| Breezhaler (available in Canada) |
- Capsules should be stored in sealed blisters and removed immediately before use.
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- Remove cap and tilt mouthpiece to open inhaler.
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- Separate 1 blister from card, and peel open the blister to remove the capsule. Do not push the capsule through the foil.
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- Place the capsule in the chamber.
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- Close the mouthpiece firmly until you hear a click.
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- Hold the inhaler with the mouthpiece upwards. Press the piercing buttons on both sides at the same time, then release. You should hear a click. Do not press the buttons more than once.
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- Breathe out completely away from the mouthpiece.
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- Hold the inhaler so the buttons are facing left and right, not up and down, and your fingers are not on the buttons.
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- Close your lips tightly around the mouthpiece. Breathe in through your mouth rapidly and steadily, and as deeply as possible. As you breathe, you should hear a whirring noise as the capsule spins. (If you do not hear this, open the inhaler and tap it on the bottom to loosen the capsule. Then repeat the steps of breathing out then inhaling the medicine.)
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- Remove the inhaler from your mouth, and hold your breath for 5 to 10 seconds (or as long as you comfortably can). Then breathe out. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Open the inhaler to make sure the capsule is empty. If there is still powder in the capsule, close the inhaler and repeat the steps above to breathe out and then inhale the medicine.
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- Once all powder is inhaled, tip out the empty capsule, and throw it away. Do not touch the capsule.
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- Replace the cap. Store the device in a cool, dry place. Do not wash the device with water. Refer to the information that came with your inhaler for cleaning instructions, if needed.
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| Diskus |
- Remove the inhaler from the foil pouch. Write the "Pouch opened" and "Use by" dates on the inhaler label with a pen or marker that will not rub off. The "Use by" date depends on the medicine in the inhaler. Refer to the information that came with your inhaler for instructions.
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- Open the device. To do this, push the thumb grip away from you as far as it will go until it snaps into place and the mouthpiece shows.
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- Hold the device in a horizontal (level) position. Slide the lever until it clicks. The number on the counter should go down by 1. This means a dose is ready to be inhaled. To prevent accidentally wasting the dose, do not close the device, tilt the device, or move the lever until after the dose is inhaled.
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- While holding the inhaler away from your mouth, breathe out (exhale) fully. Do not exhale into the mouthpiece.
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- Put the mouthpiece between your lips. Breathe in rapidly and steadily through your mouth, as deeply as possible. Do not breathe in through your nose. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Remove the device from your mouth and hold your breath for about 10 seconds (or as long as you comfortably can).
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- Breathe out slowly (away from the mouthpiece).
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- Close the device. To do this, push the thumb grip toward you as far as it will go until it snaps into place and the mouthpiece no longer shows.
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- When you have 5 or fewer doses remaining in your inhaler, the counter will show the remaining doses in red. This is to remind you to get a refill. After you have inhaled the last dose, the counter will show "0" and the inhaler should be thrown away.
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| Ellipta |
- Remove the inhaler from the foil tray. Do not open the cover of the inhaler until you are ready to use it.
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- Write the "Tray opened" and "Discard" dates on the inhaler label with a pen or marker that will not rub off. The "Discard" date should be 6 weeks from the date you open the tray.
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- Check the dose counter on the inhaler. Before you use the inhaler for the first time, the counter should show the number 30. This is the number of doses in the inhaler.
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- Open the cover of the inhaler. Each time you fully open the cover, it should produce a clicking sound, and the number on the counter should go down by 1. This means a dose is ready to be inhaled. (If you open and close the cover without inhaling the medicine, you will lose the dose. The lost dose will be held in the inhaler, but it will no longer be available to be inhaled. It is not possible to accidentally take a double dose or an extra dose in 1 inhalation.)
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- If the counter does not count down as you hear the click, the inhaler will not deliver the medicine. Call your health care provider or pharmacist if this happens.
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- While holding the inhaler away from your mouth, breathe out (exhale) fully. Do not exhale into the mouthpiece.
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- Hold the inhaler in a horizontal position. You do not need to shake it. Do not block the air vent in the inhaler with your fingers.
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- Put the mouthpiece between your lips, and close your lips tightly around it. Your lips should fit over the curved shape of the mouthpiece.
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- Take 1 long, steady, deep breath in through your mouth. Do not breathe in through your nose. Do not block the air vent with your fingers. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Remove the mouthpiece from your mouth and hold your breath for about 3 to 4 seconds (or as long as you comfortably can).
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- Breathe out slowly and gently.
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- Slide the cover up and over the mouthpiece as far as it will go to close the inhaler. You can clean the mouthpiece if needed, using a dry tissue, before you close the cover. Regular cleaning is not required.
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- When you have less than 10 doses remaining in your inhaler, the left half of the counter shows red. This is to remind you to get a refill. After you have inhaled the last dose, the counter will show "0" and the inhaler should be thrown away.
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| Flexhaler/turbuhaler |
- Twist and remove the cover.
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- Hold the inhaler upright with mouthpiece facing up.
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- The inhaler must be primed before using it for the first time. To prime the inhaler, turn the grip as far as it will go in 1 direction, then fully back again in the other direction until it stops. You will hear a "click" during 1 of the turning movements. Repeat this process a second time. You are now ready to load the first dose.
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- To load a dose, turn the grip as far as it will go in 1 direction and then fully back again in the other direction until it stops. You will hear a "click" during 1 of the turning movements. This means a dose has been released. It does not matter which way you turn it first.
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- Breathe out as much air as you can from your lungs.
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- Close your lips tightly around the mouthpiece.
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- Breathe in through your mouth rapidly and steadily, as deeply as possible, then hold your breath as long as you comfortably can.
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- Remove the device from your mouth and breathe out (exhale) outside the device. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Replace the cover and twist to close. Store the device in a cool, dry place. Refer to the information that came with your inhaler for cleaning instructions.
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- The dose counter displays the number of doses that are left in the inhaler. When the number "0" on the red background reaches the middle of the dose indicator window, the inhaler is empty and should be thrown away. You should get a refill before the inhaler runs out of doses.
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| HandiHaler |
- Open the device by pressing the piercing button to open the dust cap (lid). Pull the dust cap up from the base to expose the mouthpiece.
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- Open the mouthpiece by pulling the mouthpiece ridge up and away from the base so the center chamber is showing.
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- Remove 1 capsule from the pack. To open the blister, peel back the foil using the tab until 1 capsule is fully visible. Insert the capsule into the center chamber of the device. Capsules should be stored in sealed blisters and only removed immediately before use.
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- Close the mouthpiece firmly until you hear a click, leaving the dust cap open.
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- Hold the HandiHaler with the mouthpiece upwards, then press the piercing button completely in 1 time and release.
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- Breathe out completely. Do not breathe into the mouthpiece at any time.
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- Bring the device to your mouth in a horizontal (level) position. Close your lips tightly around the mouthpiece.
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- Breathe in through your mouth rapidly and steadily, as deeply as possible. You should hear the capsule vibrate or rattle. Remove the device from your mouth, hold your breath for a few seconds (or as long as you comfortably can), then breathe out (exhale). You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- To ensure you get the full dose, repeat the inhalation from the HandiHaler as described for a total of 2 inhalations using the same capsule. Do not press the piercing button again.
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- After the second inhalation, open the mouthpiece, tip out the used capsule, and throw it away without touching it. You might need to turn your device upside down and gently tap it to remove capsule pieces or powder buildup.
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- Close the mouthpiece and dust cap for storage. Store the device in a cool, dry place. Regular cleaning is not required. Refer to the information that came with your inhaler for cleaning instructions, if needed.
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| Pressair/Genuair |
- Remove the cap by gently squeezing the arrows on each side of cap and pull straight off.
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- Hold the inhaler with the colored button pointing up. Look at the small window above the mouthpiece and check that the color is red.
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- Before you put the inhaler in your mouth, press the colored button all the way down 1 time and release it.
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- Look at the small window above the mouthpiece to see if the color changed from red to green. If it is still red, press and release the colored button again. If you have trouble telling the difference between the red and green colors, you can use a permanent marker to draw a mark on 1 of them.
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- Close your lips tightly around the mouthpiece.
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- Breathe in through your mouth rapidly and as deeply as possible. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- You will hear a click. This means you are inhaling correctly. Do not stop breathing until your lungs are full.
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- Remove the inhaler from your mouth, and hold your breath for as long as is comfortable. Then breathe out.
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- The window above the mouthpiece should now be red. (If window is still green, you might not have inhaled correctly or might have forgotten to release the colored button. Close your lips tightly around the mouthpiece and take another rapid, deep breath. Now the window should be red.)
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- Once the window has turned red, replace the cap. Do not wash the device with water. Refer to the information that came with your inhaler for cleaning instructions, if needed.
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- When you are close to the last dose remaining in the inhaler, the counter will show a red band. This is to remind you to get a refill. After you have released the last dose, the counter will show "0" and the colored button will not return to its full upper position. After the last dose is inhaled, the inhaler should be thrown away.
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RespiClick/Digihaler
(NOTE: Digihalers have separate instructions for tracking doses with a mobile app. Refer to the information that came with the inhaler for more information.) |
- Make sure the cap is closed before use.
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- Hold the inhaler upright and open the cap all the way, until you hear it click.
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- Breathe out as much air as you can from your lungs.
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- Close your lips tightly around the mouthpiece. Do not let your fingers or lips block the vents above the mouthpiece.
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- Breathe in through your mouth quickly and as deeply as possible, remove the inhaler from your mouth, then hold your breath for about 10 seconds (or as long as you comfortably can). Then breathe out. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Close the cap. Repeat steps above if you need another dose.
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- Keep inhaler clean and dry. If the mouthpiece needs cleaning, use a clean, dry cloth or tissue.
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- When you have 20 doses or fewer remaining in your inhaler, the counter will show the remaining doses in red. This is to remind you to get a refill. After you have inhaled the last dose, the counter will show "0" and the inhaler should be thrown away.
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| Twisthaler |
- Remove the inhaler from the foil pouch. Write the date opened on the cap label. The "Use by" date depends on the inhaler. Refer to the information that came with your inhaler for instructions.
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- Hold the inhaler straight up with the colored part (the base) on the bottom.
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- Remove the cap while it is in the upright position to make sure you get the right amount of medicine with each dose.
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- Hold the colored base and twist the cap to the left (counter-clockwise) direction to remove it.
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- As you lift off the cap, the dose counter on the base will count down by 1. This action loads the medicine that you are now ready to inhale.
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- Make sure the indented arrow located on the white part of the inhaler (directly above the colored base) is pointing to the dose counter.
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- Gently breathe out (exhale) as much air as you can from your lungs. Do not exhale into the device.
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- Hold the inhaler horizontally, place the mouthpiece into your mouth, and close your lips tightly around it.
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- To inhale the dose, breathe in through your mouth with a fast, deep breath. Do not cover ventilation holes while inhaling the dose.
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- Remove the mouthpiece from your mouth and hold your breath for 5 to 10 seconds (or as long as you comfortably can).
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- Then breathe out (exhale). When you exhale, be sure that you are not exhaling into the device. You might not taste or feel the medicine, even when you are using the inhaler correctly.
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- Check that the indented arrow on the white part of the inhaler (directly above the colored base) is in line with the dose-counter window.
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- Replace the cap right away, and turn it in to the right (clockwise) as you gently press down, until you hear a click. This lets you know that the cap is fully closed and the next dose is properly loaded.
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- Store the device in a cool, dry place. Refer to the information that came with your inhaler for cleaning instructions.
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- The dose counter displays the number of doses remaining. When the unit reads 01, this is the last remaining dose. When the counter reads 00, the unit is empty and should be thrown away. You should get a refill before the inhaler runs out of doses.
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