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Anoro Ellipta vs. Trelegy Ellipta

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Anoro Ellipta (umeclidinium/vilanterol) and Trelegy Ellipta (fluticasone/umeclidinium/vilanterol) are both inhalers used to manage chronic obstructive pulmonary disease (COPD), but they have some key differences. Anoro Ellipta combines a long-acting muscarinic antagonist (LAMA) and a long-acting beta-agonist (LABA) to help you breathe easier, while Trelegy Ellipta adds an inhaled corticosteroid (ICS) to the mix, which helps reduce inflammation in your lungs. Trelegy Ellipta is also approved for treating asthma, unlike Anoro Ellipta. You don't need to rinse your mouth after using Anoro Ellipta, but you must do so with Trelegy Ellipta to prevent oral thrush. Both medications are taken once daily, but neither has a generic version, making them potentially expensive. Additionally, Anoro Ellipta contains milk protein, which can cause severe allergies in some people, a concern also present with Trelegy Ellipta.

Anoro Ellipta

(umeclidinium / vilanterol)

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Trelegy Ellipta

 

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Summary for Anoro Ellipta

Prescription only

Anoro Ellipta is a steroid-free inhaler that contains umeclidinium (a long-acting muscarinic antagonist, or LAMA) and vilanterol (a long-acting beta agonist, or LABA). It's FDA-approved for maintenance treatment of chronic obstructive pulmonary disease (COPD) in adults. This Ellipta inhaler is inhaled through the mouth once per day. Side effects aren't common, but some people have reported sore throat and diarrhea.

Indications for Anoro Ellipta

Pros and Cons for Anoro Ellipta

Pros

  • Combination of two bronchodilators within a single inhaler
  • Inhaled once per day
  • No need to rinse your mouth after a dose since it doesn't contain a steroid

Cons

  • Doesn't replace your rescue inhaler for sudden trouble breathing
  • Can't use if you're severely allergic to milk proteins because it contains lactose
  • Might not be a good choice for people who've trouble urinating

Common Side Effects for Anoro Ellipta

  • Sore throat (2%)
  • Diarrhea (2%)

Warnings for Anoro Ellipta

  • Not for COPD flare ups or worsening breathing
  • Narrowing of your airways (bronchospasm)
  • Serious allergic reactions
  • Worsening narrow-angle glaucoma
  • Trouble urinating
  • Heart problems
  • Low potassium level in the blood

Summary for Trelegy Ellipta

Prescription only

Trelegy Ellipta is a combination maintenance inhaler used to treat adults with chronic obstructive pulmonary disease (COPD) and asthma. It contains three active ingredients: fluticasone (a corticosteroid), umeclidinium (a long-acting muscarinic antagonist), and vilanterol (a long-acting beta agonist). Together, these help reduce airway inflammation, relax airway muscles, and help keep your airways open. The typical dose is one puff inhaled through the mouth once a day. Common side effects include headache, cough, and back pain.

Indications for Trelegy Ellipta

Pros and Cons for Trelegy Ellipta

Pros

  • Only need to inhale one puff once a day
  • Combination of three medications within a single inhaler
  • Approved for both COPD and asthma

Cons

  • Common side effects include headache and cough
  • Can't use if severely allergic to milk proteins because it contains lactose
  • Need to rinse your mouth after each dose to prevent oral thrush

Common Side Effects for Trelegy Ellipta

COPD:

  • Headache (4%)
  • Back pain (4%)
  • Changes in taste (2%)
  • Diarrhea (2%)

Asthma:

  • Common cold symptoms (up to 17%)
  • Headache (up to 9%)
  • Upper respiratory tract infection (up to 7%)
  • Bronchitis (up to 5%)
  • Sinus infection (up to 3%)
  • Back pain (up to 3%)

Warnings for Trelegy Ellipta

  • Worsening symptoms or sudden flare-ups
  • Overdose
  • Oral thrush
  • Pneumonia
  • Risk of infection
  • Changes in stress hormone levels
  • Sudden narrowing of the airways
  • Serious allergic reaction
  • Heart problems
  • Weaker bones
  • Eye problems
  • Trouble urinating
  • Worsening of certain health conditions
  • Low potassium and high blood sugar

Prices with our coupons for Anoro Ellipta vs. Trelegy Ellipta

Price Card Drug Icon
Umeclidinium/Vilanterol Ellipta1 inhaler / 60 blisters of 62.5mcg/25mcg
$273.88$552.93
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Price Card Drug Icon
Trelegy Ellipta1 inhaler / 60 blisters of 100mcg/62.5mcg/25mcg
$676.02$864.39
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