How to Use a Handihaler Inhaler

Instructions for using the Handihaler (i.e. Spiriva) type of Metered Dose Inhaler:

  1. OPEN: Open the dust cap by pulling it upwards. Then open the mouthpiece.
  2. INSERT: Place the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber.
  3. CLOSE: Close the mouthpiece firmly until you hear a click, leaving the dust cap open.
  4. PRESS: Hold the device with the mouthpiece upwards and press the piercing button completely in once, and release (this makes holes in the capsule and allows the medication to be released when you breathe in.
  5. BREATHE OUT COMPLETELY. Important: DO NOT breathe (exhale) into the device’s mouthpiece at any time
  6. INHALE: Raise the device to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient enough to hear the capsule vibrate. Breathe in until your lungs are full; then hold your breath as long as is comfortable and at the same time take the device out of your mouth. Resume normal breathing.
  7. AFTER: After you have finished taking your daily dose, open the mouthpiece again. Tip out the used capsule and discard. Close the mouthpiece and dust cap for storage. Normally, during a one-month period of use, the device does not need to be cleaned. However, if the device needs cleaning, please follow the manufacturer’s instructions or go to their website for additional advice.

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