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Two medicines, side by side

Umeclidinium vs umeclidinium/vilanterol

Umeclidinium and umeclidinium/vilanterol are both labeled for COPD. Drugs@FDA records approvals of umeclidinium since 2014 and of umeclidinium/vilanterol since 2013. Pharmacies paid $7.35 per umeclidinium ellipta 62.5 mcg inhaler and $4.95 per umeclidinium-vilanterol ellipta 62.5-25 mcg inhaler (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, umeclidinium is an anticholinergic and umeclidinium/vilanterol a beta2-adrenergic agonist.

Check it at the source: the umeclidinium FDA label on DailyMed (effective December 13, 2023); the umeclidinium/vilanterol FDA label on DailyMed (effective June 2, 2023).

Highlights of the umeclidinium record

Umeclidinium (Incruse Ellipta) · label of December 13, 2023

Used for

From the label: indications

INCRUSE ELLIPTA is indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD). INCRUSE ELLIPTA is an anticholinergic indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD).

On the market

Earliest approval on file
April 30, 2014
Generic labelers
none listed
Pharmacy cost
$7.35 per inhaler

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the umeclidinium and vilanterol record

Umeclidinium and vilanterol (Anoro Ellipta) · label of June 2, 2023

Used for

From the label: indications

ANORO ELLIPTA is indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD). Limitations of Use ANORO ELLIPTA is NOT indicated for the relief of acute bronchospasm or for the treatment of asthma. The safety and effectiveness of ANORO ELLIPTA in asthma have not been established. […]

On the market

Earliest approval on file
December 18, 2013
Generic labelers
none listed
Pharmacy cost
$4.95 per inhaler

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Umeclidinium label of December 13, 2023, Umeclidinium/vilanterol label of June 2, 2023); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do umeclidinium and umeclidinium/vilanterol differ on the record?

In FDA's classes, umeclidinium is an anticholinergic and umeclidinium/vilanterol a beta2-adrenergic agonist.

How each works, in its label's words: Umeclidinium, “Umeclidinium is a long-acting muscarinic antagonist, which is often referred to as an anticholinergic.”; Umeclidinium/vilanterol, “ANORO ELLIPTA ANORO ELLIPTA contains both umeclidinium and vilanterol.”

Half-life, in each label's words: Umeclidinium, “Excretion: The effective half-life after once-daily orally inhaled dosing is 11 hours.”; Umeclidinium/vilanterol, “Excretion: Umeclidinium: The effective half-life after once-daily oral dosing is 11 hours.”

UmeclidiniumUmeclidinium/vilanterol
Labeled forCOPDCOPD
Pharmacologic classAnticholinergicAnticholinergic, beta2-Adrenergic Agonist
How it works (label)Umeclidinium is a long-acting muscarinic antagonist, which is often referred to as an anticholinergic. It has similar affinity to the subtypes of muscarinic receptors M1 to M5.ANORO ELLIPTA ANORO ELLIPTA contains both umeclidinium and vilanterol. The mechanisms of action described below for the individual components apply to ANORO ELLIPTA.
Half-life (label)Excretion: The effective half-life after once-daily orally inhaled dosing is 11 hours.Excretion: Umeclidinium: The effective half-life after once-daily oral dosing is 11 hours.
Earliest approval on file (Drugs@FDA)April 30, 2014December 18, 2013
First generic approvednonenone
Generic labelers (NDC)none listednone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$7.35 per inhaler (Umeclidinium ellipta 62.5 mcg inhaler)$4.95 per inhaler (Umeclidinium-vilanterol ellipta 62.5-25 mcg inhaler)
12-month price changen/a+2%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded01
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)8,90316,608
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Umeclidinium label, drug interactions

Avoid administration of INCRUSE ELLIPTA with other anticholinergic-containing drugs.

Umeclidinium/vilanterol label, drug interactions

Avoid administration of ANORO ELLIPTA with other anticholinergic-containing drugs.

Source: FDA drug labels via openFDA

What next?

Alternatives to umeclidinium
every medicine labeled for the same conditions