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Instructions For Use: Read these Instructions for Use before you start using Tiotropium bromide + Olodaterol HCl (Spiolto Respimat).
You will need to use this inhaler only ONCE A DAY. Each time you use it take TWO PUFFS.
If not been used for more than 7 days, release one puff towards the ground.
If not been used for more than 21 days, repeat steps 4 to 6 under 'Prepare for use' until a cloud is visible. Then repeat steps 4 to 6 three more times.
How to care for your Tiotropium bromide + Olodaterol HCl (Spiolto Respimat) reusable inhaler: Clean the mouthpiece including the metal part inside the mouthpiece with a damp cloth or tissue only, at least once a week. Any minor discoloration in the mouthpiece does not affect your Tiotropium bromide + Olodaterol HCl (Spiolto Respimat) reusable inhaler performance. If necessary, wipe the outside of your reusable inhaler with a damp cloth.
When to replace the inhaler: When you have used an inhaler with 6 cartridges, get a new Tiotropium bromide + Olodaterol HCl (Spiolto Respimat) pack containing an inhaler.
When to replace the Tiotropium bromide + Olodaterol HCl (Spiolto Respimat) cartridge: The dose indicator shows how many puffs remain in the cartridge.
White scale shows 60 puffs remaining.
Yellow scale shows less than 10 puffs remaining. Obtain a new cartridge.
Red scale shows your cartridge is used up. Turn the clear base to loosen it. Your inhaler is now in a locked position. Pull off the cartridge from the inhaler. Insert a new cartridge until it clicks (refer to step 2). The new cartridge will stick out more than the very first cartridge (continue with step 3). Remember to put the clear base back to unlock the inhaler.
Prepare for use: 1. Remove clear base: Keep the cap closed.
Press the safety catch while firmly pulling off the clear base with your other hand.
2. Insert cartridge: Insert the narrow end of the cartridge into the inhaler.
Place the inhaler on a firm surface and push down firmly until it snaps into place.
3. Track cartridge and put clear base back: Mark the check-box on inhaler's label to track the
number of cartridges.
Put the clear base back into place until it clicks.
4. Turn: Keep the cap closed.
Turn the clear base in the direction of the arrows on the label until it clicks (half a turn).
5. Open: Open the cap until it snaps fully open.
6. Press: Point the inhaler toward the ground.
Press the dose-release button.
Close the cap.
Repeat steps 4-6 until a cloud is visible.
After a cloud is visible, repeat steps 4-6 three more times.
Your inhaler is now ready to use and will deliver 60 puffs (30 doses).
Daily use: TURN: Keep the cap closed.
TURN the clear base in the direction of the arrows on the label until it clicks (half a turn).
OPEN: OPEN the cap until it snaps fully open.
PRESS: Breathe out slowly and fully.
Close your lips around the mouthpiece without covering the air vents. Point your inhaler to the back of your throat.
While taking a slow, deep breath through your mouth, PRESS the dose-release button and continue to breathe in.
Hold your breath for 10 seconds or for as long as comfortable.
Repeat Turn, Open, Press for a total of 2 puffs.
Close the cap until you use your inhaler again.
