Spiriva Respimat

Spiriva Respimat Caution For Usage

tiotropium bromide

Manufacturer:

Boehringer Ingelheim

Distributor:

DKSH
Full Prescribing Info
Caution For Usage
Instructions For Use: SPIRIVA RESPIMAT: Introduction: SPIRIVA RESPIMAT (tiotropium bromide).
Children should use SPIRIVA RESPIMAT with an adult's assistance.
The patient will need to use this inhaler only ONCE A DAY. Each time the patient uses it take TWO PUFFS.
How to store my SPIRIVA RESPIMAT: Keep the SPIRIVA RESPIMAT out of the sight and reach of children.
Do not freeze the SPIRIVA RESPIMAT.
If SPIRIVA RESPIMAT has not been used for more than 7 days release one puff towards the ground.
If SPIRIVA RESPIMAT has not been used for more than 21 days repeat steps 4 to 6 under 'Prepare for first Use' until a cloud is visible. Then repeat steps 4 to 6 three more times.
Do not use the SPIRIVA RESPIMAT after the expiry date.
Do not touch the piercing element inside the clear base.
How to care for the SPIRIVA RESPIMAT: Clean the mouthpiece including the metal part inside the mouthpiece with a damp cloth or tissue only, at least once a week.
Any minor discoloration in the mouthpiece does not affect the SPIRIVA RESPIMAT inhaler performance.
When to get a new SPIRIVA RESPIMAT: The SPIRIVA RESPIMAT inhaler contains 60 puffs (30 doses) if used as indicated (two puffs/Once daily).
The dose indicator shows approximately how much medication is left.
When the dose indicator enters the red area of the scale the patient needs to get a new prescription; there is approximately medication for 7 days left (14 puffs).
Once the dose indicator reaches the end of the red scale, the SPIRIVA RESPIMAT locks automatically - no more doses can be released. At this point, the clear base cannot be turned any further.
Three months after first use, the SPIRIVA RESPIMAT should be discarded even if it has not been used.
Prepare for first use: 1. Remove clear base: Keep the cap closed.
Press the safety catch while firmly pulling off the clear base with the other hand.
2. Insert cartridge: Insert the narrow end of the cartridge into the inhaler.
Place the inhaler on a firm surface and push down firmly until it snaps into place.
3. Replace clear base: Put the clear base back into place until it clicks.
4. Turn: Keep the cap closed.
Turn the clear base in the direction of the arrows on the label until it clicks (half a turn).
5. Open: Open the cap until it snaps fully open.
6. Press: Point the inhaler toward the ground.
Press the dose-release button.
Close the cap.
Repeat steps 4-6 until a cloud is visible.
After a cloud is visible, repeat steps 4-6 three more times.
Daily use: TURN: Keep the cap closed.
TURN the clear base in the direction of the arrows on the label until it clicks (half a turn).
OPEN: OPEN the cap until it snaps fully open.
PRESS: Breathe out slowly and fully.
Close the lips around the mouthpiece without covering the air vents.
While taking a slow, deep breath through the mouth, PRESS the dose-release button and continue to breathe in.
Hold the breath for 10 seconds or for as long as comfortable.
Repeat Turn, Open, Press for a total of 2 puffs.
SPIRIVA RESPIMAT re-usable: SPIRIVA RESPIMAT re-usable (tiotropium bromide).
Read these Instructions for Use before using SPIRIVA RESPIMAT re-usable.
Children should use SPIRIVA RESPIMAT re-usable with an adult's assistance.
The patient will need to use this inhaler only ONCE A DAY. Each time the patient uses it take TWO PUFFS.
If not been used for more than 7 days release one puff towards the ground.
If not been used for more than 21 days repeat steps 4 to 6 until a cloud is visible. Then repeat steps 4 to 6 three more times.
How to care for the SPIRIVA RESPIMAT re-usable: Clean the mouthpiece including the metal part inside the mouthpiece with a damp cloth or tissue only, at least once a week. Any minor discoloration in the mouthpiece does not affect the SPIRIVA RESPIMAT re-usable inhaler performance. If necessary, wipe the outside of the SPIRIVA RESPIMAT re-usable inhaler with a damp cloth.
When to replace the inhaler: When the patient had used an inhaler with 6 cartridges, get a new SPIRIVA RESPIMAT re-usable pack containing an inhaler.
Prepare for use: 1. Remove clear base: Keep the cap closed.
Press the safety catch while pulling off the clear base with the other hand.
2. Insert cartridge: Insert the cartridge into the inhaler.
Place the inhaler on a firm surface and push down firmly until it clicks into place.
3. Track cartridge and put clear base back: Mark the check-box on inhaler's label to track the number of cartridges.
Put the clear base back into place until it clicks.
4. Turn: Keep the cap closed.
Turn the clear base in the direction of the arrows on the label until it clicks (half a turn).
5. Open: Open the cap until it snaps fully open.
6. Press: Point the inhaler toward the ground.
Press the dose-release button.
Close the cap.
Repeat steps 4-6 until a cloud is visible.
After a cloud is visible, repeat steps 4-6 three more times.
The inhaler is now ready to use and will deliver 60 puffs (30 doses).
Daily use: TURN: Keep the cap closed.
TURN the clear base in the direction of the arrows on the label until it clicks (half a turn).
OPEN: OPEN the cap until it snaps fully open.
PRESS: Breathe out slowly and fully.
Close the lips around the mouthpiece without covering the air vents. Point the Inhaler to the back of the throat.
While taking a slow, deep breath through the mouth, PRESS the dose-release button and continue to breathe in slowly for as long as comfortable.
Repeat Turn, Open, Press for a total of 2 puffs.
Close the cap until the patient uses the inhaler again.
When to replace the SPIRIVA RESPIMAT re-usable Cartridge: The dose indicator shows how many puffs remain in the cartridge.
60 Puffs remaining.
Less than 10 puffs remaining. Obtain a new cartridge.
The cartridge is used up. Turn the clear base to loosen it. The inhaler is now in a locked position. Pull off the cartridge from the inhaler. Insert a new cartridge until it clicks (refer to step 2). The new cartridge will stick out more than the very first cartridge (continue with step 3). Remember to put the clear base back to unlock the inhaler.
Discard cartridge 3 months after insertion.
Recommended use: 6 cartridges per inhaler
[Note: The functioning of the Respimat re-usable inhaler has been demonstrated in tests for 540 actuations (corresponding to 9 cartridges)].
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