Use Breo Ellipta exactly as prescribed by your doctor. Follow your doctor’s directions and read the medication guide before starting and whenever you refill your medication. Breo Ellipta is not a rescue inhaler for sudden bronchospasm attacks. You should only use rescue inhalers for an attack. Seek medical attention if your breathing problems suddenly get worse. Breo is a powder that comes preloaded in a special device in blister packs. Each time you use the Ellipta device it loads a blister of the Breo medication each time you use the inhaler. Use Breo Ellipta at the same time daily, and no more than once in a 24 hour period. Always rinse out your mouth with water after using Breo Ellipta in order to help you prevent thrush. Your doctor will also need to check you for lung infection on a regular basis. Your vision and bone mineral density may also need to get checked.