Instructions for Use When to get a new Spiriva Respimat

inhaler
Spiriva® Respimat®
inhaler
How to use your Spiriva Respimat inhaler

This leaflet explains how to use and care for your Spiriva
Respimat inhaler. Please read and carefully follow these
instructions. See also section 3. How to take Spiriva
Respimat on the other side of this leaflet.

The Spiriva Respimat inhaler releases medication slowly

and gently, making it easy to inhale it into your lungs.

The Spiriva Respimat inhaler enables you to inhale the 2 Take the cartridge (H) out of the box. Push the narrow 6 Point the Spiriva Respimat inhaler towards the ground.
medicine contained in a cartridge. The full cartridge end of the cartridge into the inhaler until it clicks into Press the dose release button (D). Close the green cap
provides 60 puffs (30 medicinal doses). You will need to place. The cartridge should be pushed firmly against a (A).
use this inhaler only ONCE A DAY, if possible at the same firm surface to ensure that it has gone all the way in (2b).
time of the day. Each time you use it take TWO PUFFS.
There is enough medicine for 30 days when it is used Repeat steps 4, 5 and 6 until a cloud is visible.
The cartridge will not be flush with the inhaler, you will The Spiriva Respimat inhaler contains 60 puffs (30
according to the directions for use. In the box you will find still see the silver ring of the lower end of the cartridge. medicinal doses). The dose indicator shows approximately
the Spiriva Respimat inhaler and the Spiriva Respimat Then repeat steps 4, 5 and 6 three more times to ensure how much medication is left. When the pointer enters the
cartridge. Before the Spiriva Respimat inhaler is used for Do not remove the cartridge once it has been inserted the inhaler is prepared for use. red area of the scale, there is, approximately, medication
the first time, the cartridge provided must be inserted. into the inhaler. for 7 days left (14 puffs). This is when you need to get a
Your Spiriva Respimat inhaler is now ready to use. new Spiriva Respimat inhaler prescription.
Once the dose indicator has reached the end of the red
These steps will not affect the number of doses scale (i.e. all 30 doses have been used), the Spiriva
available. After preparation your Spiriva Respimat Respimat inhaler locks automatically - no more doses can
inhaler will be able to deliver your 60 puffs (30 be released. At this point, the base cannot be turned any
Cap (A) medicinal doses). further.
Mouthpiece (B) At the latest, three months after use the Spiriva Respimat
Air vent (C) Daily use of your Spiriva Respimat inhaler should be discarded even if not all medication has

Dose release
inhaler been used.

button (D) You will need to use this inhaler ONLY ONCE A DAY. What if…
Each time you use it take TWO PUFFS.
Cartridge (H) What if... Reason What to do
Safety
catch (E) I can’t turn the base a) The Spiriva a) The Spiriva
easily. Respimat inhaler Respimat inhaler
Dose is already can be used as
Clear indicator (F) prepared and it is.
base (G) ready to use.
Piercing
element (I) b) The Spiriva b) Prepare and use
3 Replace the clear base (G). Do not remove the clear Respimat inhaler your new Spiriva
base again. is locked after 60 Respimat inhaler.
puffs (30
medicinal doses).
Spiriva Respimat inhaler and the Spiriva Respimat
cartridge 2) To prepare the Spiriva Respimat The cap is fully While opening the The cap can easily
inhaler for first-time use pulled off and apart cap it was pulled too be attached again.
1) Inserting the cartridge from the inhaler. hard.

The following steps 1–6 are necessary before first use: I can’t press the The clear base has Turn the clear base
dose release not been turned. until it clicks. (half
button. a turn)
I Hold the Spiriva Respimat inhaler upright, with the
green cap (A) closed, to avoid accidental release of The clear base The clear base was Prepare the Spiriva
dose. Turn the base (G) in the direction of the black springs back after not turned far Respimat inhaler for
arrows on the label until it clicks (half a turn). I have turned it. enough. use by turning the
clear base until it
clicks. (half a turn)

I can turn the clear Either the dose With the green cap
base past the point release button has closed, turn the
where it clicks. been pressed, or the base until it clicks.
clear base has been (half a turn)
turned too far.

How to care for your inhaler

Clean the mouthpiece including the metal part inside the

mouthpiece with a damp cloth or tissue only, at least once
4 Hold the Spiriva Respimat inhaler upright, with the a week. Any minor discolouration in the mouthpiece does
green cap (A) closed. Turn the base (G) in the direction not affect the performance of your Spiriva Respimat
of the black arrows on the label until it clicks (half a turn). inhaler.
If necessary, wipe the outside of your Spiriva Respimat
1 With the green cap (A) closed, press the safety catch (E)
inhaler with a damp cloth.
while pulling off the clear base (G).
Further information
II Open the green cap (A) until it snaps fully open. Breathe
out slowly and fully, and then close your lips around the The Spiriva Respimat inhaler must not be disassembled
end of the mouthpiece without covering the air vents after inserting the cartridge and replacing the clear base.
(C). Point your Spiriva Respimat inhaler to the back of
your throat. Do not touch the piercing element inside the base.

While taking in a slow, deep breath through your Boehringer Ingelheim Pharma GmbH & Co. KG
mouth, press the dose release button (D) and continue D-55216 Ingelheim
to breathe in slowly for as long as you can. Hold your
Germany
breath for 10 seconds or for as long as comfortable.

III Repeat steps I and II so that you get the full dose.

You will need to use this inhaler only ONCE A DAY.

Close the green cap until you use your Spiriva Respimat
inhaler again.
5 Open the green cap (A) until it snaps fully open.
If Spiriva Respimat inhaler has not been used for more
than 7 days release one puff towards the ground. If Spiriva
Respimat inhaler has not been used for more than 21 days
repeat steps 4 to 6 until a cloud is visible. Then repeat steps
4 to 6 three more times. 0123
Instructions for Use When to get a new Spiriva Respimat
inhaler
Spiriva® Respimat®
inhaler
How to use your Spiriva Respimat inhaler

This leaflet explains how to use and care for your Spiriva
Respimat inhaler. Please read and carefully follow these
instructions. See also section 3. How to take Spiriva
Respimat on the other side of this leaflet.

The Spiriva Respimat inhaler releases medication slowly

and gently, making it easy to inhale it into your lungs.

The Spiriva Respimat inhaler enables you to inhale the 2 Take the cartridge (H) out of the box. Push the narrow 6 Point the Spiriva Respimat inhaler towards the ground.
medicine contained in a cartridge. The full cartridge end of the cartridge into the inhaler until it clicks into Press the dose release button (D). Close the green cap
provides 60 puffs (30 medicinal doses). You will need to place. The cartridge should be pushed firmly against a (A).
use this inhaler only ONCE A DAY, if possible at the same firm surface to ensure that it has gone all the way in (2b).
time of the day. Each time you use it take TWO PUFFS.
There is enough medicine for 30 days when it is used Repeat steps 4, 5 and 6 until a cloud is visible.
The cartridge will not be flush with the inhaler, you will The Spiriva Respimat inhaler contains 60 puffs (30
according to the directions for use. In the box you will find still see the silver ring of the lower end of the cartridge. medicinal doses). The dose indicator shows approximately
the Spiriva Respimat inhaler and the Spiriva Respimat Then repeat steps 4, 5 and 6 three more times to ensure how much medication is left. When the pointer enters the
cartridge. Before the Spiriva Respimat inhaler is used for Do not remove the cartridge once it has been inserted the inhaler is prepared for use. red area of the scale, there is, approximately, medication
the first time, the cartridge provided must be inserted. into the inhaler. for 7 days left (14 puffs). This is when you need to get a
Your Spiriva Respimat inhaler is now ready to use. new Spiriva Respimat inhaler prescription.
Once the dose indicator has reached the end of the red
These steps will not affect the number of doses scale (i.e. all 30 doses have been used), the Spiriva
available. After preparation your Spiriva Respimat Respimat inhaler locks automatically - no more doses can
inhaler will be able to deliver your 60 puffs (30 be released. At this point, the base cannot be turned any
Cap (A) medicinal doses). further.
Mouthpiece (B) At the latest, three months after use the Spiriva Respimat
Air vent (C) Daily use of your Spiriva Respimat inhaler should be discarded even if not all medication has

Dose release
inhaler been used.

button (D) You will need to use this inhaler ONLY ONCE A DAY. What if…
Each time you use it take TWO PUFFS.
Cartridge (H) What if... Reason What to do
Safety
catch (E) I can’t turn the base a) The Spiriva a) The Spiriva
easily. Respimat inhaler Respimat inhaler
Dose is already can be used as
Clear indicator (F) prepared and it is.
base (G) ready to use.
Piercing
element (I) b) The Spiriva b) Prepare and use
3 Replace the clear base (G). Do not remove the clear Respimat inhaler your new Spiriva
base again. is locked after 60 Respimat inhaler.
puffs (30
medicinal doses).
Spiriva Respimat inhaler and the Spiriva Respimat
cartridge 2) To prepare the Spiriva Respimat The cap is fully While opening the The cap can easily
inhaler for first-time use pulled off and apart cap it was pulled too be attached again.
1) Inserting the cartridge from the inhaler. hard.

The following steps 1–6 are necessary before first use: I can’t press the The clear base has Turn the clear base
dose release not been turned. until it clicks. (half
button. a turn)
I Hold the Spiriva Respimat inhaler upright, with the
green cap (A) closed, to avoid accidental release of The clear base The clear base was Prepare the Spiriva
dose. Turn the base (G) in the direction of the black springs back after not turned far Respimat inhaler for
arrows on the label until it clicks (half a turn). I have turned it. enough. use by turning the
clear base until it
clicks. (half a turn)

I can turn the clear Either the dose With the green cap
base past the point release button has closed, turn the
where it clicks. been pressed, or the base until it clicks.
clear base has been (half a turn)
turned too far.

How to care for your inhaler

Clean the mouthpiece including the metal part inside the

mouthpiece with a damp cloth or tissue only, at least once
4 Hold the Spiriva Respimat inhaler upright, with the a week. Any minor discolouration in the mouthpiece does
green cap (A) closed. Turn the base (G) in the direction not affect the performance of your Spiriva Respimat
of the black arrows on the label until it clicks (half a turn). inhaler.
If necessary, wipe the outside of your Spiriva Respimat
1 With the green cap (A) closed, press the safety catch (E)
inhaler with a damp cloth.
while pulling off the clear base (G).
Further information
II Open the green cap (A) until it snaps fully open. Breathe
out slowly and fully, and then close your lips around the The Spiriva Respimat inhaler must not be disassembled
end of the mouthpiece without covering the air vents after inserting the cartridge and replacing the clear base.
(C). Point your Spiriva Respimat inhaler to the back of
your throat. Do not touch the piercing element inside the base.

While taking in a slow, deep breath through your Boehringer Ingelheim Pharma GmbH & Co. KG
mouth, press the dose release button (D) and continue D-55216 Ingelheim
to breathe in slowly for as long as you can. Hold your
Germany
breath for 10 seconds or for as long as comfortable.

III Repeat steps I and II so that you get the full dose.

You will need to use this inhaler only ONCE A DAY.

Close the green cap until you use your Spiriva Respimat
inhaler again.
5 Open the green cap (A) until it snaps fully open.
If Spiriva Respimat inhaler has not been used for more
than 7 days release one puff towards the ground. If Spiriva
Respimat inhaler has not been used for more than 21 days
repeat steps 4 to 6 until a cloud is visible. Then repeat steps
4 to 6 three more times. 0123