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Anoro

Generic Name: umeclidinium and vilanterol (ue ME kli DIN ee um and vye LAN ter ol)
Brand Names: Anoro Ellipta

Medically reviewed by Kaci Durbin, MD. Last updated on Feb 18, 2019.

What is Anoro?

See also: Stiolto

Anoro is an inhalation powder containing a combination of umeclidinium and vilanterol. Umeclidinium and vilanterol is both work by relaxing muscles in the airways to improve breathing.

Anoro Ellipta is used to prevent airflow obstruction or bronchospasm in people with COPD (chronic obstructive pulmonary disease), including those with chronic bronchitis or emphysema.

Anoro may also be used for purposes not listed in this medication guide.

Important information

Anoro is for use only in people with chronic obstructive pulmonary disease (COPD) and should not be used to treat asthma.

Anoro is not a rescue medicine. It will not work fast enough to treat an bronchospasm attack. Tell your doctor if any of your medicines seem to stop working as well in controlling your COPD.

Vilanterol may increase the risk of death in people with asthma, but the risk in people with COPD is not known. Seek medical attention if your breathing problems do not improve, or if your symptoms get worse quickly.

Anoro will not work fast enough to treat a bronchospasm attack. Use only a fast acting inhalation medicine for an attack.

Before taking this medicine

You should not use this medicine if you are allergic to umeclidinium, vilanterol, or milk proteins. Anoro is for use only in people with COPD and should not be used to treat asthma.

To make sure Anoro is safe for you, tell your doctor if you have ever had:

  • heart disease, high blood pressure;

  • a seizure;

  • liver disease;

  • glaucoma;

  • diabetes;

  • a thyroid disorder; or

  • low potassium; or

  • an enlarged prostate, bladder obstruction or other urination problems.

Vilanterol may increase the risk of death in people with asthma, but the risk in people with COPD is not known. Talk with your doctor about your individual risks and benefits of using this medicine. Follow all patient instructions for safe use.

It is not known whether Anoro will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether umeclidinium and vilanterol passes into breast milk or if it could harm a nursing baby. Talk with your doctor about using Anoro if you are breastfeeding.

Anoro is not approved for use by anyone younger than 18 years old.

How should I use Anoro?

Use Anoro exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Using this medicine improperly can cause death or serious side effects on the heart.

You may need to stop using other COPD medications you have been using in the past on a regular basis. Carefully follow your doctor's dosing instructions.

The usual dose of this medicine is 1 inhalation per day. Use the medicine at the same time each day, and not more than once in a 24-hour period.

Anoro is not a rescue medicine. It will not work fast enough to treat a bronchospasm attack. Use only a fast-acting inhalation medicine for an attack. Tell your doctor if any of your medicines seem to stop working as well in controlling your COPD.

Anoro is a powder that comes with a special Ellipta inhaler device preloaded with blister packs containing measured doses of the medicine. The Ellipta device opens and loads a blister of Anoro each time you use the inhaler. Follow the patient instructions provided with the inhaler device.

Seek medical attention if your breathing problems do not improve, or if your symptoms get worse quickly.

Store at room temperature away from moisture, heat, and light. Keep the inhaler device in the sealed foil tray until ready to start using it.

Throw the inhaler device away 6 weeks after you have taken it out of the foil pouch, or if the dose indicator shows a zero, whichever comes first.

Anoro dosing information

Anoro is given as 1 inhalation once daily at the same time every day. It should not be used more than once in 24 hours.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. Do not use more than 1 inhalation in a single day.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include fast heart rate, and feeling shaky or short of breath.

What should I avoid while using Anoro?

Do not use a second inhaled bronchodilator unless your doctor tells you to. This includes formoterol (Perforomist, Symbicort, Bevespi, Dulera), arformoterol (Brovana), indacaterol (Arcapta), olodaterol (Striverdi, Stiolto Respimat), salmeterol (Serevent, Advair), or vilanterol (Breo Ellipta).

Anoro side effects

Get emergency medical help if you have any signs of an allergic reaction to Anoro: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • wheezing, choking, or other breathing problems after using this medication;

  • chest pain;

  • fast or pounding heartbeat;

  • tremors, nervousness;

  • blurred vision, tunnel vision, eye pain or redness, or seeing halos around lights;

  • painful or difficult urination, urinating more or less than usual;

  • severe headache, blurred vision, pounding in your neck or ears, anxiety, confusion, chest pain;

  • increased thirst or urination, hunger, dry mouth, fruity breath odor; or

  • signs of low potassium including leg cramps, constipation, irregular heartbeat, numbness or tingling, muscle weakness or limp feeling.

Common Anoro side effects may include:

  • stuffy nose, sinus pain, sore throat;

  • mild chest pain, cough with mucus;

  • diarrhea, constipation;

  • muscle spasms; or

  • pain in your neck, arms, or legs.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Anoro?

Do not use a second long-acting inhaled bronchodilator unless your doctor tells you to. This includes formoterol (Perforomist, Symbicort, Bevespi, Dulera), arformoterol (Brovan), indacaterol (Arcapta), olodaterol (Striverdi, Stiolto Respimat), or salmeterol (Serevent, Advair), or vilanterol (Breo Ellipta), and others.

In addition, tell your doctor about all your current medicines and any you start or stop using during your treatment with Anoro, especially:

  • atropine;

  • an antibiotic, antifungal medicine, or antiviral medicine (to treat hepatitis C or HIV/AIDS);

  • bladder or urinary medicines;

  • cold or allergy medicine that contains an antihistamine;

  • medication for Parkinson's disease; or

  • antidepressant medications, especially monoamine oxidase inhibitors (including isocarboxazid, rasagiline, selegiline, phenelzine, transcypromine, and methylene blue injection) or tricyclic antidepressants (including amitriptyline, desipramine, doxepin, and others);

  • blood pressure medications such as diuretics (water pills) or beta-blockers (including atenolol, labetalol, metoprolol, propranolol, and others); or

  • medication to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome.

This list is not complete. Other drugs may interact with Anoro, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Anoro only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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