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ANORO INHALER 55 mcg. / 22 mcg. 30 doses

Product Code: ANORO INHALER 55 mcg. / 22 mcg. 30 doses
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What ANORO is and what it is used for What is ANORO
ANORO contains two active substances called skilllidine and vilanterol. They belong to a group of medicines called bronchodilators.

What ANORO is used for
ANORO is used to treat Chronic Obstructive Pulmonary Disease (COPD) in adults. COPD is a chronic condition characterized by breathing difficulties which slowly deteriorate.
With COPD, the muscles around the airways narrowed. This drug blocks the narrowing of these muscles in the lungs, making it easier for the lungs to enter and exit the air. When taken regularly, the medicine can help control difficult breathing and reduce the impact of COPD on your daily activities.

ANORO should not be used to relieve a sudden onset of shortness of breath or wheezing.
If you experience such an attack, you should use a fast-acting inhaled medicine (such as salbutamol).

2. What you need to know before using ANORO
Do not use ANORO:
If you are allergic to ciclosacin, vilanterol or any of the other ingredients of this medicine (listed in section 6).
If you think this applies to you, do not use this medicine before discussing it with your doctor.

Warnings and precautions
Talk to your doctor before using this medicine:
If you have asthma (Do not use ANORO to treat asthma);
If you have heart problems or high blood pressure;
If you have a problem with your eyes called a narrow-angle glaucoma;
If you have enlarged prostate, difficulty urinating or clogging the bladder;
If you suffer from epilepsy;
If you have problems with the thyroid gland;
If you have diabetes;
If you have severe liver problems.
Check with your doctor if you think any of the above applies to you.

Breathing problems immediately after administration
If you get chest tightness, cough, wheezing or difficulty in breathing immediately after using your inhaler. ANORO:
Stop using this medicine and seek immediate medical attention as you may have a serious condition (called paradoxical bronchospasm).
Problems with eyes during treatment with ANORO
If you have eye pain or discomfort, temporary blurred vision, visual auras or color images in combination with red eyes during treatment with ANORO:
Stop taking this medicine and seek immediate medical attention, these may be signs of a severe seizure of the angle-closure glaucoma.
Children and adolescents
This medicine should not be given to children or adolescents under the age of 18 years.

Other medicines and ANORO
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Some medicines can affect the way this medicine works or increase the likelihood of side effects. They include:
Medicines called beta-blockers (such as propranolol) used to treat high blood pressure or other heart disease;
Ketoconazole or itraconazole used to treat fungal infections;
Clarithromycin or telithromycin used to treat bacterial infections;
Ritonavir used to treat HIV infection;
Medicines that reduce the amount of potassium in the blood, such as some diuretics (dewatering tablets);
Other long-acting medicines similar to this medicine that are used to treat breathing problems, Tiotropium, indacaterol. Do not use ANORO if you are already taking any of these medicines.
Tell your doctor or pharmacist if you are taking any of these medicines.

Pregnancy, breastfeeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or plan to become pregnant, ask your doctor before taking this medicine. Do not use this medicine if you are pregnant unless your doctor tells you.
It is not known whether the ingredients of ANORO can pass into breast milk. If you are breast-feeding, you should consult your doctor before taking ANORO. Do not use this medicine if you are breast-feeding unless your doctor tells you to.

Driving and using machines
ANORO is unlikely to affect your ability to drive or use machines.

ANORO contains lactose
Check with your doctor before using this medicine if you have a diagnosis of intolerance to some sugars.

3. How to use ANORO
Always use this medicine exactly as your doctor has told you. If you are not sure, talk to your doctor or pharmacist.
The recommended dose is one inhalation every day at the same time of the day. You should only inhaled once daily because the effect of this medicine lasts for 24 hours.
Do not use a larger dose than prescribed by your doctor.

Apply ANORO regularly
It is very important to use ANORO every day, just as your doctor told you. This will help avoid 
If you have taken more than the required dose of ANORO
If you accidentally take too much of this medicine, contact your doctor or pharmacist immediately for advice as you may need medical attention. If possible, show them the inhaler, the pack or this leaflet. You may feel that your heart beats faster than usual, you tremble, have visual disturbances, dry mouth or have a headache.

If you forget to take ANORO
Do not take an extra dose to make up for the missed dose. Take the next dose at the usual time. If you get wheezing or shortness of breath, use a fast-acting inhaled medicine (such as salbutamol) and then seek medical attention.

If you stop the ANORO application
Apply this medicine for as long as your doctor has recommended. The drug will be effective only when you are using it. Do not stop treatment even if you feel better unless your doctor advises you because your symptoms may get worse.

If you have any further questions about the use of this medicine, ask your doctor, pharmacist or nurse.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.

Breathing problems immediately after administration
If you get chest tightness, cough, wheezing or shortness of breath immediately after using this medicine:
Stop taking this medicine and seek immediate medical attention as you may have a serious condition called paradoxical bronchospasm.
Common side effects - these may affect up to 1 in 10 people:
Painful and frequent urination (may be signs of urinary tract infection);
A combination of sore throat and nasal discharge;
sore throat;
A feeling of compression or pain in the cheeks and forehead (may be signs of sinus inflammation called sinusitis);
Pain and irritation in the back of the mouth and throat;
Dry mouth;
Upper respiratory tract infection.
Uncommon side effects - these may affect up to 1 in 100 people:
Irregular heart rhythm;
Accelerated heart rhythm;
Reporting of side effects
If any of the side effects gets serious, tell your doctor, pharmacist or nurse. This includes all possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system. As you report side effects, you can contribute to getting more information on the safety of this medicine.

5. How to store ANORO
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date which is stated on the carton, sachet and inhaler after EXP. The expiry date refers to the last day of that month.
Store in the sealed socket to protect from moisture and do not open the foil coating before you are ready for the first application. After opening the socket, the inhaler can be used within 6 weeks of opening the socket. Write the date after which the inhaler should not be used at the place provided on the label. The date should be written immediately after removing the inhaler from the well.
Do not store above 30 ° C.
If stored in a refrigerator, the inhaler should be left at room temperature for at least one hour before use.
Do not dispose of medicines in the sewers or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
Packaging content and additional information
What ANORO contains
The active substances are: cleansing bromide and vilanterol.
Each inhalation delivers a single dose (the dose that is released from the mouthpiece) of 55 micrograms of skillinium (equivalent to 65 micrograms of cleftinium bromide) and 22 micrograms of vilanterol (as trifenate).
The other ingredients are: lactose monohydrate and magnesium stearate.

What ANORO looks like and contents of the pack
The inhaler consists of a light gray, plastic body, a red mouthpiece cover, and a dose counter. It is packed in a socket of laminated foil with a detachable foil cover. The nest contains a desiccant sachet to reduce moisture in the package.
The active ingredients are in the form of a white powder in separate blisters placed in the inhaler. Each inhaler contains 7 or 30 doses. Pack sizes of 90 (3 inhalers x 30) are also available.
Not all pack sizes may be marketed.


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