Twisthaler (i.e. Asmanex) Metered Dose Inhaler



Instructions for using the Twisthaler (i.e. Asmanex) type of Metered Dose Inhaler:

  1. Open  inhaler , hold straight  up position, hold the colored( pink)base twist  the cap in a counterclockwise direction  to remove  cap
  2. By removing the cap it automatically loads the dose  correct dose. Do not shake the twisthaler.
  3. Breathe out fully, then bring twisthaler mouthpiece into your mouth by holding inhaler horizontally, firmly close your lips, move tongue out of inhalation port and take a deep breath. Do not breathe into the twisthaler.
  4. Since medicine is a fine powder, you may not be able to taste or feel it in your lungs. Do not cover the ventilation ports while inhaling dose.
  5. Remove twisthaler from mouth after deep inspiration, hold your breath up 5- 10 seconds.
  6. Repeat steps above if extra doses are needed.
  7. Replace cap of twisthaler right away and turn clockwise, you will hear a click  to let you know the cap is fully closed , this is the only way  to be sure  that your next dose is ready and loaded the right way.
  8. Rinse your mouth after using this medicine.
  9. DO NOT STORE MEDICATION IN A HUMID PLACE OR BATHROOM.

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