Spiriva® Respimat®

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.

Key product details

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.