Learn about asthma complications, what to do about them, and how to decrease your risk of developing them. You may have questions about Trelegy Ellipta and your treatment plan. Here is a list of other common COVID-19 symptoms. As an antihistamine, this medication is primarily used to treat allergies. Who should not take Trelegy Ellipta Blister, With Inhalation Device? Its a progressive disease, which means symptoms gradually worsen over time. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. To learn about other mild side effects, talk with your doctor or pharmacist, or read Trelegy Elliptas prescribing information. I have an allergy to milk. can't seem to get off prednisone, when do go down hill quick. People with COPD are commonly treated with more than one inhaler. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. Should I avoid certain foods while taking Trelegy Ellipta Blister, With Inhalation Device? This product can make you more likely to get infections or may worsen any current infections. Below are some common questions about using Trelegy Ellipta. Trelegy Ellipta is a combination medication. Theyll also explain how much to use and how often. Clinicians should be aware that many commonly used medications can be safely coadministered with ritonavir-boosted nirmatrelvir despite its drug-drug interaction potential. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Raised blood pressure caused by Trelegy Ellipta usually isnt serious. These include what your insurance plan covers and which pharmacy you use. Thank you, {{form.email}}, for signing up. Its not known how often this occurred in people taking the drug in studies. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. To make sure your inhalers are OK to take together, look at the class of medications. This refers to times when symptoms suddenly get worse. Common interactions include breast cancer among females and dyspnoea among males. This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Inhaled glucocorticoids (also known as inhaled steroids) are commonly used in combination with other inhaled drugs to control COPD. Some people with COPD experience exacerbations. Trelegy refers to the medication, and Ellipta refers to the inhaler you use to take the medication. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class. Answer This is a tough question. Hair loss is most likely to happen with corticosteroids if you stop taking them after using them for a long time. Incruse Ellipta- umeclidinium aerosol, powder [drug label]. There is, however, one possible problem you want to be aware of. Low dose prednisone can cause weight gain, increased blood pressure, worsening diabetes, osteoporosis and increase risk of heart disease. Trelegy Ellipta is an inhaler you use every day to help manage symptoms over time. This is not a complete list of possible side effects. Note that abrupt discontinuation or rapid dose reduction of benzodiazepines may precipitate an acute withdrawal reaction.2 The risk is greatest for patients who have been using high doses of benzodiazepines over an extended period.h For patients with hepatic or renal impairment, do not coadminister this medication with ritonavir-boosted nirmatrelvir.i For medications that are not included on the Liverpool COVID-19 Drug Interactions website or the University of Waterloo/University of Toronto drug interaction guide, refer to the FDA labels for information on coadministering these medications with ritonavir or other strong CYP3A4 and/or P-gp inhibitors.j Dexamethasone exposure is expected to increase 2.60-fold when dexamethasone is coadministered with ritonavir-boosted nirmatrelvir.3 Clinicians should weigh the risks and benefits of continuing the patients normal dose of dexamethasone (while monitoring for AEs) versus decreasing the dose. It's not uncommon for people to take NSAIDs (e.g Ibuprofen, Advil, Aleve) with prednisone for short periods of time. The strategy may need to continue for a longer duration if ritonavir-boosted nirmatrelvir is initiated in an adult of advanced age or if the interacting medication has a long half-life. Raised blood pressure is a possible side effect of Trelegy Ellipta. a Reduced effectiveness of clopidogrel is likely. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. QVAR Redihaler- beclomethasone dipropionate HFA aerosol, metered [drug label]. Alternative treatment for COVID-19 should be prescribed. Try to use the inhaler at the same time each day. What are some frequently asked questions about Trelegy Ellipta? Trelegy Ellipta contains a corticosteroid that you inhale, called fluticasone. Read our. Withhold atorvastatin and rosuvastatin at the beginning of treatment with ritonavir-boosted nirmatrelvir and resume after completion of the 5-day course. If its hard for you to read the label on your prescription, tell your doctor or pharmacist. Albuterol (ProAir HFA, Proventil-HFA) is a common example of a rescue inhaler. These include brentuximab vedotin, enfortumab vedotin, polatuzumab vedotin, and tisotumab vedotin. Asthma is a condition caused by swelling and narrowing of your airways and lungs. This document does not contain all possible drug interactions. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Check your blood pressure regularly and tell your doctor if the results are high. Get medical help right away if you have any very serious side effects, including: chest pain, fast/irregular heartbeat, severe dizziness, fainting, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night, blurred vision). Before you start treatment with Trelegy Ellipta, your doctor will evaluate your risk of side effects, including raised blood pressure. The guidance in this document is based on the drug-drug interaction potential of the FDA-authorized 5-day course of ritonavir-boosted nirmatrelvir. Bronchodilator or Steroid Inhaler: Which Should Be Used First? Prednisone reduction can be accomplished by reducing the daily prednisone dose by 2.5 mg on a weekly basis during therapy with TRELEGY ELLIPTA. If your symptoms feel life threatening, call 911 (or your local emergency number) or get immediate medical help. Hair loss can be caused by corticosteroids that you take by mouth, such as prednisone. Lifestyle changes that help promote healthy bones include increasing weight-bearing exercise, stopping smoking, limiting alcohol, and eating well-balanced meals that contain adequate calcium and vitamin D. You may also need to take calcium and vitamin D supplements. Use your next dose at the regular time. Your doctor or pharmacist can tell you more about these interactions and any others that may occur with use of Trelegy Ellipta. Let your doctor know if you experience severe or frequent headaches, chest pain, and/or a . They can recommend the best COPD or asthma treatment plan for you. In fact, using some together can pose health risks. Here's where to, Researchers say the 5-questionnaire screening tool called CAPTURE can help diagnose people with treatable COPD, although not all experts agree, Here are five pieces of advice to maintain optimal lung health and breathing capacity, from staying far away from cigarettes to adopting a consistent. National Library of Medicine, DailyMed. Trelegy Ellipta is an inhaler that contains a dry powder medication. This wasnt reported in the drugs studies. They can also discuss safe feeding options if needed. Stopping lopinavir/ritonavir in COVID-19 patients: duration of the drug interacting effect. If you have a milk allergy (also called a milk protein allergy), Trelegy Ellipta may not be safe for you to use. Possible symptoms include headache or shortness of breath. Adjusting the dose of the concomitant medication. Some of the common side effects are: It can also impair the immune system - which is a problem if you have asthma. See the What should be considered before taking Trelegy Ellipta? below for details. chronic obstructive pulmonary disease (COPD). Box 1 lists select outpatient medications that are not expected to have clinically relevant interactions with ritonavir-boosted nirmatrelvir. Talk with your doctor if youre concerned about hair loss with any medications you take. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor. If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress. Antimuscarinic drugs are controller medications used once or twice daily. Symptoms of a mild allergic reaction can include: A more severe allergic reaction is rare but possible. This should keep your airways open and relaxed so you can breathe more easily. Trelegy Ellipta is used only for adults, but Symbicort can be used for asthma in children ages 6 years and older, as well as in adults. One example of this type of drug is prednisone (Rayos). Patients should be counseled about ritonavir-boosted nirmatrelvirs drug-drug interaction potential and the signs and symptoms of potential adverse effects. Also, talk with your doctor about your treatment options to see if one of these drugs is right for you. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. By Lauren Van Scoy, MD A very serious allergic reaction to this drug is rare. This can contribute to weight gain. Trelegy Ellipta contains a corticosteroid that you inhale, called fluticasone. Do not store in the bathroom. Note: Trelegy Ellipta should not be used as a rescue inhaler if you have sudden trouble breathing or a flare-up (sudden worsening) of symptoms. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. The phase IV clinical study analyzes which people take Trelegy ellipta and have Gastritis. Although more than one inhaler may be prescribed to treat COPD, they can't all be used together. While it is common to use more than one inhaler for COPD, problems can occur if you use two drugs of the same class. Its important to discuss all your concerns with your doctor. Before using this medication, tell your doctor or pharmacist if you are allergic to fluticasone, umeclidinium, or vilanterol, or if you have any other allergies. The effectiveness of the drug will depend on one's biological makeup and condition. Store at room temperature away from light, heat, and moisture. In addition to trouble breathing, you may have: Trelegy Ellipta is used long term to help keep your lung function from becoming worse. One of the side effects of prednisone is bradycardia , an abnormally slowed heart rate. Avoid smoking and other things that can worsen breathing problems. WebMD does not provide medical advice, diagnosis or treatment. This product may contain inactive ingredients (such as milk proteins), which can cause allergic reactions or other problems. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List Trelegy Ellipta Blister, With Inhalation Device side effects by likelihood and severity. Lauren Van Scoy, MD, is a board-certified physician in internal medicine, pulmonary medicine, and critical care. You can use the study as a second opinion to make health care decisions. They can also suggest ways to help reduce side effects. I Care. Ritonavir-boosted nirmatrelvir should not be given within 2 weeks of administering a strong CYP3A4 inducer (e.g., St. Johns wort, rifampin). To lower your risk of thrush, rinse your mouth with water and spit the water out (without swallowing) after each dose of Trelegy Ellipta. Food and Drug Administration. Breo Ellipta is a combination of fluticasone, a glucocorticoid, and vilanterol, a bronchodilator of the beta-2 agonist type. This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease ( chronic obstructive pulmonary disease - COPD, which. The recommended treatment course of ritonavir-boosted nirmatrelvir for COVID-19 is 5 days. * An active drug is an ingredient that makes a medication work. Learn which of your inhalers you should use every day and which you should use if your breathing suddenly worsens (quick-relief drugs). No, Trelegy Ellipta doesnt cause hair loss. No alcohol/food interactions were found. Dry/irritated throat, hoarseness, or coughing may occur as your body adjusts to the medication. They might have you pause Trelegy Ellipta treatment until your infection is treated. Available at: Li M, Zhu L, Chen L, Li N, Qi F. Assessment of drug-drug interactions between voriconazole and glucocorticoids. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. They can recommend other treatment options for your condition. Use TRELEGY only once every 24 hours. Trelegy refers to the dry powder medication inside the inhaler. Symbicort contains two active drugs: budesonide and formoterol. If you have symptoms that feel life threatening, call 911 (or your local emergency number) or get immediate medical help. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. 31,32 Many clinicians would initiate empiric antiparasitic treatment (e.g., with the antiparasitic drug ivermectin) with or without serologic testing in patients who currently reside or who have * Each works a little differently to manage symptoms of COPD and asthma: Overall, these drugs work together to reduce swelling and relax muscles in your airways. If you think youre having a medical emergency, you should call 911 or your local emergency number. It can literally be a life saver- but it can have a LOT a side effects. No, Trelegy Ellipta doesnt cause weight gain. The most common symptom of COVID-19 is fever, which often goes hand-in-hand with a dry cough and shortness of breath. To improve breathing: Albuterol serves to dilate, or "open up" narrowed airways due to spasm, while the Prednisone is to relieve any narrowing that may be due to inflammation. The recommended maximum number of medicines in the 'cortisones' category to be taken concurrently is usually one. Before using this product, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death). Trelegy Ellipta contains three active drugs,* which are fluticasone, vilanterol, and umeclidinium. Its meant to be used every day, regardless of your symptoms. To learn more about Trelegy Ellipta and Anoro Ellipta, check out this detailed comparison. 2 It is available by prescription in tablets and liquids. Examples include some azole antifungals (such as ketoconazole), HIV protease inhibitors (such as lopinavir), ritonavir, among others. Learn causes for heavy breathing, including heavy breathing in sleep, plus treatments for these conditions. Trelegy Ellipta and Breztri Aerosphere are both inhalers used to manage chronic obstructive pulmonary disease (COPD) in adults. This medication may temporarily slow down a child's growth if used for a long time. However, this does not necessarily mean no interactions exist. Youll use it every day to reduce COPD symptoms. b The FDA EUA for ritonavir-boosted nirmatrelvir suggests that individuals who use contraceptive products containing ethinyl estradiol consider using a backup, nonhormonal contraceptive method because coadministration may result in low ethinyl estradiol levels. Can occur with Trelegy Ellipta: . 4 How Different Categories of High Cholesterol Are Treated 4 Sources By Jennifer Moll, PharmD Always consult your healthcare provider before making changes to your medications or dosage. If your doctor has told you to use a second capsule, follow the same steps you used for the first . In adults, this medication can increase the risk of bone loss (osteoporosis) if used for a long time. Yes steroids are effective short term, although it comes back quicker and more aggressively for many people. Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. Describe any side effects you may have experienced. Drug interactions may change how your medications work or increase your risk for serious side effects. Add an Answer. Talk to your doctor about using this product safely. After inhalation, rinse the mouth with water without swallowing to reduce the risk of oropharyngeal candidiasis. In fact, using some together can pose health risks. It is often used in rheumatoid arthritis. Theyll also tell you what to do if your blood pressure increases. Note: Trelegy Ellipta should not be used as a rescue inhaler for exacerbations or sudden breathing problems. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Other drugs that have the same active ingredients (e.g. Hypercapnia happens when you have too much carbon dioxide in your bloodstream. Oral corticosteroids can cause weight gain, especially if theyre taken long term. Unlike corticosteroids taken by mouth, fluticasone isnt known to cause hair loss. Some are used once or twice a day to manage COPD and prevent acute exacerbations (attacks). It could also raise your risk of other heart problems, such as a heart attack. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. For these medications, management strategies are not possible or feasible, or the risks outweigh the potential benefits. The phase IV clinical study analyzes what interactions people who take Prednisone and Trelegy ellipta have. Certain pharmacies may provide medication labels that: Your doctor or pharmacist may be able to recommend a pharmacy that offers these options if your current pharmacy doesnt. belly pain, which may include cramps, nausea, or vomiting, sudden trouble breathing after taking a dose*, burning sensation or soreness inside your mouth, white or yellow patches and bumps on your inner cheeks, gums, lips, tongue, or tonsils. Different people benefit from different combinations of drugs for COPD or asthma. QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away. Dosage of drugs is not considered in the study. It can happen for several reasons, such as hyperventilation. Healthline Media does not provide medical advice, diagnosis, or treatment. If it is near the time of the next dose, skip the missed dose. Although more than one inhaler may be prescribed to treat COPD, they can't all be used together. Box 1 includes commonly prescribed medications that are not expected to have clinically relevant interactions with ritonavir-boosted nirmatrelvir. Available for Android and iOS devices. For more information about how Trelegy Ellipta compares to other drugs like Advair and Spiriva, talk with your doctor. These lists dont include all possible side effects. Email this report to a friend, doctor, or patient. You may or may not taste/feel the drug when you inhale. Looking for U.S. government information and services. What conditions does Trelegy Ellipta Blister, With Inhalation Device treat. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Do not double the dose to catch up. Be sure to let your doctor know if you have high blood pressure already, or an existing heart problem. Official websites use .govA .gov website belongs to an official government organization in the United States. This side effect is caused by vilanterol, one of the three active drugs* in Trelegy Ellipta. Longer treatment courses of ritonavir-boosted nirmatrelvir are not authorized by the current Food and Drug Administration (FDA) Emergency Use Authorization (EUA), and there are insufficient data on the efficacy of administering a second treatment course in cases where SARS-CoV-2 viral rebound is suspected. Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg powder for inhalation. Y do take vitamin Mary Ruth multivitamin and vitamin c and d and I have taking symbicord before I have asthma. Your FEV1 result can be used to determine how severe your COPD is. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. This medication must be used regularly to be effective. Rarely, this medication may cause sudden, severe wheezing/trouble breathing immediately after you use it. Costs of prescription drugs can vary depending on many factors. Yes, Trelegy Ellipta is used to manage chronic obstructive pulmonary disease (COPD) symptoms in adults. Read the Patient Information Leaflet and Instructions for Use provided by your pharmacist before you start using this medication and each time you get a refill. Symptoms of overdose may include: shaking (tremor), chest pain, fast/irregular heartbeat, seizures. Do not increase your dose, use this medication more often, or stop using it without first consulting your doctor. Read on to learn more. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Breo Ellipta ( fluticasone furoate and vilanterol inhalation powder) and albuterol sulfate are both used to treat asthma and chronic obstructive pulmonary disease ( COPD ). Prednisone has active ingredients of prednisone. Be sure to mention any prescribed or over the counter medications and other supplements you're taking. In cases of COPD, Prednisone is usually prescribed for a short term in order to control acute flare . Trelegy Ellipta is also used in adults to prevent and control symptoms of asthma for better breathing and to prevent symptoms such as wheezing. As effective as these drugs are, not all can be used together. Or go to the nearest emergency room. The use of the eHealthMe site and its content is at your own risk. If you have chronic obstructive pulmonary disease (COPD) or asthma, your doctor may suggest treatment with Trelegy Ellipta. Factors to consider include those in the list below. Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, waking up at night with trouble breathing, if you use your quick-relief inhaler more often, or if your quick-relief inhaler does not seem to be working well. "These are usually taken after an organ transplant to prevent the body from 'rejecting' the transplanted organ." Keep reading to see what he thinks you can take. Ritonavir-boosted nirmatrelvir is contraindicated in this setting, because strong CYP3A4 inducers may reduce the concentrations of nirmatrelvir and ritonavir, rendering the treatment ineffective against SARS-CoV-2. Breo Ellipta- fluticasone furoate and vilanterol trifenatate powder [drug label]. Trelegy Ellipta contains three active drugs:* fluticasone, vilanterol, and umeclidinium. Below are commonly used dosages, but always follow the dosage your doctor prescribes. Controlling symptoms of breathing problems helps you stay active. You may also want to discuss whether the use of a drug on this list outweighs the increased risk of side effects compared with other treatments. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). All rights reserved. It is created by eHealthMe based on reports of 772 people who take Prednisone and Trelegy ellipta from the FDA, and is updated regularly. Taking a medication with certain vaccines, foods, and other things can affect how the medication works. Consult a patients specialist providers before coadministering these immunosuppressants and ritonavir-boosted nirmatrelvir. prednisone (Rayos) hydrocortisone (Cortef) mometasone (Asmanex, Elocon) . But if you have severe symptoms, immediately call 911 or your local emergency number. Sometimes you just don't have the choice but to figure out what it is that's causing it, and remove it for good. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. A database was available which included medications and multidimensional heal Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Be sure to spit the water out instead of swallowing it. It's also used to treat anxiety, mood disorders and even opioid or opiate withdrawals. Here are a few tips that might help guide your discussion: Remember, your doctor and other healthcare professionals are available to help you. Your doctor will explain how you should use your Trelegy Ellipta inhaler. It also helps treat severe allergic reactions, multiple sclerosis (MS), certain cancers, and other conditions. Lactose can trigger an allergic reaction if you have a milk allergy. Like most drugs, Trelegy Ellipta may cause mild or serious side effects. They may need to be withheld for longer if the patient is an adult of advanced age or the medication has a long half-life. While youre using Trelegy Ellipta, your doctor may have you monitor your blood pressure. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. These effects are called interactions. Overview. Highly clinically significant. Box 2 lists select outpatient medications that have clinically relevant drug-drug interactions with ritonavir-boosted nirmatrelvir. Tell your doctor right away if you have any serious side effects, including: white patches in your mouth or on your tongue, signs of infection (such as sore throat that doesn't go away, fever, chills), increased thirst/urination, bone pain, difficult/painful urination, shaking (tremor), muscle cramps/weakness, mental/mood changes (such as depression, mood swings, nervousness, agitation), easy bruising/bleeding. Trelegy Ellipta is also used for asthma. These are sudden flare-ups of severe symptoms. No dosage adjustment is required for geriatric patients . Trelegy Ellipta contains three active drugs:* fluticasone, vilanterol, and umeclidinium. Trelegy ellipta has active ingredients of fluticasone furoate; umeclidinium bromide; vilanterol trifenatate. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Trelegy Ellipta contains vilanterol. Patients who are receiving higher doses of dexamethasone will be at a greater risk of AEs.k Patients should take ritonavir-boosted nirmatrelvir at least 3 hours after receipt of brincidofovir.l Ritonavir-boosted nirmatrelvir interacts with certain conjugated monoclonal antibodies, such as those conjugated to the drug monomethyl auristatin E (or vedotin). While using Trelegy Ellipta, continue to use your rescue inhaler (such as albuterol) as your doctor tells you to. This use is described above in Is Trelegy Ellipta used for COPD?. Trelegy Ellipta contains the active drugs* fluticasone, vilanterol, and umeclidinium. Some chemotherapeutic agents may decrease the effectiveness of ritonavir-boosted nirmatrelvir. Trelegy Ellipta belongs to a class of drugs called Anticholinergics, Respiratory; Beta2 Agonists; Corticosteroids, Inhalants; Respiratory Inhalant Combos. If withholding a statin is not clinically appropriate (e.g., the patient had a recent myocardial infarction), the doses of atorvastatin and rosuvastatin can be adjusted and continued, and lovastatin and simvastatin should be switched to an alternative statin.g The guidance on managing drug-drug interactions between certain benzodiazepines and ritonavir-boosted nirmatrelvir can vary significantly between resources. and can have potentially adverse consequences. Ritonavir, a strong cytochrome P450 (CYP) 3A4 inhibitor and a P-glycoprotein inhibitor, is coadministered with nirmatrelvir to increase the blood concentration of nirmatrelvir, thereby making it effective against SARS-CoV-2. Prednisone is in a class of medications called corticosteroids. The Trelegy Ellipta inhaler contains three active drugs: Trelegy Ellipta isnt currently available as a generic. Before prescribing ritonavir-boosted nirmatrelvir, carefully review the patients concomitant medications, including over-the-counter medicines, herbal supplements, and recreational drugs.
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