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How to use a Rotahaler®*

Remove the Rotahaler® from its container.
Hold the Rotahaler® by the mouthpiece. Twist the barrel in either direction until it stops.
Take a Rotacap® from its container. Hold the Rotahaler® vertically and press the Rotacap® firmly, clear end first, into the raised square hole. Make sure that the top of the Rotacap is level with the top of the hole. This will push the used Rotacap® shell, if one is there, into the Rotahaler®.
Hold the Rotahaler® level (horizontal) with the white dot upper-most. Twist the barrel until it stops. This separates the 2 halves of the Rotacap®. The Rotahaler® is now ready to use.
Breathe out slowly and fully, then immediately…
…raise the Rotahaler® to your mouth. Be sure to keep it level. Place the mouthpiece over your tongue and well into your mouth. Close your lips around the mouthpiece and tilt your head slightly backwards.
Breathe in through your mouth as deeply and fully as you can.
Hold your breath for about 10 seconds or as long as is comfortable and remove the Rotahaler® from your mouth. Hold your breath as long as you comfortably can before breathing out.
Pull the 2 halves of the Rotahaler® apart and discard the empty Rotacap® shells. There is no need to remove the shell that is still lodged in the square hole, except before cleaning.
Reassemble the Rotahaler®.
If your doctor has instructed you to use a second Rotacap®, repeat steps 2 to 10.
Rinse mouth with water.
How to look after the Rotahaler®

Always keep the Rotahaler® in its container to keep it clean.
At least every 2 weeks, wash the 2 halves of your Rotahaler® in warm water, making sure beforehand that the empty Rotacap® shell is removed from the raised square hole. Dry the Rotahaler® completely before putting it back together.
Get a replacement Rotahaler® after you have used it for 6 months. Make a note of the date on which you got your current Rotahaler® so that you will know when to replace it.
Do not swallow the Rotacaps®.
Only insert Rotacaps® into the Rotahaler® immediately before using.

*Different medications come in Rotahaler® form. This information is intended to provide general instructions for the use of a Rotahaler®. Instructions may vary for different products. If these instructions are different from those given by your doctor or pharmacist, check with your doctor or pharmacist to confirm how you should be using the product. Consult your doctor or pharmacist for specific information about your particular medication.

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