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  • Advair® Diskus®
    Advair® Diskus®
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone and Salmeterol

    Medication Class and Use
    • Combination inhaler (maintenance inhaler, long-acting beta-2 agonist (LABA) and corticosteroid). This inhaler combines two medications that work over time to make breathing easier. Together the medications relax the muscles in the airway and decrease inflammation, swelling and mucus production.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with any other LABA containing medicine.

    Dosing
    • Available strengths: 100/50 mcg; 250/50 mcg; 500/50 mcg.
    • Usual COPD dosing: 250/50 mcg: 1 inhalation twice daily.
    • Asthma dosing in patients ≥12 years: 1 inhalation of 100/50, 250/50, or 500/50 twice daily. Starting dosage is based on asthma severity.
    • Asthma doing in patients aged 4 to 11 years: 1 inhalation of 100/50 twice daily.
    • Max recommended dose is 500/50 mcg twice daily.
    • Each inhaler contains 60 blisters (institutional pack = 14 blisters).

    Refill
    • Inhaler is empty when dose counter reads 0 (doses 5-0 are red to remind getting a refill).

    Cleaning
    • Wipe outside with dry tissue or cloth when needed. Do NOT wash any part of the inhaler. Keep dry.

    Safety Information
    • Do not use in combination with any other long-acting beta2-adrenergic agonist (LABA) medicine for any reason.
    • People with asthma who take (LABA) medicines, such as salmeterol (one of the medicines in ADVAIR Diskus), have an increased risk of death from asthma problems. It is not known whether fluticasone propionate, the other medicine in ADVAIR Diskus, reduces the risk of death from asthma problems seen with salmeterol.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Open the device.
    3. Hold device in a level, flat position. Do not shake this inhaler.
    4. Slide the lever from left to right until it clicks.
    5. Exhale out through mouth away from inhaler.
    6. Place the mouthpiece into your mouth and close your lips tightly around it.
    7. Keep the device level while inhaling the dose with a quick, deep breath.
    8. Remove the mouthpiece and hold breath for 10 seconds or as long as comfortable.
    9. Exhale through your mouth slowly and away from the inhaler.
    10. Close the inhaler.
    11. Rinse your mouth or brush your teeth after taking the dose and spit the water out — do not swallow.
    12. Store inhaler in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ADVAIR DISKUS inhalation powder, fluticasone propionate salmeterol inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Advair® HFA
    Advair® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone and Salmeterol

    Medication Class and Use
    • Combination inhaler (maintenance inhaler, long-acting beta-2 agonist (LABA) and corticosteroid). This inhaler combines two medications that work over time to make breathing easier. Together the medications relax the muscles in the airway and decrease inflammation, swelling and mucus production.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with any other LABA containing medication.

    Dosing
    • Available strengths: 45/21 mcg; 115/21 mcg; 230/21 mcg.
    • Asthma dosing in patients ≥12 years: 2 inhalations of 45/21, 115/21, or 230/21 twice daily. Starting dosage is based on asthma severity.
    • Usual COPD dosing: two puffs of the 115/21 mcg (=230/42 mcg) twice daily.
    • Do not use more than 2 puffs twice daily of any strength due to adverse effects of high dose salmeterol.
    • Max dose is 2 puffs (230/21mcg) twice daily. 
    • Each inhaler contains 120 inhalations (institutional pack = 60 actuations).

    Priming
    • Priming: 4 sprays before 1st use and 2 sprays if not used in 4 weeks or dropped.

    Refill
    • Inhaler is empty when dose counter reads 000 (but inhaler may continue to spray with no medicine). Refill when counter reaches 20.

    Cleaning
    • Clean mouthpiece and small circular sprayer opening inside mouthpiece with cotton swab once weekly. This is important, because buildup of dried medication in the sprayer may reduce effectiveness. You do not need to take the cartridge out of the plastic sleeve.

    Safety Information
    • Do not combine with any other long-acting beta2-adrenergic agonist (LABA) for any reason.
    • People with asthma who take LABA medicines, such as salmeterol (one of the medicines in ADVAIR Diskus), have an increased risk of death from asthma problems. It is not known whether fluticasone propionate, the other medicine in ADVAIR Diskus, reduces the risk of death from asthma problems seen with salmeterol.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Shake the inhaler for 5 seconds.
    4. Prime the inhaler into the air away from the face if it is new or has not been used for 4 weeks.
    5. Sit up straight or stand up.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down into the plastic sleeve as you begin to slowly take in a deep breath through your mouth over 5 seconds.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible. Exhale slowly out of your mouth.
    11. Wait about one minute if you need another dose of medicine.
    12. Repeat steps 5–10 until your reach the dosage prescribed by your doctor.
    13. Rinse your mouth or brush your teeth after the last puff of medicine and spit the water out — do not swallow.
    14. Replace the mouthpiece cover after each use. Store the inhaler in a cool, dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ADVAIR(R) HFA inhalation aerosol, fluticasone propionate salmeterol inhalation aerosol. GlaxoSmithKline, Research Triangle Park, NC, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Alvesco®
    Alvesco®
    Patient Counseling: Key Product Details
    Generic name
    • Ciclesonide

    Medication Class and Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Available strengths: 80 mcg/actuation and 160 mcg/actuation.
    • Asthma Dosing: 80 mcg-320mcg twice daily.
    Click Here: Detailed Dosing

    Priming
    • Priming: 3 sprays before first use and if not used within 10 days.

    Refill
    • Each inhaler contains 60 inhalations.
    • Dose counter information: Dose indicator is located on top of inhaler and moves only with every 10 doses. Indicator turns red when less than 20 doses remain. Inhaler is empty when indicator reads 0. Indicator may not work if inhaler is dropped. Manufacturer recommends keeping track of how many doses are remaining.

    Cleaning
    • Clean mouthpiece with DRY tissue or cloth weekly, including small hole where medicine comes out. Do not wash or put any part of inhaler in water.

    Other:
    • Important: push center of canister when actuating the inhaler.
    • No need to shake inhaler prior to use.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air away from face if it is new or has not been used for 10 days.
    4. Sit up straight or stand up.
    5. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    6. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    7. Seal your lips around the mouthpiece.
    8. Push the CENTER of canister (not off-center) all the way down as you begin to slowly take in a deep breath over 5 seconds through your mouth.
    9. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    10. Repeat steps 4–9 until you reach the dosage prescribed by your doctor.
    11. Rinse your mouth after the last puff of medicine and spit the water out — do not swallow.
    12. Replace the mouthpiece cover after each use. Store the inhaler in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ALVESCO(R) oral inhalation aerosol, ciclesonide inhalation aerosol. Sunovion Pharmaceuticals Inc, Marlborough, MA, 2015.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Anoro<sup>TM</sup> Ellipta<sup>TM</sup>
    AnoroTM ElliptaTM
    Patient Counseling: Key Product Details
    Generic name
    • Umeclidinium and vilanterol

    Medication Class & Use
    • Combination bronchodilator (long-acting beta-2 agonist (LABA) and anticholinergic): Combines two medicines that work together to relax the muscles that tighten around the airway and make breathing easier.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA containing medicines.

    Dosing
    • Maintenance treatment of COPD: 1 inhalation once daily.
    • Available Strengths: 62.5mcg/25mcg
    • Inhaler contains 30 doses (institutional model has 7 doses.)

    Refill
    • Inhaler is empty when dose counter reads 0 (the counter is red for doses 9-0 to remind getting a refill.)
    • Discard inhaler 6 weeks after opening foil pouch (or when dose counter reads 00, whichever comes first.)

    Cleaning
    • Keep inhaler dry at all times. Use a dry cloth to gently wipe mouthpiece if needed.

    Other
    • Watch for drug interactions with CYP 450 3A4 inhibitors, MAO inhibitors, tricyclic antidepressants. Do use in combination with other LABAs or anticholineric drugs.

    Safety
    • Do not use if patient has a severe allergy to milk proteins.
    • Long-acting beta2-adrenergic agonists (LABA) increase the risk of asthma-related death. The safety and efficacy of ANORO ELLIPTA in patients with asthma have not been established. ANORO ELLIPTA is not indicated for the treatment of asthma.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Open the cover of the inhaler down until you hear a click.
    3. Do not shake this inhaler.
    4. Exhale out through mouth away from inhaler.
    5. Place the mouthpiece into your mouth and close your lips tightly around it.
    6. Inhale deeply through your mouth. Be careful not to block the air vent on the front of the inhaler with your fingers.
    7. Remove the mouthpiece and hold breath for at least 3-4 seconds or as long as comfortable.
    8. Exhale through your mouth slowly and away from the inhaler.
    9. You may not taste or feel the medicine, even when you are using the inhaler correctly. Do not take another dose.
    10. Close the inhaler.
    11. Store inhaler in a cool dry place.

    Important note: If you open and close the inhaler without inhaling the medicine, you will lose the dose. Only open the inhaler if you are ready to take your dose.

    If you have questions about the use of your inhaler, please ask your pharmacist or provider.
    For more information and video demos, go to fpanetwork.org/inhaler.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ANORO ELLIPTA inhalation powder, umeclidinium and vilanterol inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 27709. 2016.

      If you have questions about the use of your inhaler, please ask your pharmacist or provider.
      For more information and video demos, go to fpanetwork.org/inhaler.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Arcapta™ Neohaler™
    Arcapta™ Neohaler™
    Patient Counseling: Key Product Details
    Generic name
    • Indacaterol

    Medication Class and Use
    • Long-acting bronchodilator (maintenance inhaler, or long-acting beta2 adrenergic-agonist or LABA): Works to relax the muscles that tighten around the airway and makes breathing easier. This medicine takes longer to start working than the short-acting bronchodilator, but works for a longer time.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA medicines.

    Dosing
    • Usual COPD dosing: Inhale contents of one capsule once daily. DO NOT SWALLOW CAPSULES.
    • Available strengths: 75 mcg capsules.
    • Supplied in unit dose blister packs (box of 30 capsules).
    • Capsules should be kept in a DRY place at room temperature.

    Cleaning
    DO NOT GET ANY PART OF THE INHALER WET. Wipe with dry cloth if needed.

    Safety Information
    • Do not use in combination with other long-acting beta2 adrenergic-agonist (LABA) medicines for any reason.
    •People with asthma who take LABA medicines, such as ARCAPTA NEOHALER, have an increased risk of death from asthma problems. It is not known if LABA medicines, such as ARCAPTA NEOHALER, increase the risk of death in people with chronic obstructive pulmonary disease (COPD)
     
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover.
    3. Hold the base of the inhaler and tilt the mouthpiece to open the inhaler.
    4. Take a capsule from the package by pushing it through the foil. Do not remove the capsule until you are ready to use it.
    5. Place the capsule in the chamber in the base of the inhaler (not in the mouthpiece).
    6. Close the inhaler by pushing the mouthpiece into place. You should hear a click.
    7. Press both buttons at the same time in order to pierce the capsule (only press once). You should hear a click.
    8. Release the buttons.
    9. Turn the inhaler and hold level to the floor, with the buttons on the left and right.
    10. Exhale away from the inhaler.
    11. Tilt your head back slightly.
    12. Place the mouthpiece into your mouth and close lips tightly around it.
    13. Breathe in quickly and as deeply as possible. You should hear a whirring sound as the capsule spins in the chamber.
    14. Remove the mouthpiece from your mouth and hold your breath for 10 seconds (or as long as comfortable).
    15. Exhale slowly away from the inhaler.
    16. Open the chamber and examine the capsule. If there is powder remaining, repeat steps 10-15.
    17. After use, remove and discard the capsule. Do not store the capsule in the inhaler.
    18. Close the mouthpiece and replace the cover.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ARCAPTA(TM) NEOHALER(TM) oral inhalation powder, indacaterol oral inhalation powder. Novartis Pharmaceuticals, Corp. (per Manufacturer), East Hanover, NJ, 2012.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Arnuity Ellipta
    Arnuity Ellipta
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone

    Medication Class & Use

    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.

    Dosing
    • Asthma:  Dosing dependent on disease severity
    • Available Strengths: 100mcg or 200mcg
    • Inhaler contains 30 doses (institutional model has 14 doses.)

    Refill
    • Inhaler is empty when dose counter reads 0 (the counter is red for doses 0-9 to remind getting a refill.)
    • Discard inhaler 6 weeks after opening foil pouch (or when dose counter reads 0, whichever comes first.)

    Cleaning
    • Keep inhaler dry at all times. Use a dry cloth to gently wipe mouthpiece if needed.

    Safety

    • Do not use in patients with a severe allergy to milk proteins.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Do not shake the inhaler.
    3. Slide down the cover until you hear a click.
    4. Breathe out through your mouth away from the inhaler.
    5. Close your lips tightly around the mouthpiece.
    6. Breathe in deeply through your mouth. Be careful not to block the air vent on the inhaler with your fingers.
    7. Remove the mouthpiece and hold your breath for at least 3 to 4 seconds or as long as comfortable.
    8. Breathe out through your mouth slowly, away from the inhaler.
    9. You may not taste or feel the medicine, even when you are using the inhaler correctly. Do not take another dose.
    10. Close the inhaler.
    11. Store inhaler in a cool, dry place.
    12. Rinse your mouth and spit the water out. Do not swallow.

    Important
    : Open the inhaler only if you are ready to take your dose. The counter counts down by 1 each time you open the cover.  You will lose the dose if you close the cover without taking the medicine.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ARNUITY ELLIPTA inhalation powder, fluticasone furoate inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 27709.  2016.

      If you have questions about the use of your inhaler, please ask your pharmacist or provider.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Asmanex® Twisthaler®
    Asmanex® Twisthaler®
    Patient Counseling: Key Product Details
    Generic name
    • Mometasone furoate

    Medication Class and Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Available strengths: 110 mcg/actuation; 220 mcg/actuation
    • Asthma dosing, Adult: 220 mcg once daily- 440 mcg twice daily, if given once daily, dose should be in the evening.
    • Pediatric Dosing: 110 mcg once daily.  
    Click Here:  Detailed Dosing
    • 110 mcg inhaler contains 30 inhalation units (institutional pack = 7 units)
    • 220 mcg inhaler is available in 30, 60, or 120 inhalation units (institutional pack = 14 units)

    Refill
    • Inhaler is empty when dose counter reads 00
    • Discard inhaler 45 days after opening foil pouch (or when dose counter reads 00, whichever comes first

    Cleaning
    • Keep inhaler dry at all times. Use a dry cloth to gently wipe mouthpiece if needed.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Hold the inhaler straight up with the base (gray or pink portion) on the bottom.
    3. Remove the cap while it is in the upright position to make sure the right dose is loaded.
    4. Hold the base and twist the cap in a counter-clockwise direction to remove it.
    5. As the cap is lifted off, the dose counter on the base will count down by 1. This action also loads the dose, so do not shake the inhaler once it’s open.
    6. Make sure the arrow located on the white portion (directly above the base) is pointing to the dose counter.
    7. Exhale out through mouth away from the inhaler.
    8. Place the mouthpiece into your mouth, while holding the inhaler level with the floor. Be careful not to cover the ventilation holes.
    9. Close your lips tightly around the mouthpiece and take a fast, deep breath.
    10. Remove the mouthpiece from your mouth and hold your breath for 10 seconds or as long as possible.
    11. Exhale through your mouth slowly away from the inhaler.
    12. Immediately replace the cap, turn in a clockwise direction, while gently pressing down until you hear a click.
    13. Repeat steps 2–12 if another dose is needed.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ASMANEX TWISTHALER(R) oral inhalation powder, mometasone furoate oral inhalation powder. Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. 2014.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Atrovent® HFA
    Atrovent® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Ipratropium

    Medication Class and Use
    • Anticholinergic Bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier. Use this inhaler every day to prevent symptoms, even when feeling well. Can use with a fast acting inhaler for quick relief. Do not use alone for fast relief.

    Dosing
    • Usual COPD dosing: 2 puffs four times per day (max: 12 puffs in 24 hours).
    • Available strengths: 17 mcg.
    • Each inhaler contains 200 inhalations.

    Priming
    • Priming: 2 sprays before 1st use or if not used in 3 days.

    Refill
    • Has dose indicator on back. At 40 background starts to change from green to red, all red background at 20 and stops moving at 0. Recommend getting refill when background turns red.

    Cleaning
    • Once per week, remove canister and wash plastic sleeve in warm running water for 30 seconds. Let air dry.

    Other
    • Avoid spraying into eyes, can cause eye problems and worsen narrow angle glaucoma.
    • Inhaler shaking not necessary.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. If the inhaler is new or has not been used in 3 days, prime it away from face into the air. DO NOT SPRAY INTO EYES.
    4. Sit up straight or stand up.
    5. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    6. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    7. Seal your lips around the mouthpiece.
    8. Close your eyes (to prevent spraying medication into your eyes).
    9. Push the canister all the way down into the plastic sleeve as you begin slowly to take in a deep breath through your mouth over 5 seconds.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Wait about one minute and repeat steps 5 to 10.
    12. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: ATROVENT(R) HFA oral inhalation aerosol, ipratropium bromide hfa oral inhalation aerosol. Boehringer Ingelheim Pharmaceuticals,Inc., Ridgefield, CT, 2012.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Breo™ Ellipta™
    Breo™ Ellipta™
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone furoate and vilanterol

    Medication Class & Use
    • Combination inhaler (maintenance inhaler, long-acting beta-2 agonist (LABA) and corticosteroid). This inhaler combines two medications that work over time to make breathing easier. Together the medications relax the muscles in the airway and decrease inflammation, swelling and mucus production.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA medicines.

    Dosing
    • Maintenance treatment of COPD: 1 inhalation of 100 mcg/25 mcg once daily.
    • Adult asthma: 1 inhalation of 100 mcg/25 mcg or 200mcg/25mcg once daily.
    • Available Strengths: 100mcg/25mcg,  200mcg/25mcg
    • Maximum dosage 200mcg/25mcg per 24 hours
    • Inhaler contains 30 doses (institutional model has 14 doses.)

    Refill
    • Inhaler is empty when dose counter reads 0 (the counter is red for doses 9-0 to remind getting a refill.)
    • Discard inhaler 6 weeks after opening foil pouch (or when dose counter reads 00, whichever comes first.)

    Cleaning
    • Keep inhaler dry at all times. Use a dry cloth to gently wipe mouthpiece if needed.

    Safety
    • Do not use in combination with other LABA containing medicines for any reason.
    • Do not use if patient has a severe allergy to milk proteins.
    • Long-acting beta2-adrenergic agonists (LABA) increase the risk of asthma-related death. See Black box warning.


    Instructions for Use
    1. Wash and dry your hands well.
    2. Do not shake the inhaler.
    3. Slide down the cover until you hear a click.
    4. Breathe out through your mouth away from the inhaler.
    5. Close your lips tightly around the moutpiece.
    6. Breathe in deeply through your mouth. Be careful not to block the air vent on the inhaler with your fingers.
    7. Remove the moutpiece and hold your breath for at least 3 to 4 seconds or as long as comfortable.
    8. Breathe out through your mouth slowly, away from the inhaler.
    9. You may not taste or feel the medicine, even when you are using the inhaler correctly. Do not take another dose.
    10. Close the inhaler.
    11. Rinse your mouth or brush your teeth and spit out the water - do not swallow.
    12. Store inhaler in a cool, dry place.
    Note: Open the inhaler only if you are ready to take your dose.  The counter counts down by 1 each time you open the cover.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: BREO ELLIPTA inhalation powder, fluticasone furoate and vilanterol inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 27709. 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Combivent® Respimat®
    Combivent® Respimat®
    Patient Counseling: Key Product Details
    Generic name
    • Ipratropium and Albuterol

    Medication Class & Use
    • Combination bronchodilator (short-acting beta-2 agonist and anticholinergic). This inhaler combines two medicines that work together to relax the muscles that tighten around the airway and make breathing easier.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Your doctor may tell you to use extra doses for quick relief. Do not use more doses than your doctor prescribes.

    Dosing
    • Usual COPD dosing: 1 inhalation four times per day (max: 6 puffs in 24 hours).
    • Each inhaler contains 120 doses.

    Priming
    • Priming: See extensive detailed instructions 

    Refill
    • Inhaler is empty and will not work after 120 doses. Dose indicator is red when inhaler has 30 remaining doses.
    • Inhaler should be discarded three months after assembly or when empty (whichever is first).

    Cleaning
    • Quick cleaning information: At least once weekly wipe mouthpiece with a damp cloth or tissue, including metal part inside the mouthpiece. DO NOT take apart inhaler.

    Other
    • Avoid spraying into eyes, which can cause eye problems and worsen narrow angle glaucoma.
    Instructions for Use
    Prepare inhaler for first use
    1. Wash and dry your hands well.
    2. Hold the inhaler with the orange cap closed.
    3. Press the safety catch on the side of the inhaler and pull off the clear base. (Do not touch the sharp piercing tool in the inside of the base.)
    4. Write the discard date on the label – three months from today.
    5. Take the silver cartridge out of the box.
    6. Insert the narrow end of the cartridge into the inhaler and push the cartridge against a firm surface to ensure proper insertion. A little bit of the cartridge (1/8 inch) will stick out of the bottom of the inhaler.
    7. Put the clear base back on the inhaler.
    8. Do not take the inhaler apart again after completing these steps.

    Prime the inhaler before first use by following steps 9 to12.
    9. Hold the inhaler with the orange cap closed and pointed up.
    10. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    11. Open the orange cap and point the inhaler down. Push the dose release button, then close the cap.
    12. Repeat steps 9 to11 until you see a white spray coming from the inhaler.
    13. After you see the white spray, repeat steps 9-11 three more times. The inhaler is now ready for use.

    Use the inhaler*
    1. Wash and dry your hands well.
    2. Sit up straight or stand up.
    3. Hold the inhaler with the orange cap closed and pointed up.
    4. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    5. Open the orange cap.
    6. Exhale fully out through mouth. Hold the inhaler so inhaler is pointed at the back of your throat.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the dose release button as you begin to slowly take in a deep breath through your mouth for as long as you can.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Close the orange cap after each use. Store in a cool dry place.

    *If you have not used the inhaler for three or more days, follow priming steps 9 to11 for one spray. If you have not used your inhaler for more than 21 days, re-prime the inhaler using steps 9 to 13.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: COMBIVENT(R) RESPIMAT(R) respiratory spray, ipratropium bromide albuterol respiratory spray. Boehringer Ingelheim Pharmaceuticals, Inc. Ridgefield, CT, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Dulera®
    Dulera®
    Patient Counseling: Key Product Details
    Generic name
    • Mometasone and Formoterol

    Medication Class & Use
    • Combination inhaler (maintenance inhaler, long-acting beta-2 agonist (LABA) and corticosteroid). This inhaler combines two medications that work over time to make breathing easier. Together the medications relax the muscles in the airway and decrease inflammation, swelling and mucus production.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA medicines.

    Dosing
    • Usual Asthma Dosing: Varies based on prior asthma therapy; range 100mcg/5mcg: 2 puffs twice daily – 200 mcg/5 mcg: 2 puffs twice daily.
    Click Here: Detailed Dosing
    • Available Strengths: 100 mcg/5 mcg and 200 mcg/5 mcg.
    • Each inhaler contains 120 inhalations (124 before priming) or 60 inhalations (institutional model)

    Priming
    • Priming: 4 sprays before 1st use and if not used in 5 days.

    Refill
    • Inhaler is empty when dose counter reads 0.

    Cleaning
    • Clean every 7 days using a dry cloth, tissue or cotton swab inside and outside of the mouthpiece, especially inside the sprayer. Do not wash or put any part of the inhaler in water. Do not remove canister from actuator.

    Storage
    •After priming, store the 60 inhalation device with mouthpiece down or in the horizontal position.  The 120 inhalation device can be stored in any position.

    Safety Information
    • Do not use in combination with other LABA containing medicines for any reason.
    •People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines such as formoterol (one of the medicines in DULERA), have an increased risk of death from asthma problems. It is not known whether mometasone furoate, the other medicine in DULERA, reduces the risk of death from asthma problems seen with formoterol.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Shake the inhaler several times for about 5 seconds.
    4. Prime the inhaler into the air (away from face) if the unit is new or you have not used it for 5 days.
    5. Sit up straight or stand up.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Wait 30 seconds if you need another dose of medicine.
    12. Repeat steps 5 to10 until you reach the dose prescribed by your doctor.
    13. Rinse your mouth after the last puff of medicine and spit the water out — do not swallow.
    14. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: DULERA(R) inhalation aerosol, mometasone furoate formoterol fumarate dihydrate inhalation aerosol. Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, NJ, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Flovent® Diskus®
    Flovent® Diskus®
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone propionate

    Medication Class & Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Asthma Dosing Adults: 100 mcg-1,000 mcg twice daily
    • Pedatric dosing: 50 mcg twice daily.
    Click Here: Detailed Dosing
    • Available strengths: 50 mcg; 100 mcg; 250 mcg.
    • Each inhaler contains 60 blisters. (Institutional pack has 28 blisters.)

    Refill
    • Inhaler is empty when dose counter reads 0 (doses 5-0 are red to remind you when it’s time to get a refill).
    • Inhaler should be discarded 6 weeks after opening (50 mcg strength) or 2 months after opening (100 mcg and 250 mcg strengths).

    Cleaning
    • Do not wash any part of the inhaler. Keep dry. You can wipe outside with a dry cloth.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Open the device.
    3. Hold the device in a level, flat position. Do not shake this inhaler.
    4. Slide the lever from left to right until it clicks.
    5. Exhale out through your mouth away from inhaler.
    6. Place the mouthpiece into your mouth and close your lips tightly around it.
    7. Keep the device level while inhaling the dose with a quick, deep breath.
    8. Remove the mouthpiece and hold your breath for 10 seconds, or as long as comfortable.
    9. Exhale through your mouth slowly and away from the inhaler.
    10. Close the inhaler.
    11. Rinse your mouth or brush your teeth after taking the dose and spit the water out — do not swallow.
    12. Store the inhaler in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: FLOVENT(R) DISKUS(R) inhalation powder, fluticasone propionate inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Flovent® HFA
    Flovent® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Fluticasone propionate

    Medication Class & Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Asthma dosing: 88 mcg-440 mcg twice daily.
    Click Here: Detailed Dosing
    • Available strengths: 44 mcg/inhalations; 110 mcg/actuation; 220 mcg/actuation.
    • Each inhaler contains 120 inhalations.

    Priming
    • Priming: 4 sprays before first use and 1 spray if you have not used it within 7 days or if the inhaler has been dropped.

    Refill
    • Inhaler is empty when dose counter reads 000.

    Cleaning
    • Clean at least weekly. Use a circular motion with cotton swab damped with water to clean the small circular medication opening. Wipe the mouthpiece with a dampened tissue. Let the inhaler air dry.


    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Shake the inhaler several times – about 5 seconds.
    4. Prime the inhaler into the air (away from your face) if the unit is new or you have not used it for 7 days.
    5. Sit up straight or stand up.
    6. Exhale out through your mouth fully and hold the inhaler so the mouthpiece is at the bottom and the canister is sticking out of the top.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take in a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Wait 30 seconds if you need another dose of medicine.
    12. Repeat steps 5–10 until you reach the dose prescribed by your doctor.
    13. Rinse your mouth after the last puff of medicine and spit the water out or brush your teeth — do not swallow.
    14. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: FLOVENT(R) HFA inhalation aerosol, fluticasone propionate inhalation aerosol. GlaxoSmithKline, Research Triangle Park, NC, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Incruse Ellipta
    Incruse Ellipta
    Patient Counseling: Key Product Details
    Generic name
    • Umeclidinium

    Medication Class & Use
    • Anticholinergic Bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.

    Dosing
    • Maintenance treatment of COPD: 1 inhalation once daily.
    • Available Strengths: 62.5mcg
    • Inhaler contains 30 doses (institutional model has 7 doses.)

    Refill
    • Inhaler is empty when dose counter reads 0 (the counter is red for doses 0-9 to remind getting a refill.)
    • Discard inhaler 6 weeks after opening foil pouch (or when dose counter reads 0, whichever comes first.)

    Safety
    • Do not use in patients with acutely deteriorating COPD or to treat acute COPD.
    • Do not use if patient has a severe allergy to milk proteins.
    Instructions for Use
    Cleaning
    • Keep inhaler dry at all times. Use a dry cloth to gently wipe mouthpiece if needed.

    1. Wash and dry your hands well.
    2. Do not shake the inhaler.
    3. Slide down the cover until you hear a click.
    4. Breathe out through your mouth away from the inhaler.
    5. Close your lips tightly around the mouthpiece.
    6. Breathe in deeply through your mouth. Be careful not to block the air vent on the inhaler with your fingers.
    7. Remove the mouthpiece and hold your breath for at least 3 to 4 seconds or as long as comfortable.
    8. Breathe out through your mouth slowly, away from the inhaler.
    9. You may not taste or feel the medicine, even when you are using the inhaler correctly. Do not take another dose.
    10. Close the inhaler.
    11. Store inhaler in a cool, dry place.

    Important note: Open the inhaler only if you are ready to take your dose. The counter counts down by 1 each time you open the cover. You will lose the dose if you close the cover without taking the medicine.

    If you have questions about the use of your inhaler, please ask your pharmacist or provider. For more information and video demos, go to fpanetwork.org/inhaler.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: INCRUSE ELLIPTA inhalation powder, umeclidinium inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 27709.  2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Proair® HFA
    Proair® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Albuterol Sulfate

    Medication Class & Use
    • Short-acting bronchodilator (also called rescue inhaler, fast acting inhaler, short-acting beta-2 agonist or SABA): Starts working quickly to relax the muscles that tighten around the airways and make breathing easier. The medicine usually lasts 3-4 hours.
    • Use for fast relief.

    Dosing
    • Usual Dosing: 2 puffs every 4-6 hours as needed (max dose 12 puffs in 24 hours).
    • Prevention of Exercise Induced bronchospasm: 2 puffs 15-30 min prior to exercise.
    • Each inhaler contains 200 inhalations.

    Priming
    • Priming: 3 sprays before first use and if not used within 2 weeks.

    Refill:
    • Inhaler is empty when dose counter reads 0 and background is solid red.
    • Refill reminder: Numbers turn red when 20 doses remain.

    Cleaning
    • Remove canister and wash mouthpiece with warm water weekly. Let air dry. Inhaler may stop spraying if not properly cleaned.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air away from your face if the unit is new or your have not been used it for 2 weeks.
    4. Sit up straight or stand up.
    5. Shake inhaler well before each spray.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down into the plastic sleeve as you begin to slowly take a deep breath through your mouth for 5 seconds.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. If you need another dose, wait 1 minute and repeat steps 4-11.
    12. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: PROAIR(R) HFA oral inhalation aerosol, albuterol sulfate oral inhalation aerosol. Teva Respiratory, LLC, Horsham, PA, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Proair RespiClick
    Proair RespiClick
    Patient Counseling: Key Product Details
    Generic name
    • Albuterol Sulfate

    Medication Class & Use
    • Short-acting bronchodilator (also called rescue inhaler, fast acting inhaler, short-acting beta-2 agonist or SABA): Starts working quickly to relax the muscles that tighten around the airways and make breathing easier. The medicine usually lasts 3-4 hours.
    • Use for fast relief.

    Dosing
    • Usual Dosing (Age 4 and older): 2 puffs every 4-6 hours as needed (max dose 12 puffs in 24 hours).
    • In some patients, 1 inhalation every 4 hours may be sufficient
    • Prevention of Exercise Induced bronchospasm (Age 4 and older): 2 puffs 15-30 min prior to exercise.
    • Each inhaler contains 200 inhalations.

    Priming
    • No priming needed.

    Refill:
    • Inhaler is empty when dose counter reads 0 and background is solid red.
    • Refill reminder: Numbers turn red when 20 doses remain.
    • Discard inhaler 13 months after opening foil package or when no doses remain, whichever comes first.

    Cleaning
    • Keep inhaler dry at all times. Wipe with dry tissue or cloth as needed.

    Other
    • Do not use if patient has severe allergy to milk proteins or lactose.
    • Do not use with a spacer or volume holder device.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Do not shake the inhaler.
    3. Hold inhaler upright and open the cap all the way until you hear a click.
    4. Breathe out through your mouth away from the inhaler.
    5. Close your lips tightly around the mouthpiece.
    6. Breathe in deeply through your mouth. Be careful not to block the air vent on the inhaler with your lips or fingers.
    7. Remove the mouthpiece and hold your breath for 10 seconds or as long as comfortable.
    8. Breathe out through your mouth slowly, away from the inhaler.
    9. Close the inhaler cap firmly after each inhalation. This gets the inhaler ready for the next dose.
    10. If you need to take another dose, be sure to close the cap and repeat steps 3-9.
    11. Store inhaler in a cool, dry place.

    Important: Open the inhaler only if you are ready to take your dose. The counter counts down by 1 each time you open and close the cover. You will lose the dose if you close the cover without taking the medicine.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: PROAIR RESPICLICK inhalation powder, albuterol sulfate inhalation powder. Teva Respiratory, LLC, Horsham, PA 19044. 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Proventil® HFA
    Proventil® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Albuterol Sulfate

    Medication Class & Use
    • Short-acting bronchodilator (also called rescue inhaler, fast acting inhaler, short-acting beta-2 agonist or SABA): Starts working quickly to relax the muscles that tighten around the airways and make breathing easier. The medicine usually lasts 3-4 hours.
    • Use for fast relief.

    Dosing
    • Usual dosing: 2 puffs every 4-6 hours as needed (max dose 12 puffs in 24 hours).
    • Each inhaler contains 200 inhalations.

    Priming
    • Priming: 4 sprays before first use and if not used within 2 weeks

    Refill
    • No dose counter
    • Click on printable dose tracker (right)

    Cleaning
    • Remove canister and wash mouthpiece with warm water weekly. Let air dry. Inhaler may stop spraying if not properly cleaned.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air away from your face if the unit is new or you have not used for it for 2 weeks.
    4. Sit up straight or stand up.
    5. Shake inhaler well before each spray.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take in a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. If you need another dose, wait one minute and repeat steps 4 to11.
    12. Replace the mouthpiece cover after each use. Store in a cool dry place with the mouthpiece pointed down.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: PROVENTIL(R) HFA oral inhalation aerosol, albuterol sulfate oral inhalation aerosol. Merck, Sharp and Dohme Corp, 2015.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Pulmicort® Flexhaler®
    Pulmicort® Flexhaler®
    Patient Counseling: Key Product Details
    Generic name
    • Budesonide

    Medication Class & Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Usual adult asthma starting dose: 360 mcg twice daily (max 720 mcg twice daily)
    • Pedatric dosing: 180 mg twice daily.
    • Available strengths: 90 mcg/actuation; 180 mcg/actuation.
    • Inhalers contain either 60 or 120 inhalations per device.

    Priming
    • Priming: Prime 1 time before first use only:
              1. Hold upright (brown grip on bottom). Turn the white cover and lift it off.
              2. Hold the middle of the inhaler (not the mouthpiece) in one hand and turn the brown grip as far as it will go in one direction. Repeat in the opposite direction (you will hear a click during one of the turns).
              3. Repeat step 2 and your first dose is ready to be loaded. There is no need to prime the inhaler again.

    Refill
    • Dose indicator is marked at intervals of 10 doses. Inhaler is empty when dose counter reads 0 in the middle of the window.
    • The inhaler will only release one dose of medication at a time no matter how many times you click the brown grip. However, the dose counter will continue to advance with each click, so the inhaler may actually contain additional doses when the dose counter reads 0.

    Cleaning
    • KEEP DRY. Clean outside the mouthpiece once weekly with a dry tissue.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Twist the cover and lift it off.
    3. Hold the middle of the inhaler upright (mouthpiece up, brown grip down) to load a dose.
    4. Twist the brown grip fully in one direction as far as it goes. It does not matter which way you turn it first.
    5. Twist it back in the other direction as far as it will go.
    6. You should hear a click sound during one of the twisting movements.
    7. Exhale out through your mouth away from the inhaler.
    8. Place the mouthpiece in your mouth and seal it with your lips.
    9. Inhale deeply and quickly.
    10. Remove the mouthpiece from your mouth and hold your breath for 5 to10 seconds or as long as possible.
    11. Exhale through your mouth slowly, away from the inhaler.
    12. If your require more than 1 dose, repeat Steps 3 to12 above.
    13. Put the cover back on and twist it shut. Store in a cool dry place.
    14. Rinse your mouth after taking the dose or brush your teeth and spit the water out. Do not swallow.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: PULMICORT FLEXHALER(TM) inhalation powder, budesonide inhalation powder. AstraZeneca,LP, Wilmington, DE, 2012.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • QVAR<sup>®</sup> HFA
    QVAR® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Beclomethasone dipropionate

    Medication Class & Use
    • Corticosteroid (maintenance inhaler or steroid inhaler): Works by decreasing inflammation, swelling, and mucus production over time. This medicine will help open airways and make breathing easier if used every day, even when feeling well.

    Dosing
    • Asthma Dosing: 40-80 mcg twice daily (max dose 320 mcg twice daily).
    Click Here: Detailed Dosing
    • Available strengths: 40 mcg/inhalations; 80 mcg/inhalations.
    • Inhalers contain 120 inhalations per device. 

    Priming
    • Spray twice before first use and if you have not used the inhaler within 10 days. Dose counter will change from a dot to 120. The inhaler is now ready for use.

    Refill
    •Each inhaler contains 120 puffs. The numbers on the dose counter will be red starting at 20 to remind you to get a refill. The inhaler is empty when the dose counter reads 0.

    Cleaning
    • Clean mouthpiece once weekly with a dry tissue and clean any buildup out of the sprayer inside. Do NOT get any part of the inhaler wet.

    Other
    • Inhaler uses a solution aerosol and does not need shaking.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air (away from your face) if the unit is new or you have not used for 10 days.
    4. Sit up straight or stand up.
    5. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    6. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    7. Seal your lips around the mouthpiece.
    8. Push the canister all the way down as you begin to slowly take in a deep breath through your mouth.
    9. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    10. Wait 30 seconds if you need another dose of medicine.
    11. Repeat steps 4 through 9 until you reach the dose prescribed by your doctor.
    12. Rinse your mouth after the last puff of medicine or brush your teeth and spit the water out — do not swallow.
    13. Replace the mouthpiece cover after each use. Store in a cool, dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: QVAR(R) inhalation aerosol, beclomethasone dipropionate inhalation aerosol. Teva Respiratory, LLC, Horsham, PA. 2014.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Serevent® Diskus®
    Serevent® Diskus®
    Patient Counseling: Key Product Details
    Generic name
    • Salmeterol xinafoate

    Medication Class & Use
    • Long-acting bronchodilator (maintenance inhaler, or LABA): Works to relax the muscles that tighten around the airway and makes breathing easier. This medicine takes longer to start working than the short-acting bronchodilator, but works for a longer time.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA medicines.


    Dosing
    • COPD Dosing: 1 inhalation twice daily.
    • Asthma dosing click here. Must be used in combination with an inhaled steriod.
    • Maximum dosing is 1 inhalation twice daily.
    • Do NOT use in combination with other LABAs for any reason
    • Available strengths: 50 mcg.
    • Inhaler contains 60 doses (institutional pack = 28 doses).

    Refill
    • Inhaler is empty when dose counter reads 0 (dose counter turns red when 5 doses are remaining as a reminder to refill).
    • Discard inhaler 6 weeks after removing from foil pouch (or when dose counter reads 0).

    Cleaning
    • Keep inhaler dry. Wipe outside as needed with dry cloth.

    Safety Information
    • Do not use in combination with other LABA containing medicines for any reason.
    • ASTHMA RELATED DEATH: Long-acting beta2-adrenergic agonists, such as salmeterol, the active ingredient in SEREVENT DISKUS, increase the risk of asthma-related death. Use SEREVENT DISKUS only as additional therapy for patients with asthma who are currently taking but are inadequately controlled on a long-term asthma control medication, such as an inhaled corticosteroid. Do not use in combination with other LABA (formoterol, aformoterol, indacterol or vilanterol) for any reason.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Open the device.
    3. Hold the device in a level, flat position. Do not shake this inhaler.
    4. Slide the lever from left to right until it clicks.
    5. Exhale out through your mouth away from inhaler.
    6. Place the mouthpiece into your mouth and close your lips tightly around it.
    7. Keep the device level while inhaling the dose with a quick, deep breath.
    8. Remove the mouthpiece and hold your breath for 10 seconds or as long as comfortable.
    9. Exhale through your mouth slowly and away from the inhaler.
    10. Close the inhaler.
    11. Rinse your mouth or brush your teeth after taking the dose and spit the water out — do not swallow.
    12. Store inhaler in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: SEREVENT(R) DISKUS(R) inhalation powder, salmeterol xinafoate inhalation powder. GlaxoSmithKline, Research Triangle Park, NC, 2015.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Spiriva® Handihaler®
    Spiriva® Handihaler®
    Patient Counseling: Key Product Details
    Generic name
    • Tiotropium bromide

    Medication Class & Use
    • Long acting anticholinergic bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier.
    • Use this inhaler every day to prevent symptoms, even if you are feeling well.
    • Do not use for fast relief.

    Dosing
    • Usual COPD Dosing: 2 inhalations (one capsule) once daily.
    • Available in package containing 5 capsules, 30 capsules and 90 capsules.
    • DO NOT SWALLOW CAPSULES.

    Cleaning
    • Check chamber for powder buildup and tap it out before use.
    • Clean as needed- rinse in warm water and let air dry for 24 hours.

    Safety Information
    • Avoid getting powder in your eyes; the medicine can cause eye problems and worsen narrow angle glaucoma.
    • Avoid use with other anticholenergic medications due to additive effect.
    • Monitor for anticholinergic effects in patients with reduced renal function.
    • Occasional irritation in the back of the throat may occur if you inhale capsule pieces. This is not harmful.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Peel back the aluminum foil and remove a capsule immediately before using.
    3. Open the dust cap by pulling it upward.
    4. Open the white mouthpiece under the dust cap.
    5. Place the capsule in the center chamber.
    6. Close the mouthpiece firmly until you hear a click. Leave the dust cap open.
    7. Hold the inhaler with the mouthpiece up.
    8. Press the green piercing button all the way down once and release. This makes holes in the capsule and allows the medication to release when you breathe in.
    9. Sit up straight or stand up.
    10. Exhale out through your mouth away from the inhaler.
    11. Hold the inhaler level to the floor and place the mouthpiece in your mouth; seal your lips around it. Do not to block the air vents.
    12. Breathe in through your mouth until your lungs are full. You should hear the capsule vibrate.
    13. Remove the mouthpiece from your mouth and hold your breath for 10 seconds or as long as comfortable.
    14. Exhale slowly away from the inhaler.
    15. Repeat steps 9 to 14. You must inhale twice from same capsule to receive full dose of medication.
    16. Open the mouthpiece and gently tap out the capsule and powder into trash. Do not store capsules in the inhaler.
    17. Close the mouthpiece and dust cap. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: SPIRIVA(R) HandiHaler(R) oral inhalation capsules, tiotropium bromide oral inhalation capsules. Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Spiriva® Respimat®
    Spiriva® Respimat®
    Patient Counseling: Key Product Details
    Generic name
    • Tiotropium

    Medication Class and Use
    • Long acting anticholinergic bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier.
    • Use this inhaler every day to prevent symptoms, even if you are feeling well.
    • Do not use for fast relief.

    Dosing
    • Available strengths: 1.25mcg/spray and 2.5mcg/spray (2 sprays equals one dose)
    • Usual COPD dosing: 2 inhalations of 2.5mcg strength once daily (total 5mcg)
    • Asthma (ages 12 and older) 2 inhalations of 1.25mcg strength once daily (total 2.5mcg)
    • Each inhaler contains 30 doses (2 puffs =1 dose)

    Refill
    • Inhaler is empty when dose counter reads 0. Dose counter turns red at dose 7 to remind getting a refill.


    Instructions for Use
    Quick cleaning information
    • At least once weekly wipe mouthpiece with a damp cloth or tissue, including metal part inside the mouthpiece. DO NOT take apart inhaler.
     
    Assembly/Priming
    Prepare inhaler for first use
    1. Wash and dry your hands well.
    2. Hold the inhaler with the aqua cap closed.
    3. Press the safety catch on the side of the inhaler and pull off the clear base. (Do not touch the sharp piercing tool in the inside of the base.)
    4. Write the discard date on the label – three months from today.
    5. Take the silver cartridge out of the box.
    6. Insert the narrow end of the cartridge into the inhaler and push the cartridge against a firm surface to ensure proper insertion. A little bit of the cartridge (1/8 inch) will stick out of the bottom of the inhaler.
    7. Put the clear base back on the inhaler.
    8. Do not take the inhaler apart again after completing these steps.

    Prime the inhaler before first use by following steps 9 to12.
    9. Hold the inhaler with the cap closed and pointed up.
    10. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    11. Open the cap and point the inhaler down. Push the dose release button, then close the cap.
    12. Repeat steps 9 to11 until you see a white spray coming from the inhaler.
    13. After you see the white spray, repeat steps 9-11 three more times. The inhaler is now ready for use.

    *If you have not used the inhaler for three or more days, follow priming steps 9 to 11 for one spray. If you have not used your inhaler for more than 21 days, re-prime the inhaler using steps 9 to 13.

    1. Wash and dry your hands well.
    2. Sit up straight or stand up.
    3. Hold the inhaler with the aqua cap closed and pointed up.
    4. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    5. Open the cap.
    6. Exhale fully out through mouth. Hold the inhaler so inhaler is pointed at the back of your throat.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the dose release button as you begin to slowly take in a deep breath through your mouth for as long as you can.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11.  Repeat steps 6-10 to get the full dose of medicine (2 puffs equal one dose.)
    12. Close the cap after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Prescribing Information: Spiriva® Respimat® (tiotropium) inhalation spray. Boehringer Ingelheim International GmbH, Ridgefield, CT 06877 USA, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Stiolto<sup>®</sup> Respimat<sup>®</sup>
    Stiolto® Respimat®
    Patient Counseling: Key Product Details
    Generic name
    • Tiotropium and olodaterol

    Medication Class & Use
    • Combination bronchodilator (long-acting beta-2 agonist (LABA) and anticholinergic): Combines two medicines that work together to relax the muscles that tighten around the airway and make breathing easier.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA containing medicines.

    Dosing
    • Usual COPD dosing: 2 inhalations once daily (at the same time every day)
    • Not approved for use in asthma
    • Each inhaler contains 30 doses (2 puffs =1 dose)

    Refill
    • Inhaler is empty when dose counter reads 0. Dose counter turns red at dose 7 to remind getting a refill.

    Safety
    • Long-acting beta2-adrenergic agonists (LABA) increase the risk of asthma-related death. The safety and efficacy of Stiolto Respimat in patients with asthma have not been established. Stiolto Respimat is not indicated for the treatment of asthma.

    Cleaning information
    • At least once weekly wipe mouthpiece with a damp cloth or tissue, including metal part inside the mouthpiece. DO NOT take apart inhaler.
    Instructions for Use
    Assembly/Priming

    Prepare inhaler for first use

    1. Wash and dry your hands well.
    2. Hold the inhaler with the green cap closed.
    3. Press the safety catch on the side of the inhaler and pull off the clear base. (Do not touch the sharp piercing tool in the inside of the base.)
    4. Write the discard date on the label – three months from today.
    5. Take the silver cartridge out of the box.
    6. Insert the narrow end of the cartridge into the inhaler and push the cartridge against a firm surface to ensure proper insertion. A little bit of the cartridge (1/8 inch) will stick out of the bottom of the inhaler.
    7. Put the clear base back on the inhaler.
    8. Do not take the inhaler apart again after completing these steps.

    Prime the inhaler before first use by following steps 9 to12.
    9. Hold the inhaler with the cap closed and pointed up.
    10. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    11. Open the cap and point the inhaler down. Push the dose release button, then close the cap.
    12. Repeat steps 9 to11 until you see a white spray coming from the inhaler.
    13. After you see the white spray, repeat steps 9-11 three more times. The inhaler is now ready for use.

    *If you have not used the inhaler for three or more days, follow priming steps 9 to 11 for one spray. If you have not used your inhaler for more than 21 days, re-prime the inhaler using steps 9 to 13.

    1. Wash and dry your hands well.
    2. Sit up straight or stand up.
    3. Hold the inhaler with the green cap closed and pointed up.
    4. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    5. Open the cap.
    6. Exhale fully out through mouth. Hold the inhaler so inhaler is pointed at the back of your throat.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the dose release button as you begin to slowly take in a deep breath through your mouth for as long as you can.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Repeat steps 6-10 to get the full dose of medicine (2 puffs equal one dose.)
    12. Close the cap after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. 1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
      2. Prescribing Information: Stiolto® Respimat® (tiotropium and olodaterol) inhalation spray. Boehringer Ingelheim International GmbH, Ridgefield, CT 06877 USA, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Striverdi® Respimat®
    Striverdi® Respimat®
    Patient Counseling: Key Product Details
    Generic name
    • Olodaterol

    Medication Class and Use
    • Long-acting bronchodilator (maintenance inhaler, or LABA): Works to relax the muscles that tighten around the airway and makes breathing easier. This medicine takes longer to start working than the short-acting bronchodilator, but works for a longer time. Do not use with other LABA containing medications.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.

    Dosing
    • Usual COPD dosing: 2 inhalations once daily
    • Not approved for use in asthma
    • Each inhaler contains 30 doses (2 puffs =1 dose)

    Assembly/Priming
    See extensive detailed instructions

    Refill
    • Inhaler is empty when dose counter reads 0. Dose counter turns red at dose 7 to remind getting a refill.

    Instructions for Use
    1. Wash and dry your hands well.
    2. Hold the inhaler with the yellow cap closed.
    3. Press the safety catch on the side of the inhaler and pull off the clear base. (Do not touch the sharp piercing tool in the inside of the base.)
    4. Write the discard date on the label – three months from today.
    5. Take the silver cartridge out of the box.
    6. Insert the narrow end of the cartridge into the inhaler and push the cartridge against a firm surface to ensure proper insertion. A little bit of the cartridge (1/8 inch) will stick out of the bottom of the inhaler.
    7. Put the clear base back on the inhaler.
    8. Do not take the inhaler apart again after completing these steps.

    Prime the inhaler before first use by following steps 9 to12.
    9. Hold the inhaler with the yellow cap closed and pointed up.
    10. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    11. Open the yellow cap and point the inhaler down. Push the dose release button, then close the cap.
    12. Repeat steps 9 to11 until you see a white spray coming from the inhaler.
    13. After you see the white spray, repeat steps 9-11 three more times. The inhaler is now ready for use.

    Use the inhaler*
    1. Wash and dry your hands well.
    2. Sit up straight or stand up.
    3. Hold the inhaler with the yellow cap closed and pointed up.
    4. Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
    5. Open the yellow cap.
    6. Exhale fully out through mouth. Hold the inhaler so inhaler is pointed at the back of your throat.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the dose release button as you begin to slowly take in a deep breath through your mouth for as long as you can.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Repeat steps 6-10 to get the full dose of medicine (2 puffs equal one dose.)
    12. Close the cap after each use. Store in a cool dry place.

    *If you have not used the inhaler for three or more days, follow priming steps 9 to11 for one spray. If you have not used your inhaler for more than 21 days, re-prime the inhaler using steps 9 to 13.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Prescribing Information: Striverdi® Respimat® (olodaterol) inhalation spray. Boehringer Ingelheim International GmbH, Ridgefield, CT 06877 USA, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Symbicort® HFA
    Symbicort® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Budesonide and formoterol fumarate

    Medication Class & Use
    • Combination inhaler (maintenance inhaler, long-acting beta-2 agonist (LABA) and corticosteroid). This inhaler combines two medications that work over time to make breathing easier. Together the medications relax the muscles in your airway and decrease inflammation, swelling and mucus production.
    • Use this inhaler every day to prevent symptoms, even when feeling well.
    • Do not use for fast relief.
    • Do not use in combination with other LABA containing medicines.

    Dosing
    • Usual COPD Dosing: 2 inhalations of 160/4.5 twice daily.
    • Asthma dosing in patients >12 years: 2 inhalations twice daily of 80/4.5 or 160/4.5. Starting dosage is based on asthma severity.
    • Available strengths: 80 mcg/4.5 mcg mcg per inhalation; 160mcg/4.5mcg per inhalation
    • Each inhaler contains 120 doses (institutional pack = 60 doses).

    Priming
    • Priming: Spray twice before first use, if you have not used the inhaler in 7 days or if inhaler has been dropped.

    Refill
    • Dose counter is yellow for 20 or fewer doses. Inhaler is empty when dose counter reads 0.
    • Discard inhaler 3 months after removing from foil pouch or when empty.

    Cleaning
    • Clean at least weekly. Remove mouthpiece cover and clean mouthpiece and sprayer inside with a clean, dry cloth. Do not get inhaler wet or try to take apart inhaler.

    Safety Information
    • Do not use with other LABA containing medicines for any reason.
    • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines such as formoterol (one of the medicines in Symbiocort), have an increased risk of death from asthma problems. It is not known whether corticosteriods, the other medicine in Symbicort, reduces the risk of death from asthma problems seen with formoterol.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Shake the inhaler well for 5 seconds.
    4. Prime the inhaler into the air away from your face if it is new or you have not used it for 7 days, or it has been dropped.
    5. Sit up straight or stand up.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. Wait 30 seconds if you need another dose of medicine .
    12. Repeat steps 3 to10 until you reach the dose prescribed by your doctor.
    13. Rinse your mouth after the last puff of medicine or brush your teeth and spit the water out — do not swallow.
    14. Replace the mouthpiece cover after each use. Store in a cool, dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: SYMBICORT(R) inhalation aerosol, budesonide, formoterol fumarate dihydrate inhalation aerosol. AstraZeneca,LP, Wilmington, DE, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Tudorza™ Pressair™
    Tudorza™ Pressair™
    Patient Counseling: Key Product Details
    Generic name
    • Aclidinium bromide

    Medication Class & Use
    • Long acting anticholinergic bronchodilator (maintenance inhaler): Works to relax the muscles that tighten around the airway and makes breathing easier.
    • Use this inhaler every day to prevent symptoms, even if you are feeling well.
    • Do not use for fast relief.

    Dosing
    • Usual COPD dosing: 1 inhalation twice daily (try to take doses about 12 hours apart).
    • Inhaler is breath activated and contains 60 doses (institutional model = 30 doses.)

    Refill
    • Dose counter counts down by 10 and the band turns red when there are ten doses remaining.
    • Discard inhaler 45 days after opening foil pouch or when dose counter reads 0. Device will lock when no doses remain.

    Cleaning
    • This inhaler does not need to be cleaned. You can wipe outside with dry cloth if needed. KEEP INHALER DRY.

    Other Information
    • Do store inhaler on a vibrating surface.
    • You may taste the powder or you may not. Tasting the powder is not a good indicator of whether or not you took the dose correctly.
    • Avoid getting the powder in your eyes. The powder can cause eye problems and worsen narrow angle glaucoma.

    Safety Information
    • Contraindicated in patients with severe milk protein hypersensitivity or hypersensitivity to any of the ingredients.
    • Can cause immediate hypersensitivity reactions (including anaphylaxis, angioedema, bronchospasm and more.)


    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover by squeezing lightly on the arrows printed on the sides of the cap.
    3. Check for loose parts inside the mouthpiece.
    4. Hold the inhaler with the green button facing up. Do not tilt inhaler.
    5. Press the green button all the way down, then release it.
    6. Check display window – it should now be green. If it is red, push the button again.
    7. Sit or stand up straight.
    8. Breathe out through your mouth away from inhaler.
    9. Place the mouthpiece in your mouth and seal your lips around it.
    10. Breathe in quickly and deeply. You should hear a “click.” Continue to breathe in to make sure you inhale all of the medicine. Do not hold green button down while breathing in your dose.
    11. Remove the mouthpiece from your mouth and hold your breath for 10 seconds or as long as you can.
    12. Breathe out slowly away from the inhaler.
    13. Check display window to see if it is red. If the window is still green, you did not get your medicine. Repeat steps 7 to12 until the window turns red.
    14. When the window is red, put the mouthpiece cover back on. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: Tudorza Pressair, aclidinium bromide inhalation powder.  Forest Pharmaceuticals, St. Louis, MO, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Ventolin® HFA
    Ventolin® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Albuterol Sulfate

    Medication Class & Use
    • Short-acting bronchodilator (also called rescue inhaler, fast acting inhaler, short-acting beta-2 agonist or SABA): Starts working quickly to relax the muscles that tighten around the airways and make breathing easier. The medicine usually lasts 3-4 hours.
    • Use for fast relief.

    Dosing
    • Usual dosing: 2 puffs every 4 to 6 hours as needed. Maximum dose is 12 puffs in 24 hours.
    • Each inhaler contains 200 inhalations (institutional pack = 60 actuations).

    Priming
    • Priming: Spray 4 times before first use or if you have not not used the inhaler within 2 weeks.

    Refill
    • Inhaler is empty when dose counter reads 000.
    • Refill when counter reaches 20 remaining doses.
    • Discard 12 months after removing inhaler from foil pouch.

    Cleaning
    • Remove canister and wash mouthpiece with warm water weekly. Do not let the canister get wet. Let air dry. Inhaler may stop spraying if not properly cleaned.
     
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air away from your face if the unit is new, or you have not used it for 2 weeks or if the inhaler has been dropped.
    4. Sit up straight or stand up.
    5. Shake inhaler well before each spray.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. If you need another dose, wait one minute and repeat steps 4 to11.
    12. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: VENTOLIN(R) HFA inhalation aerosol, albuterol sulfate HFA inhalation aerosol. GlaxoSmithKline, Research Triangle Park, NC, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

  • Xopenex® HFA
    Xopenex® HFA
    Patient Counseling: Key Product Details
    Generic name
    • Levalbuterol tartrate

    Medication Class & Use
    • Short-acting bronchodilator (also called rescue inhaler, fast acting inhaler, short-acting beta-2 agonist or SABA): Starts working quickly to relax the muscles that tighten around the airways and make breathing easier. The medicine usually lasts 3 to 4 hours.
    • Use for fast relief.

    Dosing
    • Usual dosing: 2 puffs every 4 to 6 hours as needed. Maximum dose is 12 puffs in 24 hours.
    • Each inhaler contains 80 or 200 inhalations.

    Priming
    • Priming: spray 4 sprays before first use and if you have not used the inhaler within 3 days.

    Refill
    • No dose counter
    • Click on printable dose tracker (right)

    Cleaning
    • Remove canister and wash mouthpiece with warm water at least once weekly. Do not let canister get wet. Let air dry. Inhaler may stop spraying if not properly cleaned.
    Instructions for Use
    1. Wash and dry your hands well.
    2. Remove the mouthpiece cover and check for loose parts inside the mouthpiece.
    3. Prime the inhaler into the air away from your face if the unit is new or you have not used it for 3 days.
    4. Sit up straight or stand up.
    5. Shake inhaler well before each spray.
    6. Hold the inhaler so the mouthpiece is at the bottom and the canister points upward. Fully exhale from your mouth.
    7. Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
    8. Seal your lips around the mouthpiece.
    9. Push the canister all the way down as you begin to slowly take a deep breath over 5 seconds through your mouth.
    10. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
    11. If you need another dose, wait one minute and repeat steps 4 to11.
    12. Replace the mouthpiece cover after each use. Store in a cool dry place.
    References
    1. Galvin WF, Dunn PJ, Kallstrom TJ. A Patient’s Guide to Aerosol Drug Delivery. American Association for Respiratory Care; 2010.
    2. Product Information: XOPENEX HFA(TM) oral inhalation aerosol, levalbuterol tartrate oral inhalation aerosol. Sunovion Pharmaceuticalsr Inc., Marlborough, MA, 2016.

    Questions or feedback? Contact Us

    The information provided is for educational use only.
    It should not be used as a substitute for professional medical advice, diagnosis or treatment.
    Copyright © 2018 Fairview Physician Associates. All rights reserved.
     

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