Flovent vs. Arnuity Ellipta: 7 Differences Between These Asthma Inhalers

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on December 17th, 2025.

Key takeaways

  • Flovent and Arnuity Ellipta are both inhaled corticosteroids used to control asthma symptoms, but they differ in dosage forms and delivery devices.

  • Flovent offers multiple inhaler types, including metered-dose inhalers and dry powder inhalers, while Arnuity Ellipta is longer acting and only available as a dry powder inhaler.

  • Arnuity Ellipta typically requires once-daily dosing, whereas Flovent dosing can be once or twice daily depending on the formulation.

  • Both medications reduce airway inflammation, but their active ingredients and approved age ranges vary.

  • Side effects are similar but may differ slightly depending on the inhaler type and patient sensitivity.

  • Cost and insurance coverage can vary, making telehealth consultations helpful for personalized treatment decisions.

  • Doctronic.ai offers convenient telehealth visits to discuss inhaler options with licensed doctors anytime, anywhere in the US.

Understanding Flovent and Arnuity Ellipta: What Are They?

Flovent and Arnuity Ellipta are prescription inhalers designed to manage asthma by reducing inflammation in the lungs. Both belong to a class of drugs called inhaled corticosteroids, which help prevent asthma attacks and improve breathing over time.

Flovent contains the active ingredient fluticasone propionate. It comes in different inhaler types, including a metered-dose inhaler (MDI) and a dry powder inhaler (DPI), offering flexibility depending on patient preference and needs. Arnuity Ellipta, on the other hand, contains fluticasone furoate and is only available as a DPI.

Inhaled corticosteroids like Flovent and Arnuity Ellipta work by directly targeting the inflammation in the airways, which is a hallmark of asthma. By reducing this inflammation, these medications help to prevent the narrowing of the airways that can lead to wheezing, shortness of breath, and coughing. It's important to note that while these medications are effective for long-term control of asthma symptoms, they are not intended for immediate relief during an asthma attack. Patients are often prescribed a rescue inhaler, such as albuterol, to manage acute symptoms when they arise.

Both Flovent and Arnuity Ellipta have been extensively studied and have shown significant efficacy in improving lung function and reducing the frequency of asthma exacerbations. Patients may notice improvements in their overall quality of life as they experience fewer symptoms and can engage more fully in daily activities. However, adherence to the prescribed regimen is crucial; missing doses can lead to a resurgence of symptoms and reduced control over asthma. It's essential for patients to discuss any side effects or concerns with their healthcare provider to ensure optimal management of their condition.

Key Differences in Dosage and Delivery

Inhaler Types and Devices

Flovent offers two main inhaler types: an MDI that delivers a spray and a DPI that delivers a powdered form of medication. This variety allows patients to choose based on ease of use or inhalation technique. Arnuity Ellipta is exclusively a DPI, which requires a specific inhalation method to activate the dose. The design of the inhalers also plays a crucial role; for instance, the MDI often features a built-in counter to help patients track their remaining doses, while the Ellipta's sleek design allows for easy handling and portability. The choice between these inhaler types can significantly impact patient adherence to treatment, as some individuals may find one device more comfortable or intuitive than the other.

Frequency of Use

Arnuity Ellipta is typically prescribed for once-daily use, which can be convenient for patients who prefer a simpler routine. Flovent dosing varies; the MDI version is often used twice daily, while the DPI version may be once or twice daily, depending on the severity of asthma and doctor recommendations. This difference in frequency can influence not only the patient's lifestyle but also their overall management of asthma symptoms. For example, patients using the MDI may need to incorporate their medication into their morning and evening routines, while those on Arnuity Ellipta can benefit from the ease of a single daily dose. Understanding the pharmacokinetics of these medications can help patients appreciate how their chosen inhaler works throughout the day, potentially leading to better adherence and improved asthma control.

Active Ingredients and Age Approvals

Fluticasone Propionate vs. Fluticasone Furoate

Although both inhalers contain fluticasone derivatives, Flovent uses fluticasone propionate, while Arnuity Ellipta contains fluticasone furoate. These compounds are similar but differ slightly in how they bind to receptors in the lungs, potentially affecting dosing and duration of action. Fluticasone propionate has been extensively studied and is known for its effectiveness in reducing inflammation in the airways, which is crucial for asthma management. On the other hand, fluticasone furoate has a longer half-life, allowing for once-daily dosing, which can improve adherence to treatment regimens for patients who may struggle with multiple daily doses.

Age Range for Use

Flovent is approved for use in children as young as 4 years old, making it a popular choice for pediatric asthma management. This early approval is significant, as asthma often begins in childhood, and early intervention can lead to better long-term outcomes. Arnuity Ellipta is generally approved for patients 12 years and older, which may limit its use in younger children. However, for adolescents and adults, the convenience of a once-daily inhaler can be particularly beneficial, especially for those with busy lifestyles or those who may forget to take medication multiple times a day. The ease of use associated with the Ellipta device can encourage proper inhalation technique, which is vital for effective delivery of the medication to the lungs.

Different types of inhalers, including a blue metered-dose inhaler and two round dry powder inhalers, arranged on a light blue background.Side Effects and Safety Considerations

Common Side Effects

Both inhalers can cause side effects such as throat irritation, hoarseness, eye problems and oral thrush. Proper inhaler technique and rinsing the mouth after use can reduce these risks. Some patients may experience coughing or mild wheezing immediately after inhalation.

Long-Term Safety

Inhaled corticosteroids like Flovent and Arnuity Ellipta are considered safe for long-term use when taken as prescribed. Regular follow-up with a healthcare provider is essential to monitor lung function and adjust treatment as needed.

Cost, Insurance, and Access to Care

Price Differences

Flovent and Arnuity Ellipta prices can vary based on insurance coverage, pharmacy, and location. Generic versions of fluticasone propionate inhalers may be available, potentially lowering costs. Arnuity Ellipta is a newer brand and may be more expensive without insurance.

Telehealth as a Convenient Option

Choosing the right inhaler often requires professional guidance. Telehealth services like Doctronic.ai provide affordable and accessible video visits with licensed doctors across all 50 states. Patients can discuss symptoms, medication options, and get prescriptions without leaving home.

How to Choose Between Flovent and Arnuity Ellipta

Consider Your Lifestyle and Preferences

Once-daily dosing with Arnuity Ellipta may suit those who prefer simplicity. However, younger children or those who struggle with dry powder inhalers might benefit from Flovent’s MDI option.

Discuss with Your Healthcare Provider

Asthma severity, age, inhaler technique, and cost all play a role in selecting the best treatment. Telehealth platforms like Doctronic.ai make it easy to get expert advice quickly and conveniently.

Making the Right Choice for Your Asthma Care

Both Flovent and Arnuity Ellipta are effective inhaled corticosteroids that help control asthma symptoms and improve lung health. Understanding their differences in delivery, dosing, and age suitability can guide better treatment decisions. For personalized advice and easy access to healthcare providers, consider using Doctronic.ai. Their AI-powered platform and licensed doctors offer fast, affordable telehealth visits tailored to your needs, helping you manage asthma confidently from home.

Frequently Asked Questions

Switching inhalers should only be done under medical supervision. Your doctor can help determine if one is better suited to your needs.

No, both are maintenance inhalers meant to prevent symptoms. Quick-relief inhalers like albuterol are used during asthma attacks.

Some patients find DPIs challenging. Your doctor can teach proper technique or recommend a different inhaler type.

Yes, when used as prescribed. Regular checkups help ensure safety and effectiveness.

Yes, Doctronic.ai offers telehealth visits where licensed doctors can evaluate your needs and prescribe inhalers if appropriate.

References

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