NHS Accuhaler User manual

Information for Respiratory Patients
How to use your Accuhaler®
You have been prescribed an Accuhaler®to help manage your lung condition.
1. To open the Accuhaler®, hold the outer case in one hand and put the thumb of your
other hand on the thumb grip. Push the thumb grip away until you hear a click, this
reveals the mouthpiece.
2. Hold the Accuhaler®with the mouthpiece towards you. You can hold your Accuhaler®in
either hand.
3. Slide the lever away from you until it clicks. Your dose is now ready.
4. Breathe out fully, away from the Accuhaler®device.
5. Put the mouthpiece to your lips and seal your lips around the mouthpiece.
6. Breathe in as quickly and deeply as you can until your lungs are full.
7. Remove the device and hold your breath for 5 to 10 seconds and then breathe out slowly.
8. Breathe normally.
9. For a second dose, wait 30 seconds and repeat steps 3 – 8.
10.To close, slide the thumb grip back towards you until the inhaler clicks shut.
Always:
• Make sure that you order a new Accuhaler®before your present inhaler runs out.
• Check the dose counter on the top of the Accuhaler®. This tells you how many doses are
left. The last five doses will appear in red.
• Make sure that the Accuhaler®is in date. The expiry date is on the back of the Accuhaler®.
• Rinse your mouth or clean your teeth after using your preventer (steroid) inhaler to
prevent infection in your mouth.
• Take your inhalers with you when you attend your GP, Practice Nurse or the hospital.
Cleaning:
• Wipe the mouthpiece of the Accuhaler®thoroughly once a week with a clean, dry,
single-use tissue. Do not wash with water.
If you need further help with your inhaler please contact your doctor, practice nurse,
pharmacist or healthcare professional who gave you this leaflet.
Please use this information with the manufacturer’s instruction leaflet.
Respiratory Managed Clinical Network 2018 Review date: December 2020
MIS 242393 v1.1

You have been prescribed an Aerochamber®Spacer to use with your pressurised Metered-Dose
inhaler (pMDI) to help manage your lung condition.
1. To open the pMDI inhaler, remove the mouthpiece cover.
2. Hold the inhaler upright with your thumb on the base and
your finger on the top of the canister.
3. Shake the inhaler up and down 4 to 5 times.
4. Insert the mouthpiece of the inhaler into the flat end of the
Aerochamber®Spacer.
5. Breathe out fully.
6. Put the mouthpiece of the spacer to your lips and seal your
lips around the mouthpiece. If using an Aerochamber with a
mask, apply the mask to face and ensure an effective seal.
7. Press the top of the inhaler canister once to release one dose
into the spacer.
8. Breathe normally, in and out, five times. If the Aerochamber®
makes a whistling sound, slow your breathing down.
9. Remove the Aerochamber®from your mouth.
10. For a second dose, wait 30 seconds and repeat steps 3 - 9.
11. Remove the inhaler from the spacer and replace the inhaler
and Aerochamber®mouthpiece covers.
Always:
• Check the dose counter on the back of the inhaler (if your inhaler has one). This tells you
how many doses are left.
• Some pMDIs do not have a dose counter. Make sure that you always have a spare inhaler
at home.
• Make sure that the inhaler is in date. The expiry date is on the canister, the packet or the label.
• Replace the Aerochamber®spacer every 12 months.
• Rinse your mouth or clean your teeth after using your preventer (steroid) inhaler to prevent
infection in your mouth.
• Take your inhalers with you when you attend your GP, Practice Nurse, or the hospital.
Cleaning the pMDI Inhaler:
• Wipe the inside and outside of the mouthpiece regularly with a clean dry tissue.
Do not wash in water.
Cleaning the Spacer (Once a month):
• Remove the flat end of the Aerochamber®spacer.
• Wash both parts with warm water and washing up liquid. Rinse with warm water. Shake off
excess water.
• Let the Aerochamber®Spacer air dry at room temperature before putting back together again.
Do not use a towel to dry the Aerochamber®Spacer as this may cause static.
Information for Respiratory Patients
How to use your Aerochamber®Spacer
If you need further help with your inhaler please contact your doctor, practice nurse,
pharmacist or healthcare professional who gave you this leaflet.
Please use this information with the manufacturer’s instruction leaflet.
Respiratory Managed Clinical Network 2018 Review date: December 2020 MIS 250370 v2.2

You have been prescribed an Easi-Breathe®inhaler to help manage your lung condition.
Information for Respiratory Patients
How to use your Easi-Breathe® Inhaler
If you need further help with your inhaler please contact your doctor, practice nurse,
pharmacist or healthcare professional who gave you this leaflet.
Please use this information with the manufacturer’s instruction leaflet.
Respiratory Managed Clinical network (MCN) 2018 Review date: December 2020 MIS 250375 v1.1
1. Shake the inhaler up and down 3 to 5 times.
2. Hold the Easi-Breathe®upright and open the cap covering the mouthpiece. Your dose is
now ready.
3. Breathe out fully, away from the inhaler.
4. Put the mouthpiece to your lips and seal your lips around the mouthpiece. Do not cover the air
holes at the top of the device with your fingers.
5. Breathe in slowly and deeply until your lungs are full. You will hear a click and feel the dose
when it is released. Do not stop breathing when the inhaler puffs the dose into your mouth.
Carry on until you have taken a deep breath.
6. Remove the device and hold your breath for 5 to 10 seconds and then breathe out slowly.
7. Breathe normally.
8. To close the inhaler, replace the cap.
9. For a second dose, wait 30 seconds and repeat steps 1 - 8.
Always:
• Make sure that you order a spare Easi-Breathe®before your present inhaler runs out.
• Make sure that the Easi-Breathe®is in date. The expiry date is on the inhaler box and
inner canister.
• Rinse your mouth or clean your teeth after using your preventer (steroid) inhaler to prevent
infection in your mouth.
• Take your inhalers with you when you attend your GP, Practice Nurse or the hospital.
Cleaning:
• Wipe the mouthpiece regularly with a clean dry tissue. Do not wash in water.

You have been prescribed an Easyhaler®to help manage your lung condition.
1. To open the Easyhaler®, hold the inhaler device in one hand and remove the dustcap with the
other hand.
2. Shake the device up and down 3 to 5 times.
3. Hold the device upright between thumb and forefinger. Press down once on the
coloured button with your forefinger until you hear a click. Release your forefinger. Your dose
is now ready.
Information for Respiratory Patients
How to use your Easyhaler®
If you need further help with your inhaler please contact your doctor, practice nurse,
pharmacist or healthcare professional who gave you this leaflet.
Please use this information with the manufacturer’s instruction leaflet.
Respiratory Managed Clinical Network 2018 Review date: December 2020 MIS 250373 v1.1
4. Breathe out fully, away from the Easyhaler®.
5. Put the mouthpiece in your mouth and seal your lips around the mouthpiece.
6. Breathe in as quickly and deeply as you can until your lungs are full.
7. Remove the device and hold your breath for 5 to 10 seconds and then breathe out slowly.
8. Breathe normally.
9. For a second dose, wait 30 seconds and repeat steps 2 - 8.
10. Replace the dustcap after use.
Always:
• Check the dose counter on the side of the Easyhaler®. This tells you how many doses are left.
The last 20 doses will appear in red.
• Make sure that you order a spare Easyhaler®before your present inhaler runs out.
• Check the expiry of your Easyhaler®after it is removed from its original packaging. This may
vary between 1 to 6 months. Please write down the date you opened the original packaging to
help you remember.
• Rinse your mouth or clean your teeth after using your preventer (steroid) inhaler to prevent
infection in your mouth.
• Take your inhalers with you when you attend your GP, Practice Nurse or the hospital.
Cleaning:
• Wipe the mouthpiece regularly with a clean dry tissue. Do not wash in water.

Information for Respiratory Patients
How to use your Ellipta®inhaler
You have been prescribed an Ellipta®inhaler to help manage
your lung condition.
1. To open the Ellipta®inhaler, slide the cover down until you hear a ‘click’.
Your dose is now ready.
2. Breathe out fully, away from the Ellipta®inhaler.
3. Put the mouthpiece to your lips and seal your lips around the mouthpiece.
Do not block the air vent with your fingers.
MIS 305844
4. Take one long, steady, deep breath in, until your lungs are full.
5. Remove the device and hold your breath for 5 to 10 seconds and then breathe out slowly.
6. Breathe normally.
7. To close the inhaler, slide the cover upwards, as far as it will go.
Always:
• Make sure that you order a new inhaler before your present inhaler runs out.
• Check the dose counter on the front of the Ellipta®. This tells you how many doses are left.
The last 10 doses will appear in red.
• The Ellipta®expires six weeks after removing it from the original packaging tray. Please write
down the ‘discard date’ on the inhaler label in the space provided. After this date you should
not use the inhaler.
• If using Relvar®or Trelegy®Ellipta®, rinse your mouth or clean your teeth after using your inhaler
to prevent infection in your mouth.
• Keep your Ellipta®dry and clean.
• Take your inhalers with you when you attend your GP, Practice Nurse or the hospital.
Cleaning:
• Wipe the mouthpiece of the Ellipta®inhaler when necessary with a clean dry tissue.
Do not wash with water.
If you need further help with your inhaler please contact your doctor, practice nurse,
pharmacist or healthcare professional who gave you this leaflet.
Please use this information with the manufacturer’s instruction leaflet.
Respiratory Managed Clinical Network (MCN) 2018
Review date: December 2020