Spiriva capsules 18mkg / dose, no. 30

As maintenance therapy in patients with COPD, including chronic bronchitis and emphysema (with persistent dyspnea and to prevent exacerbations).

Inhalation using the HandiHaler device, 1 caps. per day at the same time. The capsules should not be swallowed.

Elderly people, patients with impaired kidney or liver function can use the drug in the recommended doses.

Instructions for using the HandiHaler device

The HandiHaler device was specially designed for Spiriva and has been used for 1 year. Do not use it to take other medicines.

HandiHaler device includes:

1) dust cap;

2) mouthpiece;

3) the base;

4) piercing button;

5) the central chamber.

Using the HandiHaler device

Open the dust cap by lifting it up.

Then open the mouthpiece.

Remove the Spiriva capsule from the blister (just before use) and place it in the central chamber. It does not matter which side of the capsule is placed in the chamber.

Close the mouthpiece tightly until it clicks, leave the dust cap open.

Holding HandiHaler with the mouthpiece up, press the piercing button 1 time to the end and then release. Thus, an opening is formed through which the drug is released from the capsule during inhalation.

It is necessary to exhale completely without exhaling into the mouthpiece, then take HandiHaler in your mouth and tightly press your lips around the mouthpiece. Keeping your head straight, inhale slowly and deeply, but at the same time with sufficient force to hear the vibration of the capsule. Take a deep breath; then hold your breath until you feel discomfort while taking the HandiHaler out of your mouth. Continue breathing calmly.

Repeat the procedure to completely empty the capsule.

Open the mouthpiece again. Take out and discard the used capsule.

Close mouthpiece and dust cap.

HandiHalera should be cleaned once a month.

Open mouthpiece and dust cap. Then open the base of the device by lifting the piercing button. Rinse the inhaler thoroughly in warm water until the powder is completely removed. Wipe the HandiHaler with a paper towel and with the mouthpiece, base and dust cap open, leave to air dry for 24 hours. After cleaning the device according to the instructions, it is ready for the next use. If necessary, the outside of the mouthpiece can be cleaned with a damp but not wet cloth.

Opening the blister

Separate the blister strip.

Open a strip of the blister just before use so that one capsule is completely visible.

Take out the capsule.

Capsules must not be exposed to high temperatures, neither in the device nor in the blister. action of sunlight, etc.

in a contour acheikova packing 10 pcs .; in a carton box 1, 3 or 6 packs complete with HandiHaler inhaler or without inhaler.

Hypersensitivity (including to atropine or its derivatives, for example, ipratropium or oxitropium), I trimester of pregnancy, age up to 18 years.