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The dosage should be adapted to the individual's requirements. Unless otherwise prescribed, the following dosages are recommended for adults and children >6 years: Acute Asthma Episodes: 2 actuations are sufficient for prompt symptomatic relief in many cases. In more severe cases, if breathing has not noticeably improved after 5 min, 2 further actuations may be taken. If an attack has not been relieved by 4 actuations, further actuations may be required. In these cases, patients should consult the physician or go to the nearest hospital immediately.
Intermittent and Long-Term Treatment: (In asthma, Berodual metered dose aerosol should be used only on an as needed basis) 1-2 actuations for each administration, up to a maximum of 8 actuations/day (average of 1-2 actuations 3 times daily).
In children, Berodual metered aerosol should only be used upon medical advice and under the supervision of an adult.
Patients should be instructed in the correct administration of the metered aerosol to ensure successful therapy.
Administration: Before first time use of the metered-dose aerosol, the following rules should be observed: Remove protective cap and depress the valve twice.
Before each use of the metered dose aerosol, the following rules should be observed: Remove protective cap (if the metered aerosol has not been used for >3 days, the valve has to be actuated once). Breathe out deeply. Hold the inhaler between the thumb and forefinger and close lips over the mouthpiece. The arrow and the base of the container should be pointing upwards. Breathe in as deeply as possible, pressing the base of the container firmly at the same time, this releases 1-metered-dose. Hold breath for a few secs, then remove the mouthpiece from the mouth and breathe out. The same action should be repeated for a second inhalation. Replace the protective cap after use.
The container is under pressure and should by no account be opened by force or exposed to temperatures exceeding 50°C. As the container is not transparent, it is impossible to see when the contents are used up, the inhaler will deliver 200 or, if available, 300 doses. When these have all been used, the container may still appear to contain a small amount of fluid.
The inhaler should, however, be replaced to get the right amount of treatment.
The approximate amount of treatment in your inhaler can be checked as follows: Shaking the container will show if there is any remaining fluid.
Alternatively, remove the canister from the plastic mouthpiece and put into a container of water. The contents can be estimated by observing its position in the water. Clean your inhaler at least once a week. It is important to keep the mouthpiece of your inhaler clean to ensure that medicine does not build up and block the spray. For cleaning, first take off the dust cap and remove the canister from the inhaler. Rinse with warm water through the inhaler until no medication build-up and/or dirt is visible. After cleaning, shake out the inhaler and let it air-dry without using any heating system. Once the mouthpiece is dry, replace the canister and the dust cap.
