Instructions for Use and Handling: Test Inhaler: Before using the inhaler for the 1st time or if it has not been used for ≥1 week, shake the inhaler well and perform a "test fire" ie, release 1 puff into the air.
Using The Inhaler: 1. Remove the cap from the mouthpiece of the actuator. Make sure there is nothing in the mouthpiece before use.
2. Hold canister upright. Shake vigorously for at least 10 sec.
3. Breathe out gently and immediately place the mouthpiece in the mouth between the teeth. Do not bite.
4. Tilt head slightly backward. Start breathing slowly through the mouth. At the same time, press down firmly at the top of the canister to release medicine. Continue to breathe in steadily and deeply.
5. Remove the inhaler from the mouth and hold breath for 10 sec or as long as it is comfortable. Then breathe out gently. If the patient take a 2nd inhalation, wait for at least 1 min before repeating steps 3 and 4.
6. Replace mouthpiece cap after use.
Note: Do not rush steps 4 and 5. It is important to start breathing in slowly as possible just before releasing the dose. Practice in front of a mirror for the 1st few times. If a mist is seen coming from the top of the inhaler or the sides of mouth, start again from step 2. This escaping mist indicates incorrect technique.
Cleaning The Inhaler: 1. Remove the metal canister from the actuator (plastic casing) of the inhaler and remove the mouthpiece cap.
2. Immerse the actuator (plastic casing) and the mouthpiece cap in warm water for few minutes and then rinse under running water. But do not put the metal canister into water.
3. Leave actuator and mouthpiece cap to dry in warm place. Avoid excessive heat.
4. Replace the canister and the mouthpiece cap correctly.
Clean the inhaler at least once a week.
Tips for Children: Children and others who have weaker hands may have difficulty pressing down on the top of the canister with just 1 hand. Patients can use both hands to make inhaler work.