How to Use a Spiriva Respimat Inhaler for the First Time

Spiriva Respimat is a medication delivery device designed to help manage respiratory conditions such as chronic obstructive pulmonary disease (COPD) and asthma. This inhaler delivers medication as a fine mist, which can make it easier to inhale the necessary dose into the lungs. Achieving the full benefit from your prescribed medication depends on using the inhaler correctly.

Preparing Your Spiriva Respimat for First Use

Before first use, your Spiriva Respimat inhaler requires assembly and priming to ensure it functions properly. Begin by pressing the small, gray safety catch button on the side of the inhaler and firmly pulling off the clear base. After removing the clear base, take the medication cartridge and insert its narrow end into the inhaler, pushing it firmly until it clicks into place. A small portion of the cartridge may remain visible, which is normal.

Once the cartridge is securely inserted, reattach the clear base to the inhaler, pushing it back until it clicks. The next step is priming, a process that prepares the inhaler to deliver a consistent dose of medication. To prime, ensure the cap is closed, then twist the clear base in the direction of the arrows on the label until you hear a click, typically a half turn.

After hearing the click, open the cap fully. Point the inhaler towards the ground, away from your face, and press the dose-release button. Close the cap and repeat this “Turn, Open, Press” sequence three more times until a mist becomes visible from the mouthpiece. Priming ensures the device is ready to deliver the full, intended dose of medication.

Step-by-Step Guide to Inhaling Your Dose

Once prepared, you are ready to take your prescribed dose. Each daily dose typically consists of two puffs. To load a dose, ensure the cap is closed, then twist the clear base in the direction of the arrows until you hear it click, indicating a dose is ready. Next, open the cap fully until it snaps into its open position.

Before placing the inhaler in your mouth, breathe out slowly and completely, emptying your lungs away from the mouthpiece. Place your lips tightly around the mouthpiece, forming a seal, and be careful not to cover the air vents located on the sides. While beginning a slow, deep breath through your mouth, simultaneously press the dose-release button.

Continue to breathe in slowly and deeply to draw the mist into your lungs. After inhaling, remove the inhaler from your mouth and hold your breath for 5 to 10 seconds. Finally, breathe out slowly and close the cap.

Ensuring Proper Use and Troubleshooting Common Issues

Several indicators confirm a successful dose from your Spiriva Respimat. You should hear a distinct click when you twist the base to load a dose, and often, you may feel or even see a fine mist when the medication is released. The dose counter on the side of the inhaler also tracks the remaining doses, providing a visual confirmation of use. Some inhalers, including Spiriva Respimat, may not produce a strong taste or sensation when inhaled; this does not mean the device is not working.

If you encounter issues during first-time use, such as no mist appearing after the initial priming steps, you may need to repeat the priming process. If you experience difficulty turning the clear base, confirm that it has clicked into place after inserting the cartridge, and that the cap is closed before twisting. If you miss a dose or take one incorrectly, do not take an extra dose to compensate; simply continue with your next scheduled dose as prescribed. If problems persist or you have concerns about your technique, it is advisable to consult your pharmacist or doctor for further guidance.

Storage and Ongoing Care

Proper storage and maintenance ensure your Spiriva Respimat inhaler’s effectiveness and longevity. The inhaler should be stored at room temperature, ideally between 20°C to 25°C (68°F to 77°F), and should not be frozen. Keep the inhaler away from extreme heat or cold, and out of the reach of children.

The Spiriva Respimat has a specific lifespan after assembly. It must be discarded three months after the cartridge is first inserted, even if some medication remains. The inhaler should be disposed of once the dose counter reaches zero and the device locks. For basic cleaning, wipe the mouthpiece, including the metal part inside, with a damp cloth or tissue at least once a week to prevent buildup. Any minor discoloration on the mouthpiece does not typically affect the inhaler’s performance.