When to get a new Spiriva Respimat
inhaler
The Spiriva Respimat inhaler contains 60 puffs (30
medicinal doses). The dose indicator shows approximately
how much medication is left. When the pointer enters the
red area of the scale, there is, approximately, medication
for 7 days left (14 puffs). This is when you need to get a
new Spiriva Respimat inhaler prescription.
Once the dose indicator has reached the end of the red
scale (i.e. all 30 doses have been used), the Spiriva
Respimat inhaler locks automatically - no more doses can
be released. At this point, the base cannot be turned any
further.
At the latest, three months after use the Spiriva Respimat
inhaler should be discarded even if not all medication has
been used.
What if…
How to care for your inhaler
Clean the mouthpiece including the metal part inside the
mouthpiece with a damp cloth or tissue only, at least once
a week. Any minor discolouration in the mouthpiece does
not affect the performance of your Spiriva Respimat
inhaler.
If necessary, wipe the outside of your Spiriva Respimat
inhaler with a damp cloth.
Further information
The Spiriva Respimat inhaler must not be disassembled
after inserting the cartridge and replacing the clear base.
Do not touch the piercing element inside the base.
Boehringer Ingelheim Pharma GmbH & Co. KG
D-55216 Ingelheim
Germany
What if...
I can’t turn the base
easily.
The cap is fully
pulled off and apart
from the inhaler.
I can’t press the
dose release
button.
The clear base
springs back after
I have turned it.
I can turn the clear
base past the point
where it clicks.
Reason
a) The Spiriva
Respimat inhaler
is already
prepared and
ready to use.
b) The Spiriva
Respimat inhaler
is locked after 60
puffs (30
medicinal doses).
While opening the
cap it was pulled too
hard.
The clear base has
not been turned.
The clear base was
not turned far
enough.
Either the dose
release button has
been pressed, or the
clear base has been
turned too far.
What to do
a) The Spiriva
Respimat inhaler
can be used as
it is.
b) Prepare and use
your new Spiriva
Respimat inhaler.
The cap can easily
be attached again.
Turn the clear base
until it clicks. (half
a turn)
Prepare the Spiriva
Respimat inhaler for
use by turning the
clear base until it
clicks. (half a turn)
With the green cap
closed, turn the
base until it clicks.
(half a turn)
Instructions for Use
Spiriva®Respimat®
inhaler
How to use your Spiriva Respimat inhaler
This leaflet explains how to use and care for your Spiriva
Respimat inhaler. Please read and carefully follow these
instructions. See also section 3. How to take Spiriva
Respimat on the other side of this leaflet.
The Spiriva Respimat inhaler releases medication slowly
and gently, making it easy to inhale it into your lungs.
The Spiriva Respimat inhaler enables you to inhale the
medicine contained in a cartridge. The full cartridge
provides 60 puffs (30 medicinal doses). You will need to
use this inhaler only ONCE A DAY, if possible at the same
time of the day. Each time you use it take TWO PUFFS.
There is enough medicine for 30 days when it is used
according to the directions for use. In the box you will find
the Spiriva Respimat inhaler and the Spiriva Respimat
cartridge. Before the Spiriva Respimat inhaler is used for
the first time, the cartridge provided must be inserted.
Spiriva Respimat inhaler and the Spiriva Respimat
cartridge
1) Inserting the cartridge
The following steps 1–6 are necessary before first use:
1With the green cap (A) closed, press the safety catch (E)
while pulling off the clear base (G).
0123
2Take the cartridge (H) out of the box. Push the narrow
end of the cartridge into the inhaler until it clicks into
place. The cartridge should be pushed firmly against a
firm surface to ensure that it has gone all the way in (2b).
The cartridge will not be flush with the inhaler, you will
still see the silver ring of the lower end of the cartridge.
Do not remove the cartridge once it has been inserted
into the inhaler.
3 Replace the clear base (G). Do not remove the clear
base again.
2) To prepare the Spiriva Respimat
inhaler for first-time use
4Hold the Spiriva Respimat inhaler upright, with the
green cap (A) closed. Turn the base (G) in the direction
of the black arrows on the label until it clicks (half a turn).
5Open the green cap (A) until it snaps fully open.
6Point the Spiriva Respimat inhaler towards the ground.
Press the dose release button (D). Close the green cap
(A).
Repeat steps 4, 5 and 6 until a cloud is visible.
Then repeat steps 4, 5 and 6 three more times to ensure
the inhaler is prepared for use.
Your Spiriva Respimat inhaler is now ready to use.
These steps will not affect the number of doses
available. After preparation your Spiriva Respimat
inhaler will be able to deliver your 60 puffs (30
medicinal doses).
Daily use of your Spiriva Respimat
inhaler
You will need to use this inhaler ONLY ONCE A DAY.
Each time you use it take TWO PUFFS.
IHold the Spiriva Respimat inhaler upright, with the
green cap (A) closed, to avoid accidental release of
dose. Turn the base (G) in the direction of the black
arrows on the label until it clicks (half a turn).
II Open the green cap (A) until it snaps fully open. Breathe
out slowly and fully, and then close your lips around the
end of the mouthpiece without covering the air vents
(C). Point your Spiriva Respimat inhaler to the back of
your throat.
While taking in a slow, deep breath through your
mouth, press the dose release button (D) and continue
to breathe in slowly for as long as you can. Hold your
breath for 10 seconds or for as long as comfortable.
III Repeat steps I and II so that you get the full dose.
You will need to use this inhaler only ONCE A DAY.
Close the green cap until you use your Spiriva Respimat
inhaler again.
If Spiriva Respimat inhaler has not been used for more
than 7 days release one puff towards the ground. If Spiriva
Respimat inhaler has 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.
Cap (A)
Dose release
button (D)
Air vent (C)
Mouthpiece (B)
Safety
catch (E)
Clear
base (G)
Piercing
element (I)
Dose
indicator (F)
Cartridge (H)
