Seretide Caution For Usage

Incompatibilities: None reported.
Use and Handling: Inhaler: Testing the Inhaler: Before using for the first time or if the inhaler has not been used for a week or more, remove the mouthpiece cover by gently squeezing the sides of the cover, shake the inhaler well and release two puffs into the air to make sure that it works.
Using the Inhaler: 1. Remove the mouthpiece cover by gently squeezing the sides of the cover.
2. Check inside and outside of the inhaler including the mouthpiece for the presence of loose objects.
3. Shake the inhaler well to ensure that any loose objects are removed and that the contents of the inhaler are evenly mixed.
4. Hold the inhaler upright between fingers and thumb with thumb on the base, below the mouthpiece.
5. Breathe out as far as is comfortable and then place the mouthpiece in the mouth between the teeth and close lips around it but do not bite it.
6. Just after starting to breathe in through the mouth, press firmly down on the top of the inhaler to release salmeterol and fluticasone propionate, while still breathing in steadily and deeply.
7. While holding the breath, take the inhaler from the mouth and take finger off the top of the inhaler. Continue holding the breath for as long as is comfortable.
8. To take the second puff, keep the inhaler upright and wait about half a minute before repeating steps 3 to 7.
9. Afterwards rinse mouth with water and spit it out.
10. Replace the mouthpiece cover by firmly pushing and snapping the cap into position.
IMPORTANT: Do not rush stages 5, 6 and 7. It is important to start to breathe in as slowly as possible just before operating the inhaler. Practice in front of a mirror for the first few times. If a mist coming from the top of the inhaler is seen or on the sides of the mouth, start again from stage 2. If the doctor has given different instructions for using the inhaler, follow carefully. Tell the doctor of any difficulty.
Children: Young children may need help and an adult may need to operate the inhaler for them. Encourage the child to breathe out and operate the inhaler just after the child starts to breathe in. Practice the technique together. Older children or people with weak hands should hold the inhaler with both hands. Put the two forefingers on top of the inhaler and both thumbs on the base below the mouthpiece.
Cleaning: The inhaler should be cleaned at least once a week.
1. Remove the mouthpiece cover.
2. Do not remove the canister from the plastic casing.
3. Wipe the inside and outside of the mouthpiece and the plastic casing with a dry cloth, tissue or cotton bud.
4. Replace the mouthpiece cover.
DO NOT PUT THE METAL CANISTER INTO WATER.
Use and Handling: Diskus: The Diskus may be provided in a sealed foil overwrap which provides moisture protection. If so, the foil overwrap should only be opened when the Diskus is ready to use for the first time. Once removed/opened the foil overwrap should be discarded.
The Diskus releases a powder which is inhaled into the lungs.
The device is opened and primed by sliding the lever. The mouthpiece is then placed in the mouth and the lips closed around it. The dose can then be inhaled and the device closed.
A dose indicator on the Diskus indicates the number of doses left.
Instructions for use of SERETIDE Diskus: Closed: When the diskus is taken out of the box and removed any foil overwrap that may be present, it will be in the closed position.
Opened: A new Diskus contains 60 individually protected doses of the medicine in powder form. The dose indicator tells how many doses are left.
Each dose is accurately measured and hygienically protected. It requires no maintenance and no refilling.
The dose indicator on top of the Diskus indicates how many doses are left. Numbers 5 to 0 will appear in RED to warn when there are only a few doses left.
The Diskus is easy to use. When a dose is needed, just follow the five simple steps:
1. Open.
2. Slide.
3. Inhale.
4. Close.
5. Rinse.
How the Diskus Works: Sliding the lever of the Diskus opens a small hole in the mouthpiece and unwraps a dose, ready for inhalation. When the Diskus is closed, the lever automatically moves back to its original position, ready for the next dose when needed. The outer case protects the Diskus when it is not in use.
1. Open - How to use the Diskus: To open the Diskus, hold the outer case in one hand and put the thumb of the other hand on the thumbgrip. Push thumb away as far as it will go.
2. Slide: Hold the Diskus with the mouthpiece towards the holder. Slide the lever away as far as it will go, until it clicks. The Diskus is now ready for use. Every time the lever is pushed back, a dose is made available for inhaling. This is shown by the dose counter. The lever should not be played, as it releases doses which will be wasted.
3. Inhale: Before starting to inhale the dose, hold the Diskus away from the mouth. Breathe out as far as it is comfortable. Never breathe into the Diskus.
Put the mouthpiece to the lips. Breathe in steadily and deeply, through the Diskus, not through the nose. Remove the Diskus from the mouth. Hold breath for about 10 seconds or for as long as it's comfortable. Breathe out slowly.
Patient may not be able to taste or feel the powder on the tongue, even if patient have used the Diskus correctly.
4. Close: To close Diskus, put thumb in the thumb grip and slide the thumb grip backwards as far as it will go. When the Diskus is closed, it clicks shut. The lever automatically returns to its original position and is reset. The Diskus is now ready for use again.
5. Rinse: Afterwards, rinse mouth with water and spit it out.
If instructed to take two inhalations, close the Diskus and repeat stages 1 to 4.
REMEMBER: Keep the diskus dry.
Keep it closed when not in use.
Never breathe into the Diskus.
Only slide the lever when ready to take a dose.
Do not exceed the stated dose.