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A.

How to prepare a new Symbicort Turbuhaler for use


Before using a Symbicort Turbuhaler inhaler for the first time, it
needs to be prepared for use.
1. Unscrew and lift off the cover. A rattling sound may be heard.

This is normal.
2.

The inhaler should be held upright with the red grip


downwards. Patients should turn the red grip as far as it will go
in one direction and then turn it back as far as it will go in the
opposite direction. This procedure needs to be performed twice.

B. Using the Symbicort Turbuhaler


To administer a dose, simply follow the instructions below.
1.

Unscrew and lift off the cover. A rattling sound may be heard.
This is normal.

2.

Patients should hold the inhaler upright with the red grip
downwards. The mouthpiece should not be held when turning
the grip. To load the inhaler with a dose, patients should turn
the grip as far as it will go in one direction and then turn it back
again as far as it will go in the opposite direction. A click will

be heard some time during this procedure. The inhaler is now


ready to use.

3.

Patients should now breathe out. They must not breathe out
through the mouthpiece.

4.

Patients should then place the mouthpiece gently between


their teeth. With their lips closed, patients should breathe in
forcefully and deeply through their mouth.

Patients may not taste or feel any medication when inhaling.


This is common. Patients should be advised not to chew or bite
on the mouthpiece.
5. Patients must remove the inhaler from their mouth before
breathing out again. If more than one dose has been prescribed,
the above steps must be repeated.
6.

The cover should be replaced tightly after use.

If a patient accidentally drops, shakes or breathes out into a


Symbicort Turbuhaler after it is loaded, the dose will be lost. If
this happens, they should load a new dose and inhale it. Note:
patients should never breathe out through the mouthpiece. The
cover must always be replaced properly after use. They should not
attempt to remove the mouthpiece or to twist it unnecessarily; it is
fixed to the inhaler and must not be taken off.
The outside of the mouthpiece should be cleaned once a week with
a dry tissue. Water or any other fluid should not be used when
cleaning the mouthpiece. If fluid enters the inhaler it may not work
properly.

C. When to start a new inhaler


Symbicort Turbuhaler has a dose indicator. The dose indicator tells
patients how many doses are left in the inhaler. The dose indicator
moves slowly each time they load a dose. Every 20th dose is
marked with a number and every 10th dose is marked with a dash.
When the '0' on the red background has reached the middle of the
window they should discard their inhaler.

TURBUHALER
1. Lepaskan tutup turbuhaler, tarik inhaler ke atas
2. Putar turbuhaler ke kanan, selanjutnya ke kiri dengan cepat. Kemudian
akan terdengar Klik
3. Keluarkan/buang nafas
4. Letakkan alat di mulut yaitu pada diantara bibir
5. Hisap obat dengan menarik nafas kuat & dalam
6. Keluarkan alat dari mulut
7. Tahan napas 10 detik, kemudian bernafaslah secara perlahan.
8. Tutup kembali turbuhaler