Switched from Seretide & Tiotropium inhalers to Anoro Ellipta 55/22

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Hi, I'm a 67 year-old male, have COPD & bronchiectasis and have been on Seretide and Tiotropium for about 10 years.  I recently had my annual COPD review and the nurse-practitioner changed my medication to a single inhaler "Anoro Ellipta" umeclidinium/vilanterol.

I'm a bit concerned about possible side-effects, especially urinary tract infection as I also have an enlarged prostate (BPH).  I saw my GP and discussed the possibilities of infection and he couldn't offer any advice - "it's your body, it's your choice whether or not you want the latest recommended medication".

Has anyone else tried this sort of inhaler?  If so, were there any problems?

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14 Replies

  • Posted

    I have no idea how to help you, but I just had to ask you why change if is working for you?

    If I was in your position, I will call back my Pulmo and ask him to go back to the old medication.  Sure, if it was working. ;-)  God bless!

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    • Posted

      Hi Papote, I don't have a pulmonary consultant, just the nurse-practitioner and my GP.  I do have a urology consultant for my BPH, a haematology consultant for my chronic leukaemia (CLL).  Maybe I should ask to be referred but, as I'm in the UK, the process will take ages as the NHS wheels grind exceedingly slowly, about twelve months (I've been under my urology consultant for well over a year and all that's happened is three tests, one of which got lost in their "system"wink.  As a pensioner I can't afford to go private so I'm stuck in the NHS.

       

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  • Posted

    Hi Grunthos ... I too was previously on the same medication and changed to Anoro about 6 weeks ago the only difference I have found is that I now have a constant rattle in my upper chest with phlegm which I didn’t have any phlegm with the other one but apparently it’s better for you this way as it’s loosening it up from your lungs . I haven’t had any urine infections at all but never been prone to them before .. hope this helps x
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    • Posted

      Hi Amanda, thanks for your reply.

      I really appreciate it.  Are you being followed up after six weeks?  That's what I've been asked to do, use Anoro for six weeks then come back to be assessed.  I've had a "wet cough" for as long as I can remember as my childhood asthma developed into COPD thirty years ago even though I only ever smoked for a year in 1974 so I'm hoping any extra phlegm won't bother me.

      Take care.

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    • Posted

      Yes I was told that but now having to wait an extra 2 weeks as no appointments available with the copd nurse at my local surgery .. I was told that it has very good reviews and that seretide shouldn’t be used for a long period , I’ve been on it 11 years and spiriva for same amount of years .. so far so good , I have had copd 11 years and I’m now stage 3 30% lung capacity , I also have asthma since I was early 20s I used to smoke up until 8 years ago , take care and try not to worry , if you have any concerns before next appointment phone Nhs 24 they are very helpful x
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    • Posted

      Hi Amanda, I've not heard about "stages", just that my COPD is getting 5% worse each year, hence the change of medication.  I was told by my COPD nurse that steroid inhalers can lead to pneumonia and "have been introduced too early" (her words not mine) so umeclidinium/vilanterol is the recommended treatment. I was given the choice of four inhalers, all the same cost to the NHS.  One was far too complicated - pull, twist, press a button and inhale, another was a complicated mist, the third was a "breathe and listen for a click and then check a red/green indicator" to see if it worked.  I chose the Anoro because it's mechanism was similar to Seretide, simple as that.  What a palaver!

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    • Posted

      Hi Grunthos I was told that it had amazing reviews so that’s why I accepted what I was told .. I had a very bad chest infection for 14 weeks and was sent to hospital for more breathing tests that’s how I found out I was now stage 3 I had mild copd when diagnosed 11 years ago , despite stopping smoking i have now gone to stage 3 ..  take care x
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  • Posted

    WOW, sorry my friend.  I would not go to a nurse-practitioner for a COPD condition.  But sure, I do have the facilities here.  Hope all works out great for you but be very carefull with new medications.  God bless!
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    • Posted

      In the UK we don't have a choice under the NHS I'm afraid.  My doctors won't even discuss my copd or any issues coz 'They haven't got time and the respiratory nurse knows more than we do anyway'.  You might get referred to a consultant if you are at a severe level but not always then.  x

       

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  • Posted

    Hi the best thing for you to do is to try it and see if it works for you.  I suspect it is a generic med which is cheaper than the named one as this is what surgeries are doing now to cut costs.  I was changed to DuoResp a generic version of symbicort.  The ingredients were the same but the expedient was different.  The particles were much finer and didn't suit me at all.  I rang up the doctors and he changed it back without argument.  x

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    • Posted

      Hi Hypercat,

      I don't think the new 55/22 inhalers are generic. I was shown 4 different inhalers that cost the NHS around £32 each. There may be more expensive ones of course but I doubt if surgeries would go down that route.

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  • Posted

    I've been using it for 5 months now and I also have an enlarged prostate. No side affects and no problems with prostate so far. Just had my annual prostate check and all was well. I was using symbicort but it gave me headaches if I used the recommend 2 puffs 2x daily. I found that if I only use it once per day I'm ok.

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  • Posted

    I am 50 years old and more than 5 weeks ago my left lung collaped. 5 weeks ago I had lung surgery to staple the hole in my lung. I am way new to all this myself. A week after I got out of the hospital my lung doc gave me two inhalers to try. I picked the Anoro ellipta. So I am using it daily with six refills. I honestly didn't even read the side effects or "maybes". All meds have them. I just know right at this moment, I breathe ok.

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  • Posted

    Hi all,

    Just a follow up to my original question.

    My COPD nurse has changed my medication again.  I wasn't getting on at all well with Anoro Ellipta because it left me feeling very tired all the time.  I'm now on "Trimbow 87/5/9" which has a low-dose steroid component and this seems to suit me better.

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