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Use and Handling: When first using the Ellipta inhaler no need to check if it is working properly, and no need to prepare it for use in any special way. Just follow the instructions as follows.
The inhaler is packaged in a tray. Do not open the tray until the patient is ready to inhale a dose of medicine. When ready to use the inhaler, peel back the lid to open the tray. The tray contains a desiccant sachet, to reduce moisture. Throw the packet away - don't open, eat or inhale it.
When taking the inhaler out of the sealed tray, it will be in the 'closed' position. Don't open the inhaler until the patient is ready to inhale a dose of medicine. Write the "Discard by" date on the inhaler label in the space provided. The "Discard by" date is 6 weeks from the date the patient opens the tray. After this date, the inhaler should no longer be used.
The step-by-step instructions stated as follows for the Ellipta inhaler.
a) Read before starting: If the patient opens and closes the cover without inhaling the medicine, the patient will lose the dose.
The lost dose will be securely held inside the inhaler, but it will no longer be available.
It is not possible to accidentally take extra medicine or a double dose in one inhalation.
Cover: Each time the patient opens this, it prepares one dose of medicine.
Dose counter: This shows how many doses of medicine are left in the inhaler.
Before the inhaler has been used, it shows exactly 30 doses.
It counts down by 1 each time the patient opens the cover.
When fewer than 10 doses are left, half of the dose counter shows red.
After the last dose was used, half of the dose counter shows red and the number 0 is displayed. The inhaler is now empty.
If the patient opens the cover after this, the dose counter will change from half red to completely red.
b) Prepare a dose.
Wait to open the cover until the patient is ready to take the dose.
Do not shake the inhaler.
Slide the cover fully down until hearing a "click".
The medicine is now ready to be inhaled.
The dose counter counts down by 1 to confirm.
If the dose counter does not count down as hearing the "click", the inhaler will not deliver medicine. Take it back to the pharmacist for advice.
Do not shake the inhaler at any time.
c) Inhale the medication.
While holding the inhaler away from the mouth, breathe out as far as is comfortable.
Don't breathe out into the inhaler.
Put the mouthpiece between the lips, and close the lips firmly around it.
Don't block the air vent with fingers.
The lips fit over the contoured shape of the mouthpiece for inhaling.
Don't block the air vent with fingers.
Take one long, steady, deep breath in. Hold this breath for as long as possible (at least 3-4 seconds).
Remove the inhaler from the mouth.
Breathe out slowly and gently.
The patient may not be able to taste or feel the medicine, even when the patient is using the inhaler correctly.
If the patient wants to clean the mouthpiece, use a dry tissue, before closing the cover.
d) Close the inhaler.
Slide the cover upwards as far as it will go, to cover the mouthpiece.
