metered dose inhaler with spacer and mask

​The following information is relevant to, but not limited to:

• Salbutamol 100 microgram inhaler
• Ipratropium 20 microgram inhaler
• Fluticasone Propionate 50 microgram evohaler
• Fluticasone Propionate 125 microgram evohaler
• Seretide® 25/50 microgram evohaler (Containing salmeterol 25 microgram/fluticasone 50 microgram)
• Seretide® 25/50 microgram evohaler (Containing salmeterol 25 microgram/fluticasone 125 microgram)
• Seretide® 25/50 microgram evohaler (Containing salmeterol 25 microgram/fluticasone 125 microgram)
• Beclomethasone 250 microgram inhaler
• Beclomethasone 50 microgram inhaler

Use metered-dose inhalers with a spacer, whenever possible, for better drug delivery.

​Cleaning instruction for spacer

• The spacer should be cleaned at least once a month but can be washed more often if required.
• Where required follow the package instructions with respect to dismantling and cleaning as this may differ from one spacer device to another.
• Dismantle the spacer, if necessary. Soak the spacer completely in a container of mild soapy water made by adding two drops of mild liquid detergent.
• Do not use a scrub to clean the spacer.
• Do not rinse the spacer again after removing it from the soapy water, as the detergent minimizes static charge.
• Shake out the excess water and allow to air dry.  Do not use tissue paper or a cloth to rub dry after washing.
• When completely dry, reassemble spacer if necessary. Unless otherwise directed by your healthcare professional, it is recommended to replace the spacer every year.

Cleaning instruction for silicone face mask

• Where required follow the package instructions with respect to cleaning as this may differ from one preparation to another.
• Disconnect mask from spacer.
• Wash with water and mild liquid detergent.
• Rinse with water to wash off detergent thoroughly.
• Dry mask after wash.
• Do not sterilize by using a microwave or conventional oven.

Special instructions:

• Check with your healthcare professional (doctor, nurse or pharmacist) to ensure that the mask is not oversized.
• Ensure connections are secure at all times. If there are any concerns regarding mask failure, replace the mask immediately.
• Before using the inhaler for the first time or if the inhaler has not been used for several days release 2 puffs into the air to prime it and make sure it works.
• Before using the spacer for the first time or if it is only used occasionally, prime the spacer by cleaning it as above, or if it need to be used immediately discharge 10 puffs of the reliever medication into the chamber to help reduce the static build-up.
• Rinse or gargle with water after using the controller inhaler (Seretide®, fluticasone and beclomethasone) to prevent oral thrush.
• If both controller and reliever are required to be used at the same time, always use the reliever (salbutamol and/or ipratropium) first.
•  You should keep a record of the number of doses you have used up to ensure that you have sufficient amount of this medication before your next doctor's appointment. For Seretide®, there is a dose counter on the inhaler.