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Anoro Ellipta

Anoro Ellipta, a combination of umeclidinium and vilanterol, is a prescription medication used for the maintenance treatment of chronic obstructive pulmonary disease (COPD). Umeclidinium is a long-acting muscarinic antagonist (LAMA), and vilanterol is a long-acting beta-agonist (LABA). Together, they work by relaxing the muscles around the airways to improve breathing and prevent COPD exacerbations. Anoro Ellipta is inhaled once daily using the Ellipta device and helps manage symptoms of COPD such as shortness of breath, wheezing, and coughing.



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Frequently Asked Questions

Can I use Anoro Ellipta during an acute COPD exacerbation?
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No, Anoro Ellipta is not intended for use during acute COPD exacerbations or sudden breathing difficulties. You should use a short-acting bronchodilator (rescue inhaler) for immediate relief in such situations.

What should I do if I miss a dose?
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If you miss a dose of Anoro Ellipta, take it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses to make up for the missed one.

Can I use Anoro Ellipta with other inhalers?
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You may use Anoro Ellipta with other COPD medications, but avoid using it with other long-acting beta-agonists or anticholinergic inhalers. Consult your healthcare provider before adding or changing any medications in your treatment regimen.

How should I store this medication?
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Store Anoro Ellipta at room temperature, away from moisture and heat. Keep the inhaler in its original packaging until ready for use, and ensure it is out of reach of children and pets.

Can I use Anoro Ellipta if I am pregnant or breastfeeding?
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The safety of Anoro Ellipta during pregnancy and breastfeeding has not been fully established. If you are pregnant or breastfeeding, discuss the potential risks and benefits with your healthcare provider before using this medication.

How long does it take for Anoro Ellipta to start working?
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Anoro Ellipta typically begins to work within a few hours of inhalation, providing bronchodilation for up to 24 hours. It is important to use this medication regularly as prescribed for optimal control of COPD symptoms.

Comprehensive Drug Guide

How Does Anoro Ellipta Work?

Anoro Ellipta works by relaxing the muscles around the airways, making it easier to breathe. The combination of two drugs, umeclidinium and vilanterol, helps keep the airways open, reducing symptoms like shortness of breath in patients with COPD.



Common Dosages

Anoro Ellipta is available as a dry powder inhaler, delivering a combination of two active ingredients:

  • Umeclidinium 62.5 mcg
  • Vilanterol 25 mcg

This combination is used for the maintenance treatment of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.


Typical Dosing


For adults, the typical dosing of Anoro Ellipta is one inhalation once daily, at the same time each day. It is important not to exceed the recommended dose or use it more than once daily. This medication is not intended for the treatment of acute bronchospasm or asthma.



Typical Dosing

Who Shouldn't Take Anoro Ellipta?

Anoro Ellipta should not be used in individuals with a known hypersensitivity to umeclidinium, vilanterol, or any other components of the inhaler. It is also contraindicated in patients with severe hypersensitivity to milk proteins, as the inhaler contains lactose. Patients with acutely deteriorating COPD or those who require emergency intervention should not use Anoro Ellipta.



Advice From The Pharmacist

When using Anoro Ellipta, it’s important to follow the instructions provided by your healthcare provider for proper inhalation technique. Always inhale the medication deeply to ensure it reaches the lungs. After using the inhaler, rinse your mouth with water and spit it out to reduce the risk of oral infections, such as thrush. Do not use this medication to treat sudden breathing problems—use a rescue inhaler for acute symptoms. Store the inhaler at room temperature, away from moisture and heat, and keep it out of reach of children.



Side Effects of Anoro Ellipta

Common Side Effects

Common side effects of Anoro Ellipta include sore throat, sinusitis, cough, headache, and dizziness. Serious side effects may include paradoxical bronchospasm (worsening breathing problems), irregular heartbeats, high blood pressure, and allergic reactions. If you experience any severe reactions, such as difficulty breathing, chest pain, or signs of an allergic reaction (e.g., rash, swelling, difficulty breathing), seek medical attention immediately.



Risks and Warnings of Anoro Ellipta

The major risks associated with Anoro Ellipta include the potential for paradoxical bronchospasm, which can be life-threatening, and an increased risk of cardiovascular events, particularly in patients with pre-existing cardiovascular conditions. This medication may also cause worsening of narrow-angle glaucoma and urinary retention in patients with benign prostatic hyperplasia (BPH). It is important to discuss these risks with your healthcare provider and report any concerning symptoms promptly.



Interactions with Anoro Ellipta

Common Drug Interactions

Anoro Ellipta may interact with other medications, including beta-blockers, diuretics, and certain antidepressants (e.g., MAO inhibitors, tricyclic antidepressants). These interactions can increase the risk of cardiovascular side effects, such as irregular heartbeats or high blood pressure. Avoid using other long-acting beta-agonists or anticholinergic medications while on Anoro Ellipta. Always inform your healthcare provider of all medications and supplements you are taking before starting Anoro Ellipta.



Alternatives to Anoro Ellipta

Alternative treatments to Anoro Ellipta for COPD may include other combination inhalers, such as Advair (fluticasone/salmeterol), Symbicort (budesonide/formoterol), or Stiolto Respimat (tiotropium/olodaterol). Depending on the severity of the condition, long-acting muscarinic antagonists (LAMAs) or short-acting bronchodilators may also be considered as alternatives.