Answer
In Anoro Ellipta, umeclidinium blocks acetylcholine binding to muscarinic receptors on airway smooth muscle, while vilanterol stimulates beta2-adrenergic receptors, increasing cyclic AMP to relax bronchial smooth muscle; both act locally after inhalation to widen the airways.
Sources for this answer
- ANORO ELLIPTA 55 micrograms/22 micrograms inhalation powder, pre-dispensedGlaxoSmithKline UK · emc · SmPC §5.1 Pharmacodynamic properties · Version 17Document updated
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