Nebules: Dilution: VENTOLIN Nebules may be diluted with sterile normal saline. Any unused solution in the chamber of the nebuliser must be discarded.
Accuhaler: Instructions for Use/Handling: The Accuhaler is sealed in a foil overwrap. The overwrap provides moisture protection and should only be opened when ready to use it for the first time. Once removed/opened the foil overwrap should be discarded.
About the ACCUHALER: When taking ACCUHALER out of its box, it will be in the closed position.
The ACCUHALER contains 60 individually protected doses of the medicine, in powder form.
The dose indicator tells how many doses are left.
Each dose is accurately measured and hygienically protected. It requires no maintenance - and no refilling.
The dose indicator on top of the ACCUHALER tells how many doses are left. Numbers 5 to 0 will appear in RED, to warn when there are only a few doses left.
The ACCUHALER is easy to use. When needing a dose, just follow the four simple steps: 1. Open. 2. Slide. 3. Inhale. 4. Close.
How the ACCUHALER works: Sliding the lever of the ACCUHALER opens a small hole in the mouthpiece and unwraps a dose, ready for inhalation. When closing the ACCUHALER, the lever automatically moves back to its original position, ready for the next dose when needed. The outer case protects the ACCUHALER when it is not in use.
How to use the ACCUHALER: 1. Open: To open the ACCUHALER, hold the outer case in one hand and put the thumb of the other hand on the thumbgrip. The patient should push his/her thumb away from him/her as far as it will go.
2. Slide: The patient should hold the ACCUHALER with the mouthpiece towards him/her.
The patient should slide the lever away from him/her, as far as it will go - until it clicks.
The ACCUHALER is now ready to use.
Every time the lever is pushed back, a dose is made available for inhaling.
This is shown by the dose counter.
Do not play with the lever as this releases doses which will be wasted.
3. Inhale: Before the patient starts to inhale the dose, he/she should read through this section carefully.
Hold the ACCUHALER away from the mouth. Breathe out as far as is comfortable.
Remember - never breathe into the ACCUHALER.
Put the mouthpiece to the lips. Breathe in steadily and deeply - through the ACCUHALER, not through the nose.
Remove the ACCUHALER from the mouth.
Hold the breath for about 10 seconds, or for as long as is comfortable.
Breathe out slowly.
4. Close: To close the ACCUHALER, the patient should put the thumb in the thumbgrip, and slide the thumbgrip back towards him/her, as far as it will go.
When the patient closes the ACCUHALER, it clicks shut.
The lever automatically returns to the original position and is reset.
The ACCUHALER is now ready for use again.
If the patient has been instructed to take two inhalations he/she must close the ACCUHALER and repeat stages 1 to 4.
Remember: Keep the ACCUHALER dry.
Keep it closed when not in use.
Never breathe into the ACCUHALER.
Only slide the lever when ready to take a dose.
VENTOLIN ACCUHALER must only be breathed in through the mouth.
Do not exceed the stated dose.
Inhaler: Testing the Inhaler: Before using for the first time or if the inhaler has not been used for a week or more, remove the mouthpiece cover by gently squeezing the sides of the cover, shake the inhaler well, and release one puff into the air to make sure that it works.
Using the inhaler: 1. Remove the mouthpiece cover by gently squeezing the sides of the cover.
2. Check inside and outside of the inhaler including the mouthpiece for the presence of loose objects.
3. Shake the inhaler well to ensure that any loose objects are removed and that the contents of the inhaler are evenly mixed.
4. Hold the inhaler upright between fingers and thumb, with the thumb on the base, below the mouthpiece.
5. Breathe out as far as is comfortable and then place the mouthpiece in the mouth between the teeth and close the lips around it, but do not bite it.
6. Just after starting to breathe in through the mouth, press down on the top of the inhaler to release VENTOLIN while still breathing in steadily and deeply.
7. While holding breath, take the inhaler from the mouth and take the finger from the top of the inhaler. Continue holding breath for as long as is comfortable.
8. To take further puffs, keep the inhaler upright and wait about half a minute before repeating steps 3-7.
9. Replace the mouthpiece cover by firmly pushing and snapping the cap into position.
Important: Do not rush steps 5, 6 and 7. It is important that patient start to breathe in as slowly as possible just before operating the inhaler. Practice in front of a mirror for the first few times. If "mist" is coming from the top of the inhaler or the sides of the mouth, patient should start again from step 2.
If the doctor has given different instructions for using the inhaler, follow them carefully. Tell the doctor if the patient have any difficulties.
Cleaning: Inhaler should be cleaned at least once a week.
1. Remove the metal canister from the plastic casing of the inhaler and remove the mouthpiece cover.
2. Rinse the actuator thoroughly under warm running water.
3. Dry the actuator thoroughly inside and out.
4. Replace the metal canister and mouthpiece cover.
Do not put the metal canister into water.
Solution for Intravenous Infusion: Dilution: VENTOLIN parenteral preparations may be diluted with Water for Injections BP, Sodium Chloride Injection BP, Sodium Chloride and Dextrose Injection BP or Dextrose Injection BP. These are the only recommended diluents.
VENTOLIN parenteral preparations should not be administered in the same syringe or infusion as any other medication.
The contents of the ampoule of VENTOLIN Solution for Intravenous Infusion must not be injected in the undiluted form; the concentration should be reduced at least by 50% before administration.