Did your pulmonologist tell you why they were making this change in your meds? Did they explain that with Advair and Spiriva, you were getting three medications: a LAMA (spiriva) and a LABA and an ICS (Advair). With the Anoro you are only getting two of the three medications: a LABA and LAMA ; you aren't getting the inhaled corticosteroid that is part of Advair. That may be why you're feeling short of breath. If your doc still wants you to have the ingredients in Anoro, you could try Trelegy: same manufacturer, same LABA and LAMA with the ICS included. It's a once a day triple therapy.

You need to know WHY your doc is making this change, and if you don't have a pulmonologist, you need to find one who understands the meds and why you take what you do.

ps Joni. You can click on the blue words in all the comments above to read about how each type of ingredient affects different functions of the Respiratory system.
In particular, the Muscarine Antagonist class of medicines can sometimes cause more harm than good. There are many known side effects and other drug/drug interactions with these and your Doc should explain them to you.

Hi Joni. It is interesting that your doctor changed your meds to a combination inhaler which does NOT have a steroid ingredient in it any more. Did she explained why she changed her treatment strategy? Did something else change with your symptoms lately too?
Because Anoro is only once per day as a controller med, the overall benefit may also become lost if you are taking it too close to (any) other meds as well. You were taking Advair (with the steroid) twice per day before. That probably gave you more coverage across your daily activities too.
I recently used a 7 day trial of Breztri which is dosed twice per day. Because this changed my entire routine, I could tell when it was close to time for the second dose. Overall it worked just as well as Trelegy, but I felt poorly soon after if a dose was delayed. Fortunately I have other meds to fill in the gap.
The bottom line is if you're not feeling better with the new med, there are other choices for you which are similar to what you had before. Take care.

I've been on Anoro for about2 years now and have no problem with it. I have no phlegm and no coughing since on it. Wish I could be of more help.❤️

Maybe Anoro is not for you. Ask your Pulmonologist for something else.