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Acute Asthma Episodes: 1 actuation is sufficient for prompt symptom relief in many cases. If an attack has not been relieved by actuations, further actuations may be required.
If an attack has not been relieved by 2 puffs, further puffs may be required. In these cases, patients should consult the doctor or the nearest hospital immediately.
Prophylaxis of Exercise-Induced Asthma: 1-2 actuations for each administration, up to a maximum of 8 actuations per day.
Bronchial Asthma and Other Conditions with Reversible Airways Narrowing: If repeated dosing is required, 1-2 actuations for each administration, up to a maximum of 8 actuations per day. In children should only be used on medical advice and under the supervision of an adult.
Administration: The correct operation of the metered aerosol is essential for successful therapy.
Depress the valve twice before the apparatus is used for the 1st time.
Before each use, the following rules should be observed: Remove protective cap. Breathe out deeply. Hold the metered aerosol 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 seconds, then remove the mouthpiece from the mouth and breathe out. If a 2nd inhalation is required, the same action should be repeated. Replace the protective cap after use. After not using the metered aerosol for 3 days, the valve has to be actuated once.
The container is not transparent. It is, therefore, not possible to see when it is empty. The metered-dose aerosol will deliver 200 doses. When these have all been used, the metered-aerosol may still appear to contain a small amount of fluid. The metered-dose aerosol should, however, be replaced because it may not get the right amount of treatment.
The amount of treatment in the metered aerosol can be checked as follows: Remove the metered aerosol from the plastic mouthpiece and put the metered-aerosol into a container of water.
Clean the metered aerosol at least once a week. It is important to keep the mouthpiece of the metered-aerosol 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 warm water through the metered aerosol until no medication build-up and/or dirt is visible. After cleaning, shake the metered aerosol and let it air-dry without using any heating system. Once the mouthpiece is dry, replace the canister and the dust cap.
Warning: The plastic mouthpiece has been specially designed for use with Berotec 100 mcg to ensure in getting the right amount of the medicine. The mouthpiece must never be used with any other metered aerosol nor must Berotec 100 mcg be used with any mouthpiece other than the one supplied with the product.
The container is under pressure and should by no account be opened by force or exposed to temperatures above 50°C.
