
Spiriva® Respimat®
Generic Name: Tiotropium
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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
- Wash and dry your hands well.
- Hold the inhaler with the aqua cap closed.
- 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.)
- Write the discard date on the label – three months from today.
- Take the silver cartridge out of the box.
- 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.
- Put the clear base back on the inhaler.
- Do not take the inhaler apart again after completing these steps.
Prime the inhaler before first use by following steps 9 to12.
- Hold the inhaler with the cap closed and pointed up.
- Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
- Open the cap and point the inhaler down. Push the dose release button, then close the cap.
- Repeat steps 9 to11 until you see a white spray coming from the inhaler.
- 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.
- Wash and dry your hands well.
- Sit up straight or stand up.
- Hold the inhaler with the aqua cap closed and pointed up.
- Turn the clear base in the direction of the arrows on the label until you hear a click (half turn).
- Open the cap.
- Exhale fully out through mouth. Hold the inhaler so inhaler is pointed at the back of your throat.
- Place the mouthpiece between your lips. Make sure that your tongue is flat under the mouthpiece and does not block the opening.
- Seal your lips around the mouthpiece.
- Push the dose release button as you begin to slowly take in a deep breath through your mouth for as long as you can.
- Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, then hold your breath for as long as possible.
- Repeat steps 6-10 to get the full dose of medicine (2 puffs equal one dose.)
- 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.
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The information provided is educational purposes only. It should not be used as a substitute for professional medical advice, diagnosis or treatment.
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