The Pharmaceutics and Compounding Laboratory
Inhalation Preparations

Commercially Available Dry Powder Devices

Instructions for Diskhaler®:

Using the Diskhaler®:

  1. Raise the lid up as far as it will go -- this will pierce the blister pack
  2. Close the lid.
  3. Breathe out as far as is comfortable being careful not to breathe into the device.
  4. Close your lips around the mouthpiece, making sure not to cover the air holes at the sides of the mouthpiece.
  5. Tilt head back slightly and inhale in deeply and forcefully through the device. Remove the device from mouth.
  6. Hold breath for about 10 seconds and breathe out slowly.
  7. Sometimes 2 or 3 forceful inhalations are needed to make sure that all the medication is taken.
  8. If a second dose is prescribed, advance the cartridge to the next number and repeat above steps.

Loading a dose:

  1. Remove the cover and cartridge unit.
  2. Place a disk on the wheel with the numbers facing up and slide the unit back into the Rotadisk.
  3. Gently push the cartridge in and out until the number 4 appears in the window.

 

Instructions for Turbuhaler®

Using the Turbuhaler®:

  1. Hold the device upright.
  2. Breathe out with a normal breath. Do not breathe into the inhaler device. Do not shake the inhaler after loading it.
  3. Close your lips around the mouthpiece.
  4. Tilt your head back slightly and take a quick, full breath in. (Holding this breath for a count of 10 is not in the official documentation, however, it may be recommended). Remove the device from mouth.
  5. If more than one dose is required, repeat the above steps for loading/using.
  6. Place the cover back on the inhaler and twist shut. Rinse mouth with water (do not swallow).

Loading a dose:

  1. Hold device upright.
  2. Twist the cover and lift off.
  3. Twist the brown grip fully to the right as far as it will go.
  4. Twist the brown grip back again fully to the left (Listen for a clicking sound).

Instructions for Diskus®

Using the Diskus®:

  1. Holding the device level and away from the mouth, breathe out as far as is comfortable being careful not to breathe into the device.
  2. Close your lips around the mouthpiece.
  3. Breathe in steadily and deeply through the device.
  4. Remove device from mouth.
  5. Hold breath for about 10 seconds and breathe out slowly.
  6. To close the device, put your thumb on the thumbgrip and slide the thumbgrip back towards you as far as it will go. The device will click shut, the level will return to the original position and will reset.

Loading a dose:

  1. Hold the device in one hand and put the thumb of the other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position.
  2. Hold the device on a level horizontal position with the mouthpiece towards you. Slide the lever away from you as far as it will go until it clicks. Do this only one time/dose to prevent wasting of medication.

 

Instructions for Rotahaler®

Using the Rotahaler®:

  1. Breathe out with a normal breath. Do not breathe into the inhaler device.
  2. Close your lips around the mouthpiece.
  3. Tilt your head back slightly and take a quick, full breath.
  4. Remove the inhaler from your mouth, and hold your breath while you count to 10.
  5. Repeat steps 2 through 4 if powder remains in device.
  6. Wait one minute if additional dose is needed before repeating all steps.

Loading a dose:

  1. Hold the device upright with the hole for the capsule facing up.
  2. Twist the lower barrel of the device, as far as possible in either direction.
  3. Place a capsule into the hole, making sure the colored end is up.
  4. Hold the device horizontally. Twist the lower barrel back as far as possible in the opposite direction. This twisting separates the capsule and the device is now ready for use.