Spiolto Respimat Patient Counseling Information

Instructions for Use: Read these Instructions for Use before you start using SPIOLTO RESPIMAT re-usable.
You will need to use this inhaler only ONCE A DAY. Each time you use it take TWO PUFFS.
If SPIOLTO RESPIMAT has not been used for more than 7 days release one puff towards the ground.
If SPIOLTO RESPIMAT has not been used for more than 21 days repeat steps 4 to 6 under 'Prepare for first use' as follows until a cloud is visible. Then repeat steps 4 to 6 three more times.
Do not touch the piercing element inside the clear base.
How to care for your SPIOLTO RESPIMAT re-usable: 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 SPIOLTO RESPIMAT re-usable inhaler performance.
If necessary, wipe the outside of your SPIOLTO RESPIMAT re-usable inhaler with a damp cloth.
When to replace the inhaler: When you have used an inhaler with 6 cartridges, get a new SPIOLTO RESPIMAT re-usable pack containing an inhaler.
Prepare for use: 1. Remove clear base: Keep the cap closed. Press the safety catch while pulling off the clear base with your other hand.
2. Insert cartridge: Insert the cartridge into the inhaler. Place the inhaler on a firm surface and push down firmly until it clicks 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 slowly for as long as comfortable. 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.