Anoro is an inhaler based medication used to treat various respiratory symptoms. Controlling the chronic symptoms of respiratory problems can help individuals to live a better quality of life, by staying active. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Patient Leaflet(s)

Anoro is a prescription bronchodilator medication available in the form of a regular use inhaler. This medication includes the dual active ingredients known as vilanterol and umeclidinium.  

What is Anoro? 

Anoro is an inhaler based medication used to treat various respiratory symptoms. Controlling the chronic symptoms of respiratory problems can help individuals to live a better quality of life, by staying active.   

Anoro includes two active ingredients, umeclidinium and vilanterol. These medications both work in tandem to have the same effect. They relax the muscles in the airways and around the lungs so that they can open up naturally and make inhaling and exhaling easier.  

The drugs in Anoro belong to a group of drugs known as anticholinergics and long-acting beta agonists. Both of these medications are also known to be effective bronchodilators. Anoro can be given alongside other treatments for that are designed to help you overcome the rapid onset of severe side effects caused by a respiratory issue.  

Anoro is only available on prescription and should not be taken by anyone who has not been advised to use the medication by their doctor or a medical professional. 

When is Anoro used? 

Anoro is a medication used for the treatment and maintenance of conditions caused by respiratory or breathing problems. Anoro is commonly used to treat the feelings of shortness of breath and wheezing caused by a chronic lung disease called chronic obstructive pulmonary disease, or COPD.  

Controlling the symptoms of this disease can help to reduce the discomfort that patients face. However, Anoro is not a way to cure COPD.  

Unlike other medications in inhaler form that may be used for the immediate treatment of a condition like asthma or COPD, Anoro is intended as a long-form treatment. This means that you need to use the medication regularly to get the most benefit from it. It should not be used to relieve sudden problems with shortness of breath. 

Anoro is not intended for the treatment of asthma. If you have asthma and you use long-acting beta agonists that are inhaled, like Anoro then you might have an increased risk of serious breathing problems. Anoro should only be used by people with asthma when a corticosteroid is also used.  

How do you use Anoro? 

Anoro will come with a patient leaflet included in the medication box that you can use to learn more about how this substance works, and how you should take it. Make sure that you read the leaflet to reduce your chances of dangerous side effects and common problems.  

Anoro is an inhaled drug, which means that you need to use an inhaler. If you have never used an inhaler before, it might be helpful to ask your doctor for advice on how to use it properly. Do not open the protective lid on the inhaler until you’re ready to use it. When you open the cover on this medication, you will prepare a dose of medication. Do not close the cover until after you have inhaled either.  

Place the inhaler between your lips and inhale deeply to get your dose. You may not taste or feel the inhaler when you use it. Do not exhale into the device. Make sure that you use this drug regularly to get the best benefit from it.  

If you have also been using your quick relief inhaler on a regular basis, you may need to stop using this quick relief inhaler as regularly. It is important to ask your doctor which inhalers you should be using on a daily basis, and which you should only use when your breathing suddenly worsens.  

What dosages are there? 

Your dose of Anoro will be prescribed based on your condition and your response to treatment. You should always be cautious when using this medication to ensure that you do not use more than one full dose a day. If you are using other inhalers at the same time as Anoro then wait at least one minute between doses.  

Each inhalation of Anoro will give you 22 mcg of vilanterol and 55 mcg of umeclidinium. The inhaler should contain at least 30 puffs in total. Anoro should usually be taken once a day to treat long-term COPD, but your doctor will advise you if there is a different dose for you to take.  

If you miss a dose of Anoro, you can take it when you remember unless it is almost time for your next dose. Do not take multiple doses in the same day as this could increase your risk of side effects.  

Anoro is meant to be used long-term, which means that you could take it every day for several months or even years. If after a few weeks of using Anoro you feel as though your condition isn’t improving or that it might be getting worse, speak to your doctor or a medical consultant about your options for alternative treatments.  

What are the side effects of Anoro? 

Although Anoro is a recommended treatment for long-term COPD, it may not be the ideal treatment for everyone with this condition. It is important to speak to your doctor about your condition carefully before using Anoro and make sure that you are aware of the side effects.  

Many of the people who use Anoro do not have serious side effects. You may notice a dryness in your throat or a bad taste in your mouth when you first begin taking this medication, but those things are not dangerous.  

Tell your doctor or a medical professional immediately if you have any more serious side effects, such as: 

  • Nervousness; 
  • Shaking or tremor; 
  • Muscle weakness; 
  • Cramps; 
  • Increased sense of thirst; 
  • Increased urination. 

This medication may cause an increase in blood pressure in some cases. Your doctor might ask you to check your blood pressure regularly and share the results if they are higher than usual.  

In rare circumstances, Anoro can cause breathing problems and wheezing after you use it. If this happens, it might be important to use a quick-relief inhaler to get help more immediately.  

Anoro can sometimes cause chest pain, an irregular heartbeat, severe dizziness, and fainting. If you notice any of those side effects, or a pain or swelling in your eye, then seek help from a doctor immediately.  

It is rare to experience a significant allergic reaction to this drug. However, you should get medical help immediately if you notice the side effects of an allergic response. Get emergency help if you notice itching or a rash, swelling in the throat, lips, or tongue, or severe dizziness and trouble breathing. 

This is not a complete list of possible side effects that might happen with Anoro. If you notice other issues that aren’t listed here, speak to your pharmacist or doctor.  

When shouldn’t you use Anoro? 

Anoro may not be suitable for everyone who has COPD. Before you begin using this medication, it is important to speak to a doctor or consultant about your condition in depth, and your medical history. 

Tell your doctor or consultant if you are allergic to this medication. It is also important for your doctor or consultant to know about any other allergies that you have, as Anoro can include inactive ingredients that may also cause an allergic response.  

Before using Anoro tell your doctor or consultant about your medical history and answer any questions they may have. Make sure that your doctor is aware of any heart problems, chest pain, high blood pressure, overactive thyroid activity, seizures, or diabetes. It is also important to alert your doctor to any personal or family background with glaucoma, or difficulty with urination caused by an enlarged prostate.  

In rare conditions, Anoro can cause a condition that changes the rhythm of the heart. QT prolongation can sometimes lead to fatal irregular heartbeats and other symptoms, such as significant dizziness or fainting that need to be addressed by a medical professional immediately.  

The risk of this heart condition can be increased if you have certain medical conditions or are taking drugs that might also increase your risk for this condition. If you or your family members have ever had any issues with QT prolongation, make sure that your doctor or consultant is aware.  

Your risk of QT prolongation can also increase if you have low levels of magnesium or potassium in your blood, or you are low on water because of vomiting, diarrhea, or significant sweating.  

Does Anoro interact with other medications? 

Interactions between medications can be dangerous because they may change how certain medications work, or increase your risk of certain side effects. Anoro can cause interactions with other medications, such as anticholinergic drugs like tiotropium and LABA drugs.  

Make sure that you keep a complete list of all the medications that you use before you begin taking Anoro. You should tell your doctor or consultant about all medications, including over the counter drugs and herbal remedies, as well as prescription medicines.  

Where can you buy Anoro? 

Anoro is available to buy from reputable online and offline pharmacies, provided that you have been assessed by a medical professional and this medication has been deemed necessary for you.  

Can I get Anoro without a prescription? 

Anoro is not available without a prescription. It is dangerous to take a prescription medication that has not been prescribed to you.  

Sources (2014, Nov 06) Chronic obstructive pulmonary disease: umeclidinium/vilanterol combination inhaler (Anoro Ellipta) Retrieved March 27th 2020 from: 

Public.gsk, (2019, November) Anoro▼ Ellipta , Retrieved March 14th 2020 from: 

RXList, (2019, June, 19) ANORO ELLIPTA Retrieved March 27th 2020 from:  

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.