Anoro Ellipta alternatives: similar inhalers, device tips, and how to choose

If Anoro Ellipta (umeclidinium/vilanterol) isn’t a fit—because of side effects, price, or inhaler preference—you’ve got sensible options. I’ll list the most common alternatives, explain how they differ, and give practical tips for picking one that matches your breathing needs and daily routine.

Main prescription alternatives

Most alternatives are other LAMA/LABA combos that work the same way: two bronchodilators to open airways. Common choices include:

Stiolto Respimat (tiotropium/olodaterol) — a soft-mist inhaler that can be easier to use than dry powder devices if you have weak inhalation. Great if you struggle with DPIs.

Utibron Neohaler (indacaterol/glycopyrrolate) — a capsule DPI. It needs a capsule loaded into the device, so it’s more hands-on but effective for many patients.

Bevespi Aerosphere (glycopyrrolate/formoterol) — a pressurized metered-dose inhaler (pMDI) with a spacer option for people who need coordination help.

Spiriva (tiotropium) — a LAMA only. If your symptoms are mild, a single long-acting drug might be enough. For frequent flare-ups you may still need a LAMA/LABA or add an inhaled steroid.

Trelegy Ellipta — triple therapy (LAMA/LABA/ICS). Pick this only if you have repeated exacerbations or asthma overlap and your doctor recommends an inhaled steroid added to LAMA/LABA.

How to pick the right inhaler

Match the device to your strength and skill. DPIs like Anoro need a strong quick breath. Soft-mist (Respimat) or pMDIs work better if inhalation is weak. If you have arthritis or trouble loading capsules, avoid capsule DPIs.

Think about side effects: all LAMA/LABAs can cause dry mouth, fast heartbeat, urinary retention, or eye pressure. If you’ve had urinary or glaucoma problems, mention that—your clinician may steer you away from certain options.

Cost and coverage really matter. Ask your pharmacist for generics, check manufacturer coupons, and use price-comparison tools before you switch. Some inhalers have patient-assistance programs that cut out-of-pocket costs.

Don’t switch on your own. Ask for a trial device at the clinic or a demonstration from a pharmacist. Practice technique—most inhaler problems come from poor technique, not bad medicine.

Questions to ask your clinician: Which inhaler matches my breathing strength? Will this reduce my exacerbations? What side effects should I watch for? Can I get a sample or a cheaper alternative?

If you want a quick next step, take your current inhaler to your next visit and ask for a hands-on comparison. Small device changes often make a big difference in daily control and comfort.