Trelegy Ellipta Patient Counseling Information

Instruction for Use/Handling: When you first use the Ellipta inhaler you do not need to check that it is working properly, and you do not need to prepare it for use in any special way. Just follow the instructions as follows.
The inhaler is packaged in a tray. Do not open the tray until you are ready to inhale a dose of your medicine. When you are ready to use your inhaler, peel back the lid to open the tray. The tray contains a desiccant sachet, to reduce moisture. Throw this desiccant sachet away - don't open, eat or inhale it.
When you take the inhaler out of the sealed tray, it will be in the 'closed' position. Don't open the inhaler until you are ready to inhale a dose of medicine. Write the "Discard by" date on the inhaler label in the space provided.
The "Discard by" date is 1 month from the date you first open the tray. After this date, the inhaler should no longer be used.
The step-by-step instructions shown as follows for the Ellipta inhaler: a) Read this before you start.
If you open and close the cover without inhaling the medicine, you will lose the dose.
The lost dose will be securely held inside the inhaler, but it will no longer be available.
It is not possible to accidentally take extra medicine or a double dose in one inhalation.
Dose counter: This shows how many doses of medicine are left in the inhaler.
Before the inhaler has been used, it shows exactly 30 doses.
It counts down by 1 each time you open the cover.
When fewer than 10 doses are left, half of the dose counter shows red.
After you have used the last dose, half of the dose counter shows red and the number 0 is displayed. Your inhaler now empty.
If you open the cover after this, the dose counter will change from half red to completely red.
Cover: Each time you open this, you prepare one dose of medicine.
b) Prepare a dose: Wait to open the cover until you are ready to take your dose.
Do not shake the inhaler.
Slide the cover fully down until you hear a "click".
Your medicine is now ready to be inhaled.
The dose counter counts down by 1 to confirm.
If the dose counter does not count down as you hear the "click", the inhaler will not deliver medicine. Take it back to your pharmacist for advice.
Do not shake the inhaler at any time.
c) Inhale your medication: While holding the inhaler away from your mouth, breathe out as far as is comfortable. Don't breathe out into the inhaler.
Put the mouthpiece between your lips and close your lips firmly around it. Don't block the air vent with your fingers.
Take one long, steady, deep breath in. Hold this breath for as long as possible (at least 3-4 seconds).
Remove the inhaler from your mouth.
Breathe out slowly and gently.
You may not be able to taste or feel the medicine, even when you are using the inhaler correctly.
If you want to clean the mouthpiece, use a dry tissue, before you close the cover. d) Close the inhaler and rinse your mouth: Slide the cover upwards as far as it will go, to cover the mouthpiece.
Rinse your mouth with water after you have used the inhaler, do not swallow.
This will make it less likely that you will develop a sore mouth or throat as side effects.