Flutiform Caution For Usage

Priming the inhaler: Before using the inhaler for the first time, or if the inhaler has not been used for 3 days or more, or after exposure to freezing or refrigerated conditions (see Storage) the inhaler must be primed before use: Remove the mouthpiece cover and shake the inhaler well.
Actuate (puff) the inhaler whilst pointing it away from the face. This step must be performed 4 times.
The inhaler should always be shaken immediately before use.
Whenever possible patients should stand or sit in an upright position when inhaling from the inhaler.
Steps to follow when using the inhaler: 1. Remove the mouthpiece cover and check that the mouthpiece is clean, and free from dust and dirt. The inhaler should be shaken immediately before releasing each actuation (puff).
2. Breathe out as far as is comfortable and as slowly and deeply as possible.
3. Hold the canister vertically with its body upwards and put the lips around the mouthpiece. Hold the inhaler upright with a thumb(s) on the base of the mouthpiece and a forefinger/index finger(s) on the top of the inhaler. Do not bite the mouthpiece.
4. At the same time, breathe in slowly and deeply through the mouth. After starting to breathe in press down on the top of the inhaler to release one actuation (puff) and continue to breathe in steadily and deeply.
5. Patients should continue to hold their breath for as long as is comfortable (optimally about 10 seconds), then breathe out slowly. Do not breathe out into the inhaler.
6. Keep the inhaler in a vertical position for about half a minute, shake the inhaler, and repeat steps 2 to 5.
7. After use, replace the mouthpiece cover.
IMPORTANT: Do not perform steps 2 to 5 too quickly.
Patients may be advised to practise their technique in front of a mirror. If a mist appears following inhalation, either from the inhaler or from the sides of the mouth, the procedure should be repeated from step 2.
For patients with weak hands, it may be easier to hold the inhaler with both hands. Therefore the index fingers should be placed on the top of the inhaler canister and both thumbs on the base of the inhaler.
Patients should rinse their mouth, gargle with water or brush the teeth after inhaling and spit out the residue to minimise the risk of oral candidiasis or dysphonia.
Cleaning: Patients should be advised to read the Patient Information Leaflet carefully for cleaning instructions: The inhaler should be cleaned once a week.
Remove the mouthpiece cover.
Do not remove the canister from the plastic casing.
Wipe the inside and outside of the mouthpiece and the plastic casing with a dry cloth or tissue.
Replace the mouthpiece cover in the correct orientation.
Do not put the metal canister into water.
If a patient requires an AeroChamber Plus spacer device then they must be advised to read the instructions provided by the manufacturer to ensure they use it and clean and maintain it properly.
Incompatibilities: Not applicable.
Special precautions for disposal and other handling: No special requirements for disposal.
For detailed instructions on the use of the medicinal product refer to previously mentioned Steps to follow when using the inhaler.