Anoro Ellipta alternatives: What can I take instead of Anoro Ellipta?

In this article:

• Anoro Ellipta alternatives
• Trelegy Ellipta
• Breztri Aerosphere
• Stiolto Respimat
• Bevespi Aerosphere
• Advair Diskus
• Natural alternatives
• How to switch
• Choosing the right path for COPD treatment

In this article

• Anoro Ellipta alternatives
• Trelegy Ellipta
• Breztri Aerosphere
• Stiolto Respimat
• Bevespi Aerosphere
• Advair Diskus
• Natural alternatives
• How to switch
• Choosing the right path for COPD treatment

Anoro Ellipta is a prescription inhaler used to treat chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It combines two long-acting medications, umeclidinium and vilanterol, to help relax the airways and improve breathing. While it works well for many people, it may not be the best choice for everyone. Some people may have trouble using the device, experience side effects, or find that it doesn’t work well enough for them. Fortunately, several alternative inhalers are available.

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What can I take instead of Anoro Ellipta?

If Anoro Ellipta isn’t the best choice, other inhalers are available to help manage COPD symptoms. Alternatives include different combination inhalers that pair a long-acting muscarinic antagonist (LAMA) with a long-acting beta agonist (LABA), as well as inhalers that add an inhaled corticosteroid (ICS) for people who need extra inflammation control. There are also single-medication inhalers that can be used alone or alongside other treatments.
Some may have different active ingredients, dosing schedules, inhaler devices, or side effects that make them a better choice for certain people. A healthcare provider can help determine the best option based on your symptoms and preferences.

Top 5 Anoro Ellipta alternatives

1. Trelegy Ellipta

Trelegy Ellipta is a once-daily inhaler that combines three types of medications (LAMA, LABA, and ICS) to help manage COPD symptoms. Compared to Anoro Ellipta, which contains only a LAMA and LABA, Trelegy is a more complete option, especially for people with frequent flare-ups or more severe symptoms. It may be prescribed when dual therapy, like Anoro Ellipta, isn’t enough to control breathing problems. Trelegy is approved for moderate to severe COPD and is also used in certain cases of asthma. Side effects are similar to those of other steroid inhalers, including hoarseness, sore throat, and an increased risk of fungal infections.

2. Breztri Aerosphere

Breztri Aerosphere is another triple-therapy inhaler that combines a LAMA, LABA, and ICS to treat COPD. Like Anoro Ellipta, it includes a LAMA and LABA, but Breztri also adds an inhaled steroid for more complete symptom control. It’s similar to Trelegy Ellipta in terms of ingredients but comes in a pressurized metered-dose inhaler (MDI) instead of a dry powder inhaler. Therefore, it may be a strong alternative for people who prefer or respond better to an MDI. Breztri is approved for COPD only, and side effects may include cough, thrush, or upper respiratory tract infections.

3. Stiolto Respimat

Stiolto Respimat is a dual-therapy inhaler that combines a LAMA called tiotropium and a LABA called olodaterol, similar to Anoro Ellipta. However, it uses a soft mist inhaler (Respimat), which some people find easier to inhale compared to a dry powder. It’s taken once daily but with two puffs instead of one. Stiolto may be a better option for those who can’t tolerate Anoro due to lactose, as it doesn’t contain milk ingredients. Common side effects include runny nose, cough, and back pain, though it may cause fewer throat or digestive problems than Anoro.

4. Bevespi Aerosphere

Bevespi Aerosphere is another dual-therapy inhaler that combines a LAMA (glycopyrrolate) and a LABA (formoterol). It’s given as a pressurized aerosol through a metered-dose inhaler (MDI), which may require more coordination than Anoro’s dry powder inhaler. Bevespi is taken twice daily with two puffs each time, compared to Anoro’s once-daily dosing. Side effects are generally similar, though urinary tract infections are more commonly reported with Bevespi. It’s also a good alternative for people with lactose allergies since it does not contain milk proteins.

5. Advair Diskus

Advair Diskus is a dual-therapy inhaler that combines an ICS and a LABA to help manage breathing problems. Unlike the Anoro Ellipta inhaler, which includes a LAMA and LABA, Advair does not contain a LAMA ingredient, so it may not be as effective for some people with COPD. However, it can still be useful for patients who have both asthma and COPD or need an inhaled steroid. Advair is approved for asthma and COPD and is taken twice daily. Possible side effects include throat irritation, hoarseness, or yeast infections in the mouth.

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Along with maintenance treatment, many people also need a rescue inhaler like Ventolin (albuterol). A short-acting bronchodilator can quickly relieve severe and sudden shortness of breath and is important to have on hand in case of emergencies.

Natural alternatives to Anoro Ellipta

There are no natural supplements that can replace prescription medications for COPD. However, there are important lifestyle changes that patients can try alongside their treatment to better manage their symptoms and improve their quality of life:

• Balanced diet: Focus on eating fruits, vegetables, and whole grains. Eating smaller, more frequent meals instead of large meals may also make breathing easier. 
• Regular exercise: Gentle, consistent activity may help improve breathing when done regularly. Moderate to high levels of regular physical activity can improve COPD symptoms, prevent lung function decline, and reduce COPD exacerbations or flare-ups.
• Weight management: Maintaining a healthy weight may help reduce symptoms and make it easier to breathe.
• Vaccinations: Make sure you are up-to-date on flu and pneumonia vaccinations to help prevent respiratory infections. 
• Smoking cessation: Quitting smoking is the single most important step for managing COPD and slowing its progression.

If you’re thinking about changing your diet or daily habits to help with COPD, it’s a good idea to talk with a healthcare professional first. They can answer your questions and make sure any changes you make are appropriate for your condition. 

RELATED: What happens when you quit smoking?

How to switch to an Anoro Ellipta alternative

If you’re considering switching from Anoro Ellipta to another COPD medication, it’s important to talk with your healthcare provider first. Never stop or change your medication without medical advice from a doctor unless you’re experiencing a serious reaction like an allergy. Your doctor can help you find the best alternative and make sure the transition is safe.

When considering alternatives, your doctor will look at several factors, including:

• How easy it is for you to use different inhalers or devices (like inhalers vs. nebulizers)
• How often you’ll need to take the medicine
• Your personal preferences
• Medication cost and insurance coverage

There are several alternative medications to Anoro Ellipta, each with pros and cons. If cost is a concern, SingleCare offers free coupons that may help lower the price of Anoro Ellipta and other COPD treatments. If you want to explore different options, make an appointment with your healthcare provider. They’ll help you find a safe and effective alternative that fits your lifestyle.

Choosing the right path for COPD treatment

If Anoro Ellipta isn’t working for you or the costs of your treatment plan are becoming hard to manage, there are plenty of other FDA-approved options. Some people may benefit from a triple therapy inhaler, such as Trelegy or Breztri, while others may prefer a dual therapy option, like Stiolto or Bevespi. Some inhalers, like Advair or Symbicort, include a steroid for added inflammation control. 

The best treatment option depends on your overall condition, how easy the device is to use, and how you might tolerate the medication. That’s why it’s important to work closely with your healthcare provider, who can help you weigh the pros and cons of each option. With the right support, managing COPD can become a lot more manageable.