Spiolto Respimat Reusable Caution For Usage

Handling Instructions: Read these Instructions for Use before the patient starts using SPIOLTO RESPIMAT Reusable.
The patient will need to use this inhaler only ONCE A DAY. Each time the patient use 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 SPIOLTO RESPIMAT Reusable: 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 SPIOLTO RESPIMAT Reusable inhaler performance. If necessary, wipe the outside of the SPIOLTO RESPIMAT Reusable inhaler with a damp cloth.
When to replace the inhaler: When the patient have used an inhaler with 6 cartridges, get a new SPIOLTO RESPIMAT Reusable pack containing an inhaler. Do not use the Respimat re-usable inhaler for more than one year, after having inserted the first cartridge.
Three months after first use, the cartridge should be not used even if not all medication has been used.
Note: The functioning of the RESPIMAT re-usable inhaler has been demonstrated in tests for 540 actuations (corresponding to 9 cartridges).
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 patient's lips around the mouthpiece without covering the air vents. Point the inhaler to the back of the patient's throat.
While taking a slow, deep breath through the patient's 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 next use of the inhaler.
When to replace the SPIOLTO RESPIMAT Reusable 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.