SPIRIVA Respimat re-usable User manual

This information has been created by Boehringer Ingelheim and is intended for healthcare professionals in the UK.
NP-UK-100852 v1 Date of preparation: September 2019
Respimat®re-usable: Instructions for use
Introduction
Patients should read these instructions before they start using Respimat® re-usable.
Patients who have been prescribed any product in the Respimat® inhaler should take TWO PUFFS of
the inhaler ONCE A DAY.
•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 under ‘Prepare for use’ until a
cloud is visible. Then repeat steps 4 to 6 three more times.
How to care for 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 Respimat®re-usable inhaler
performance.
If necessary, wipe the outside of Respimat® re-usable inhaler with a damp cloth.
When to replace the inhaler

This information has been created by Boehringer Ingelheim and is intended for healthcare professionals in the UK.
NP-UK-100852 v1 Date of preparation: September 2019
When the patient has used an inhaler with 6 cartridges, get a new 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.

This information has been created by Boehringer Ingelheim and is intended for healthcare professionals in the UK.
NP-UK-100852 v1 Date of preparation: September 2019
3. Track cartridge
•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).

This information has been created by Boehringer Ingelheim and is intended for healthcare professionals in the UK.
NP-UK-100852 v1 Date of preparation: September 2019
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.
•Hold the breath for 10 seconds or for
as long as comfortable.
•Repeat TURN, OPEN, PRESS for a total
of 2 puffs.
•Close the cap until the inhaler is used
again.

This information has been created by Boehringer Ingelheim and is intended for healthcare professionals in the UK.
NP-UK-100852 v1 Date of preparation: September 2019
When to replace the 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
(continue with step 2).
This example is Spiriva Respimat® re-usable. The same instructions apply for all Respimat® re-usable
inhalers.
Reference 1: Summary of Product Characteristics. Spiriva Respimat 2.5 microgram, inhalation
solution. September 2019.