A Twisthaler holds asthma medicine to help lessen swelling inside the airways in your lungs. The medicine is in a powder form.
How do I use a Twisthaler®?
- Remove the ASMANEX TWISTHALER from its foil pouch. Write the date on the cap label.
- Throw away the inhaler 45 days after this date or when the dose counter reads "00", whichever comes first. When the dose counter reads "00" it means you have inhaled the final dose.
Step 1: Open the inhaler.
- Hold the inhaler straight up (upright) with the colored piece (the base) on the bottom. It is important that you remove the cap of the TWISTHALER while it is in this upright position to make sure that you get the right amount of medicine with each dose.
- Hold the colored base. Twist the cap in a counterclockwise direction to remove it. As you lift off the cap, the dose counter on the base will count down by one. Removing the cap loads the TWISTHALER with the medicine that you are now ready to inhale.
- NOTE the indented arrow (right above the colored base) is pointing to the dose counter.
Step 2: Inhale a dose.
- Breathe out fully.
- Bring the TWISTHALER up to your mouth or your child's mouth with the mouthpiece facing toward you or your child.
- Place the mouthpiece in your mouth or your child's mouth. Hold it in a horizontal (on its side) position as shown in the picture.
- Firmly close your lips around the mouthpiece.
- Take in a fast, deep breath. The medicine is a very fine powder, so you may not be able to taste, smell, or feel it after inhalation.
- Do not cover the ventilation holes while inhaling the dose.
- Remove the TWISTHALER from your mouth. Hold your breath for about 10 seconds or as long as you can.
Important: Do NOT Breathe out (exhale) into the inhaler.
After you take your medicine, firmly close the TWISTHALER right away.
- It is important that you wipe the mouthpiece dry, if needed.
- Be sure that the indented arrow is in line with the dose counter.
- Put the cap back onto the inhaler.
- Turn the cap in a clockwise direction, as you gently press down. You'll hear a "click" to let you know that the cap is fully closed. This is the only way to be sure that your next dose is loaded the right way.
It is important to repeat steps 1 and 2 each time you inhale.
Rinse your mouth after using.
How to Clean and Store your Inhaler
- Keep your inhaler clean and dry at all times. If the mouthpiece needs cleaning, gently wipe the mouthpiece with a dry cloth or tissue as needed. Do not wash the inhaler.
- Avoid contact with any liquids.
- Store in a dry place at 77°F (25°C) [may range between 59°-86°F (15°-30°C)].
- Keep your inhaler out of the reach of children.
How to Know When Your Inhaler Is Empty
The inhaler has a dose counter on the colored base. The counter shows the number of doses left to use. As you lift off the cap to take your dose, the dose counter on the base will count down by one. For instance, if you began with the dose counter reading "30", after you open the cap the dose counter will now read "29". Read the numbers from top to bottom. When the unit reads "01", this means it is the last dose. After dose "01" the counter will read "00". When you replace the cap, the unit will lock. Then, it must be thrown away. Start using a new ASMANEX TWISTHALER as instructed by your health care provider.
The cap is needed to use the ASMANEX TWISTHALER. Do not twist the mouthpiece with your hand. When the cap is removed from the TWISTHALER, the dose counter will count down by one, and show the number of doses available after this use.
It is important to replace the cap after each inhalation to protect the inhaler from moisture.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 05/12/2011
Copyright © 05/12/2011 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7178
Print Health Fact For You