Using Anoro Ellipta without an inhaled corticosteroid may lead to worsening COPD symptoms. Talk to your doctor if your symptoms don’t approve during treatment. This medication may also have effects on the heart, nervous system, and eyes. Consult your healthcare provider if you experience difficulty urinating during treatment. Always read and understand the medication guide provided with the product before you begin taking Anoro Ellipta. When you buy Anoro Ellipta online from Your Canada Drug Store, we always send the products in the manufacturer’s packaging.  Do not take this if you have a hypersensitivity to umeclidinium vilanterol.