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Ask your health professional about this. Many DPIs have a counter to show the number of doses remaining in the device, which is useful for keeping track of when a new DPI will be required.

Do not swallow the capsules that come with your DPI if you use the type that needs capsules. DPIs need to be kept dry in order to work effectively.

Turbuhaler requires setting up (priming) before it is first used. Your pharmacist or practice nurse may be able to do this for you. What else should I know about my SMI. Soft mist inhalers do not need to be used with spacer devices. Soft mist inhalers use a cartridge that must be placed inside the device. Respimat requires setting up (priming) before first use. Your pharmacist or practice nurse may be able to show you how this is done, or do this for you. Find out more about this advice from the National Asthma Council A nebuliser is a pump that turns medicine into a fine mist that can then be inhaled through a tube (mouthpiece) or face mask that fits over your nose and mouth.

A nebuliser is useful for people who: are unable to use an inhaler or other device because of confusion, hand weakness or coordination size dick severe difficulty breathing in a hospital setting or ambulance2 (eg, severe exacerbations of COPD). To correctly clean and maintain your nebuliser it is important to: clean all of the separate parts after each usereplace the tubing and mask (or mouthpiece) frequently (usually about every 3 size dick, clean and replace the filters regularly, usually size dick every 6 to 12 monthshave the nebuliser machine pump serviced size dick 6 to size dick months to make sure it size dick producing the right pressure.

What else should I know about my nebuliser. If you are using a nebuliser at home: Check with your doctor, pharmacist, practice nurse or the consumer medicine information (CMI) for your size dick to find out whether you can mix your nebulised medicines and how this size dick be done.

Using a face mask with a nebuliser may cause your eyes and skin to react to the inhaled medicine. To reduce the chance of side effects, protect your eyes and wash your face after use, or use a mouthpiece rather than a mask. Inhalers need to be stored correctly. Store your inhalers at the correct temperature (usually room temperature, between 15 degrees and 30 degrees). Check the Consumer Size dick Information or packaging for storage instructions.

Extreme temperatures can affect the medicines in inhalers. Remove the metal canister from the plastic casing of the inhaler and remove the mouthpiece cover. Rinse the plastic casing thoroughly under warm running water for at least 30 seconds. Shake off excess water and allow to completely air dry. For pMDIs, put the metal canister into the plastic casing, test it by releasing a single puff into the air and replace the mouthpiece cover.

Metered-dose inhalers containing inhaled corticosteroids (ICS) should never be washed. Wipe dry with a tissue. Cleaning your dry powder inhaler: Wipe the mouthpiece with a dry cloth size dick least size dick a week. Do NOT use water to wipe the dry powder inhaler because the powder is sensitive to moisture. Cleaning your soft mist inhaler: Clean the mouthpiece, including the metal part size dick the mouthpiece, with a damp cloth or tissue only, at least once a week.

If the outside of your inhaler size dick dirty, wipe it with a damp cloth. Breathing out fully (or as much as is comfortable) just before using an inhaler creates more space in the lungs size dick the next breath.

Breathing in too fast using size dick pMDI. Use a slow steady size dick. The amount of drug reaching the lungs is size dick affected by how fast size dick breathe it in. Breathing in too fast can increase the amount of medicine that hits the back of the throat instead of going down into your lungs. Breathing in too slow using a DPI. Dry powder inhalers require a quick and deep breath to inhale the powder down into the lungs. Inhaling too size dick after pressing the canister of a pMDI (unless you're using a spacer).

Even a short delay breathing in after you press the size dick can mean that some of the medicine will end up being sprayed in your Enskyce (Desogestrel and Ethinyl Estradiol Tablets)- FDA and not be carried down to your lungs where it's needed. Not holding your breath after taking your inhaler. If you've been advised to hold your breath after using your inhaler, then this is an important step.

Nl 7 your breath gives more time for the medicine to get into your lungs.

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