Pulmicort Caution For Usage

Incompatibilities: Turbuhaler: Not relevant.
INSTRUCTIONS FOR USE/HANDLING: Turbuhaler: Read the complete instructions carefully before starting to take the medication.
Turbuhaler is a multidose inhaler from which very small amounts of powder are administered. When breathing in through Turbuhaler the powder is delivered to the lungs. It is therefore important that the patient inhales forcefully and deeply through the mouthpiece.
How to prepare a new inhaler for use: Before using Turbuhaler for the first time the patient needs to prepare the inhaler for use.
Unscrew and lift off the cover.
Hold the inhaler upright with the grip downwards. Do not hold the mouthpiece when turning the grip. Turn the grip as far as it will go in one direction, and then back again in the opposite direction as far as it will go. It does not matter which way the patient turns first. During this procedure the patient will hear a click. Perform the procedure twice.
The inhaler is now prepared for use, and the patient should not repeat the previously mentioned procedure again. To take a dose, continue according to the instructions as follows.
HOW TO USE PULMICORT TURBUHALER: To administer one dose, simply follow the instructions as follows: 1. Unscrew and lift off the cover.
2. Hold the inhaler upright with the grip downwards. Do not hold the mouthpiece when turning the grip. To load the inhaler with a dose, turn the grip as far as it will go in one direction, and then back again in the opposite direction as far as it will go. It does not matter which way the patient turns first. During this procedure the patient will hear a click.
3. Hold the inhaler away from the mouth. Breathe out. Do not breathe out through the mouthpiece.
4. Place the mouthpiece gently between the teeth, close the lips and inhale forcefully and deeply through the device. Do not chew or bite on the mouthpiece. Do not use Turbuhaler if it has been damaged or if the mouthpiece has become detached.
5. Remove the inhaler from the mouth before breathing out.
If more than one dose has been prescribed, repeat steps 2-5.
6. Replace the cover by screwing it back on tightly.
7. Rinse the mouth out with water after inhaling the prescribed dose.
NOTE: Never breathe out through the mouthpiece.
Always replace the cover properly after use.
As the amount of the powder dispensed is very small, the patient may not be able to taste it after inhalation. However, the patient can still be confident that the dose has been inhaled if the patient has followed the instructions.
Cleaning: Clean the outside of the mouthpiece regularly (weekly) with a dry tissue.
Do not use water for cleaning the mouthpiece.
Dose indicator: When a red mark is first seen in the indicator window there are approximately 20 doses left. When the red mark has reached the lower edge of the window the inhaler will no longer deliver the correct amount of medicine, and should be discarded. The sound heard as the patient shakes the inhaler is not produced by the medication but by a drying agent.
Disposal: Always be sure to dispose of the used Turbuhaler responsibly in the recommended way, since some of the medicine will remain inside it. Ask the pharmacist for advice.