale) fully. Do not breathe out into the mouthpiece. STEP 3: Inhale your medicine. Put the mouthpiece between your lips and close your lips firmly around it. Your lips should fit over the curved shape of the mouthpiece. Take one long, steady, deep breath in through your mouth. Do not breathe in through your nose. Do not block the air vent with your fingers. Remove the inhaler from your mouth and hold your breath for about 3 to 4 seconds (or as long as is comfortable for you). STEP 4: Breathe out slowly and gently. You may not taste or feel the medicine, even when you are using the inhaler correctly. Do not take another dose from the inhaler even if you do not feel or taste the medicine. STEP 5: Close the inhaler. You can clean the mouthpiece if needed, using a dry tissue, before you close the cover. Routine cleaning is not required. Slide the cover up and over the mouthpiece as far as it will go. STEP 6: Rinse your mouth. Rinse your mouth with water after you have used the inhaler and spit the water out. Do not swallow the water. Counting Your TRELEGY Doses Important Note: When should you get a refill? When you have fewer than 10 doses remaining in your inhaler, the left half of the counter shows red as a reminder to get a refill. After you have inhaled the last dose, the counter will show “0” and will be empty. Throw the empty inhaler away in your household trash, out of reach of children and pets. 24 hour icon 3 medicines. 1 inhaler. Once a day. TRELEGY combines 3 long-acting medicines in 1 inhaler. That means 1 single inhalation once a day gives you a full 24 hours of better breathing. Your results may vary. Caution & Warnings: TRELEGY is not used to relieve sudden breathing problems and will not replace a rescue inhaler. TRELEGY should not be used in children younger than 18 years of age. It is not known if TRELEGY is safe and effective in children younger than 18 years of age. Long-acting beta2-adrenergic agonist (LABA) medicines such as vilanterol, when used alone, increase the risk of hospitalizations and death from asthma problems. TRELEGY contains an ICS, an anticholinergic, and a LABA. When an ICS and LABA are used together, there is not a significant increased risk in hospitalizations and death from asthma problems. Do not use TRELEGY to relieve sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms. TRELEGY should not be used in children younger than 18 years of age. It is not known if TRELEGY is safe and effective in children. Do not use TRELEGY if you have a severe allergy to milk proteins or are allergic to any of the ingredients in TRELEGY. Ask your healthcare provider if you are not sure. Do not use TRELEGY more often than prescribed. Do not take TRELEGY with other medicines that contain a LABA or an anticholinergic for any reason. Tell your healthcare provider about all your medical conditions and about all the medicines you take. Ingredients: fluticasone furoate umeclidinium bromide vilanterol (as trifenatate)