• Respimat is the device that delivers an add-on asthma medicine called Spiriva.  
• The device works by pressing the dose button at the same time as taking a slow and deep breath in.  
• This inhaler casing can be reused up to 5 times, so ask your pharmacist to show you how to load and remove the cartridge. 

How to use a Respimat

1. Hold inhaler upright with the cap closed
2. Turn base in direction of arrows until it clicks (half a turn)
3. Open the cap until it snaps fully open
4. Breathe out slowly and gently, away from inhaler until your lungs feel empty
5. Place mouthpiece in mouth and close lips to form a good seal; do not cover air vents
6. Breathe in slowly and deeply through mouth and, at the same time, press down on the dose button
7. Keep breathing in slowly and deeply
8. Hold breath for about 5 – 10 seconds or as long as comfortable
9. While holding breath, remove inhaler from mouth
10. Breathe out gently, away from inhaler
11. Click cap shut
12. Repeat from step 1 to get the full dose (two inhalations is the usual dose for medicines used with Respimat)

Note: Before using for the first time, ensure cartridge is loaded into the device.

How to look after a Respimat

• Before first use, ask your pharmacist to load the cartridge for you and supervise you loading your own device. 
• Always keep it dry and closed when not in use. The outer case of the Respimat can now be re-used up to 5 times. 
• Avoid breathing into the Respimat. 
• Clean at least once a week by wiping the mouthpiece – including the metal part inside the mouthpiece – with a clean, damp cloth or tissue only. 
• Do not remove the metal cartridge until it’s empty. 
• Do not shake.

How can I tell when a Respimat is empty?

There are 60 puffs (30 doses) of medication in a Respimat. The Respimat device has a dose counter which indicates exactly how many doses remain in the device.   

The Respimat also has a device tracking indicator so you know how many times you’ve reloaded your device and when you will need a new casing.