SPIRIVA Respimat Instructions For Use

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.
Cap (A)
Mouthpiece (B)
Air vent (C)
Dose release
button (D)
Safety
catch (E)
Clear
base (G)
Piercing
element (I)
Spiriva Respimat inhaler and the Spiriva Respimat
cartridge

1) Inserting the cartridge

The following steps 1–6 are necessary before first use:
1 With the green cap (A) closed, press the safety catch (E)
while pulling off the clear base (G).
2 Take 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.
Cartridge (H)
Dose
indicator (F)
3 Replace the clear base (G). Do not remove the clear
base again.
2) To prepare the Spiriva Respimat
inhaler for first-time use
4 Hold 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).
5 Open the green cap (A) until it snaps fully open.
6 Point 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.
I Hold 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.