10. Hold your breath for as long as is comfortable. 11. Remove inhaler from your mouth and breathe out. To ensure capsule is emptied completely, then repeat steps 6-11. 12. Open mouthpiece and tip out the used capsules. 13. Close mouthpiece and cover of HandiHaler®. HandiHaler® Patient Information Developed by NHS Tayside Managed Clinical Network Group (MCN) and patients. Revised 04/2009 Review 04/2011 LN0520 Delivery Unit The aim of this leaflet is to provide information on Your Inhaler how to use a HandiHaler®. Medication and Dose Comments This device will release your medication in the Tiotropium (Spiriva®) Use one capsule in the form of a dry powder. It is activated when you 18 micrograms HandiHaler once a day breathe in. • The HandiHaler® should be replaced every six The HandiHaler® is specially designed for Tiotropium months. (Spiriva®) capsules and should not be used to take any other medication. • To remove capsule from blister, peel back foil using the tab until one Instructions capsule is fully visable. 1. Open the cover by pulling it upwards. • The capsule should be removed from the blister immediately before its use. 2. Open the mouthpiece. 3. Remove a capsule from the blister and place it in • It does not matter which way the the centre chamber. capsule is placed in the chamber. 4. Close the mouthpiece firmly until you can hear a • Avoid breathing into the mouthpiece at any click. time. • If you have touched the used capsule with your 5. Hold the HandiHaler® with the mouthpiece hands make sure your hands are washed after. upwards, press the green button completely in once, and release. Cleaning the Inhaler: 6. Breathe out gently. • Clean the inhaler once a month. Open the cover 7. Place mouthpiece in your mouth, seal lips tightly and mouthpiece, and then open the base by around. lifting the green button. 8. Keep your head in an upright position. • Rinse the inhaler with warm water and allow to 9. Breath in slowly and deeply through mouth so air dry. It takes 24 hours to dry. you can hear the capsule vibrate.