Adeflo MDI Caution For Usage

Instructions for patient for using the inhaler without spacer: Important: Follow instructions carefully.
Shake the inhaler well immediately before each use.
Testing the inhaler: If the patient is using the inhaler for the first time or if the inhaler has not been used for a minimum of seven days, "test spray" the inhaler. Remove the cap from the mouthpiece; the mouthpiece should be inspected for the presence of foreign objects before each use. Spray the inhaler 2 times into the air after shaking the device prior to each actuation.
Make sure the canister is fully and firmly inserted into the actuator.
Hold the inhaler upright with the thumb on the base. Place either one or two fingers on the top of the canister. Breathe out fully through the mouth expelling as much air from the lungs as possible. Thereafter, place the mouthpiece of the inhaler in the mouth between the teeth.
Close the lips around it (do not bite) tilt the head slightly backwards. Start breathing in slowly through the mouth. As the patient breathes in steadily and deeply, press down the canister to release on puff.
While holding the breath, patients should take off the inhaler from the mouth and should continue holding their breath for 10 seconds or for as long as it is comfortable. Breath out slowly.
Note: If the second dose is required wait for at least one minute and repeat steps 2 through 5 for each puff prescribed by the physician. Rinse mouth or gargle with water after inhaling recommended dose (Single dose means total number of puffs advised by the physician at once). This is likely to reduce the soreness that may be caused by the drug. After use, replace the mouthpiece cover.
Practice in front of the mirror for the first few times. If the patient see "mist" coming from top of the inhaler or sides of the mouth, this indicates failure of technique.
For Children: Children should use the inhaler under adult supervision, as instructed by the Physician.
Cleaning: Clean the inhaler at least once in a week.
Gently pull the metal canister out of the plastic body of the inhaler. Remove the mouthpiece cover.
Rinse the plastic body and the mouthpiece cover in warm/running water.
Dry thoroughly. Avoid excess heat.
Replace the canister and the mouthpiece cover correctly.
Discard the inhaler along with the canister after using the labeled number of inhalation. DO NOT PUT THE METAL CONTAINER IN WATER.
Warnings: The metal canister is pressurized. Do not use or store near heat or open flame. Exposure to temperature above 120°F (48.9°C) may cause bursting. Never throw container into fire or incinerator even when apparently empty. Avoid spraying in eyes.