Dr. Nasser A. Al-Ahmed ALLERGIST, CLINICAL IMMUNOLOGIST & INTERNIST
 
 
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HOW TO USE A TURBUHALER:
Before you use a new TURBUHALER for the first time, you should prime it. To do this hold the TURBUHALER upright (with mouthpiece up), then twist the colored grip fully to the right and back again to the left. Repeat. Now you are ready to take your first dose. You do not have to prime it any other time after this, even if you put it aside for a prolonged period of time. TAKING A DOSE:  1) Loading a dose • Twist the cover and lift off. • In order to provide the correct dose, the TURBUHALER must be held in the upright position (mouthpiece up) whenever a dose of medication is being loaded. • Twist the colored grip fully to the right as far as it will go. Twist it back again fully to the left. • You will hear a click. • Do not shake the inhaler after loading it. 2) Inhaling the dose • When you are inhaling, the TURBUHALER must be held in the upright (mouthpiece up) or horizontal position.  • Turn your head away from the inhaler and breathe out. • Place the mouthpiece between your lips and inhale DEEPLY AND FORCEFULLY. You may not taste or feel the medication. • HOLD YOUR BREATH AS LONG AS POSSIBLE, up to 10 seconds, then breathe normally. • Do not chew or bite on the mouthpiece. • Remove the inhaler from your mouth and exhale. Do not blow or exhale into the mouthpiece. • If more than one dose is required, just repeat the steps above. • When you are finished, place the cover back on the inhaler and twist shut. Rinse your mouth with water. Do not swallow. • Keep your TURBUHALER clean and dry at all times.  • Do not use the TURBUHALER if it has been damage or if the mouthpiece has become detached. Storing Your TURBUHALER • After each use, place the white cover back on and twist it firmly into place. • Keep TURBUHALER in a dry place at controlled room temperature, 20° to 25°C. • Keep your TURBUHALER out of the reach of young children. • DO NOT use after the date shown on the body of your Turbuhaler. How To Know When Your TURBUHALER Is Empty THERE ARE NUMBER OF DOSES IN EACH TURBUHALER. Your TURBUHALER has a convenient dose indicator window just below the mouthpiece.  • When a red mark appears at the top of the window, there are 20 doses of medicine remaining. Now is the time to get your next TURBUHALER. • When the red mark reaches the bottom of the window, your inhaler is empty. Discard it. (You may still hear a sound if you shake it-this sound is not the medicine. This sound is produced by the drying agent inside the Turbuhaler.) • Do not immerse it in water to find out if it is empty. Simply check your dose indicator window.