Once-daily INCRUSE is a prescription medicine used long term to treat chronic obstructive pulmonary disease (COPD), including chronic bronchitis, emphysema, or both, for better breathing and fewer flare-ups. INCRUSE is not used to relieve sudden breathing problems and won't replace a rescue inhaler.

Living with COPD

Living with COPD can be challenging. Learning to avoid COPD triggers is also important to help manage your symptoms. Here are some tips:

Home

There can be many COPD triggers at home, and considering you spend most of your time there, it’s important to learn what the triggers are and how best to avoid them.

Household tips

  • Keep your home smoke-free. Let your family and friends know so they can support you.
  • Arrange your home so things that you use every day are easy to reach.
  • Try to do something relaxing before bed and go to bed at the same time every night.
  • Keep your windows closed and try to stay inside on days when outside air quality is poor.
  • If you need to have some work done on your home, like painting or spraying for insects, plan to have it done when you’ll be away from home.

Leisure

  • Let your family know your home and car are smoke-free.
  • If you’re outside and active, take breaks when you need to.
  • Avoid smoke from grills, campfires, and fire pits.
  • Instead of big meals, eat smaller meals throughout the day if possible. Feeling very full may make it harder to breathe.

Work

If you suspect your symptoms are worse at work, talk with your doctor. Together, you can determine and then address the causes.

Air quality

  • Outdoor designated smoking areas should be clear of doorways and walking paths. Let your employer know if they’re not.
  • If you’re entertaining clients, choose places that are smoke-free, and avoid other public places that allow smoking.

Travel

Remember that when you’re traveling, your COPD will need the same, if not more, attention you give it at home. New places can mean new triggers, so anything you can do to prepare will help.

Know your destination

  • Check your destination for things like weather forecasts and pollution levels beforehand.
  • Make sure your hotel has smoke-free rooms.
  • If your travel is for work, try to find a hotel close by the office to avoid a long, stressful commute.
  • If you plan to sightsee, research tours that offer transportation and don’t involve too much walking.

Airplanes

  • Bring sanitizing wipes to clean the area around your seat and to use after visiting the restroom.
  • Air inside planes can carry germs. When traveling during cold and flu season, bring a mask just in case.

Exercise

Talk to your doctor about how physical activity can help you manage your COPD symptoms.

Exercise basics

  • If you ever feel winded or short of breath while exercising, stop immediately.
  • Short walks or light activity may be good options.
  • If the temperature outdoors is either very hot or very cold, try exercising indoors.

Tips and techniques to help your breathing

There’s a lot you’re probably already doing to help manage your COPD symptoms, like exercising regularly, getting plenty of rest, eating well, staying on treatment, having a positive mind-set, and living an overall healthier lifestyle. This simple breathing exercise may also help.

The Pursed-Lip Breathing Technique

You can do this technique in just a few steps:

1. Inhale

Breathe in slowly through your nose. It can be a normal breath or a deep one–whatever is comfortable for you.

2. The pursed-lip

Purse your lips together as if you’re blowing a kiss or putting out a candle.

3. Exhale

Gently breathe out through your pursed lips. Nice and slowly.

Understand how to treat COPD
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IMPORTANT SAFETY INFORMATION FOR INCRUSE

  • Do not use INCRUSE to relieve sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.
  • Do not use INCRUSE if you have a severe allergy to milk proteins or any of the ingredients in INCRUSE. Ask your healthcare provider if you are not sure.
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IMPORTANT SAFETY
INFORMATION FOR INCRUSE

  • Do not use INCRUSE to relieve sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.
  • Do not use INCRUSE if you have a severe allergy to milk proteins or any of the ingredients in INCRUSE. Ask your healthcare provider if you are not sure.
  • Do not use INCRUSE more often than prescribed.
  • Do not take INCRUSE with other medicines that contain an anticholinergic for any reason. Tell your healthcare provider about all the medicines you take and about all of your medical conditions. Especially tell your healthcare provider if you take anticholinergics including tiotropium, ipratropium, aclidinium, or atropine.
  • Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems.
  • INCRUSE can cause serious side effects, including:
    • sudden breathing problems immediately after inhaling your medicine. If you have sudden breathing problems immediately after inhaling your medicine, stop taking INCRUSE and call your healthcare provider right away.
    • serious allergic reactions (anaphylaxis). Stop taking INCRUSE and call your healthcare provider or go to the nearest emergency room right away if you get any of the following symptoms of a serious allergic reaction: rash; hives; severe itching; swelling of your face, lips, mouth, or tongue; breathing problems.
    • new or worsening eye problems including acute narrow-angle glaucoma. You should have regular eye exams while using INCRUSE ELLIPTA. Acute narrow-angle glaucoma can cause permanent loss of vision if not treated. Symptoms of acute narrow-angle glaucoma may include: eye pain or discomfort; nausea or vomiting; blurred vision; seeing halos or bright colors around lights; red eyes. If you have these symptoms, call your healthcare provider right away before taking another dose.
    • urinary retention. People who take INCRUSE may develop new or worse urinary retention. Symptoms of urinary retention may include: difficulty urinating; painful urination; urinating frequently; urination in a weak stream or drips. If you have these symptoms of urinary retention, stop taking INCRUSE, and call your healthcare provider right away before taking another dose.
  • Common side effects of INCRUSE include upper respiratory tract infection, stuffy or runny nose, cough, mouth and throat pain, joint pain, change in taste, muscle pain, tooth pain, stomach pain, bruising or dark areas of skin, and fast or irregular heartbeat.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch,
or call 1-800-FDA-1088.