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Technique for use of soft mist inhalers (SMIs)*

Technique for use of soft mist inhalers (SMIs)*
The first time you use a soft mist inhaler, you will need to insert the cartridge.
Keep the cap on the mouthpiece closed. Press the safety catch on the side of the inhaler and pull off the clear plastic base.
Write the discard date on the label. This is 3 months from the date you put in the cartridge.
Push the narrow end of the cartridge into the inhaler.
Push the cartridge against a firm surface or table top to be sure it has gone all the way in. You will know the cartridge is in all the way when it clicks. You will still be able to see a little bit of the cartridge.
Do not remove the cartridge after it has been inserted.
Put the clear base back on. Press until you hear a click.
Do not remove the clear base again.
Prime the inhaler before the first dose.
Hold the inhaler upright with the cap closed. Turn the clear base clockwise (to the right) half a turn until it clicks.
Open the cap by pushing on the small, round opening tab. Then point the inhaler at the floor, away from your face.
Press the dose release button on the side. Check to see if a mist comes out. Close the cap.
If you did not see a mist, repeat the priming steps above until you see a mist come out.
After you see a mist come out, repeat these steps 3 more times until you see a total of 4 sprays of medicine.
Your inhaler is now primed and ready for daily use.
If you do not use the inhaler for more than 3 days, repeat the priming steps 1 time to release 1 spray of medicine.
If you do not use the inhaler for more than 3 weeks, repeat the priming steps 4 times to release 4 sprays of medicine.
Take a dose of medicine.
Hold the inhaler upright with 1 hand, with the cap closed. You do not need to shake it. Use your other hand to turn the clear base clockwise half a turn in the direction of the arrows. This prepares the dose of medicine.
Open the cap by pushing on the small round opening tab.
Breathe out slowly and fully.
Put the mouthpiece in your mouth, and hold the inhaler horizontally. This means it should point toward the back of your throat.
Close your lips around the inhaler, but do not cover the air vents (holes) on the sides.
Take a slow, deep breath in. As you start to inhale, press the button on the side of the inhaler and inhale the mist.
When your lungs are full, hold your breath for 10 seconds to keep the medicine in your lungs.
Remove inhaler from your mouth and breathe out slowly. Put the cap back on the mouthpiece.
You should clean your inhaler once a week. To do this, wipe the inside and outside of the mouthpiece with a clean, damp cloth.
The inhaler has a dose counter (also called a "dose indicator") on the side. When the arrow is in the red zone, the inhaler is almost empty. When the inhaler is completely empty, the arrow will point to "0," and you will not be able to turn the base of the inhaler. Throw away the inhaler when the counter reads "0" or you reach the discard date, whichever is first. Make sure you always have another inhaler available before you need it.
* Soft mist inhalers are also known as Respimat inhalers.
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