How many doses are in a standard pack of Anoro (umeclidinium and vilanterol) for a adult patient with chronic obstructive pulmonary disease (COPD)?

Anoro Ellipta Package Contents

Anoro Ellipta contains 30 blisters (30 doses) in a standard package, providing a one-month supply when used as directed at one inhalation daily. 1

Dosing Information

• The recommended dosage is one actuation (62.5 mcg umeclidinium/25 mcg vilanterol) once daily by oral inhalation 1
• Each actuation delivers 55/22 mcg of umeclidinium/vilanterol respectively 2
• The medication should be administered at the same time every day 1
• Do not use more than once every 24 hours 1

Device Characteristics

• Anoro is delivered via the Ellipta multi-dose dry powder inhaler 2, 3
• The Ellipta device is regarded as easy to use, which may improve adherence compared to other inhaler types 2
• This is important because up to 76% of COPD patients make significant errors when using metered dose inhalers 4

Clinical Context

• Anoro was FDA-approved in December 2013 as the first once-daily fixed-dose combination containing two long-acting bronchodilators (LAMA/LABA) in a single inhaler 3
• The once-daily dosing provides convenience compared to twice-daily alternatives 2
• No dosage adjustment is required for geriatric patients, those with renal impairment, or those with moderate hepatic impairment 1