It is important for patients to understand how to correctly administer UTIBRON capsules using the NEOHALER device. Instruct patients that UTIBRON capsules should only be administered via the NEOHALER device and the NEOHALER device should not be used for administering other medications. Remind patients that the contents of UTIBRON capsules are for oral inhalation only and must not be swallowed.
Instruct patients always to store UTIBRON capsules in sealed blisters and to only remove 1 UTIBRON capsule immediately before use or it may not be as effective. Instruct patients to discard unused additional UTIBRON capsules that are exposed to air (i.e., not intended for immediate use).
Inform patients to use 1 inhalation of UTIBRON NEOHALER orally twice-daily (1 capsule in the morning and 1 capsule in the evening) at the same time every day.
Inform patients that if they miss a dose of UTIBRON NEOHALER, they should use their next capsule at the usual time. Instruct patients to not use 2 capsules at one time and to not use more than 2 capsules in a day.
Learn the 3 I’s for helping patients remember the detailed steps for using the UTIBRON NEOHALER.
Help patients remember the 13 detailed steps in the Instructions for Use by learning the 3 I's for using UTIBRON NEOHALER. You can also watch the brief video below. Before patients use the UTIBRON NEOHALER, they should refer to the full Prescribing Information, including BOXED WARNING, and Medication Guide.
Step 1. Pull off cap
Step 2. Open inhaler
Hold the base of the inhaler firmly and tilt the mouthpiece to open the inhaler.
Step 3. Prepare capsule
Separate 1 of the blisters from the blister card by tearing along the perforation.
Take 1 blister and peel away the protective backing to expose the capsule.
Do not push the capsule through the foil to remove it from the blister.
Step 4. Remove a UTIBRON capsule
Capsules should always be stored in the blister and only removed immediately before use.
With dry hands, remove 1 capsule from the blister.
Do not swallow the UTIBRON capsule.
Step 5. Insert capsule
Place the capsule into the capsule chamber.
Do not place a capsule directly into the mouthpiece.
Step 6. Close the inhaler
Close the inhaler fully. You should hear a ‘click’ as it fully closes.
Step 7. Pierce the capsule
Hold the inhaler upright with the mouthpiece pointing up.
Press both piercing buttons together firmly at the same time. You should hear a 'click' as the capsule is being pierced.
Do not press the piercing buttons more than 1 time.
Step 8. Release the piercing buttons fully
Step 9. Breathe out
Before placing the mouthpiece in your mouth, breathe out fully.
Do not blow into the mouthpiece.
Step 10. Inhale the medicine
Before breathing in:
- Hold the inhaler as shown in the figure for Step 10. Make sure that the piercing buttons are to the left and right of the inhaler (not up and down)
- Place the mouthpiece in your mouth and close your lips firmly around the mouthpiece
- Breathe in rapidly but steadily, as deeply as you can. Do not press the piercing buttons
Step 11. Note
As you breathe in through the inhaler, the capsule spins around in the chamber and you should hear a whirring noise. You may experience a sweet flavor as you inhale the medicine.
If you do not hear a whirring noise, the capsule may be stuck in the capsule chamber. If this occurs, open the inhaler and carefully loosen the capsule by tapping the base of the inhaler. Do not press the piercing buttons to loosen the capsule. (Repeat steps 9 and 10 if necessary.)
Step 12. Hold breath
Continue to hold your breath for at least 5 to 10 seconds or as long as comfortably possible while removing the inhaler from your mouth. Then breathe out.
Open the inhaler to see if any powder is left in the capsule. If there is powder left in the capsule, close the inhaler and repeat steps 9 to 12. Most people are able to empty the capsule with 1 or 2 inhalations.
Some people may cough soon after inhaling the medicine. If you do, don’t worry, as long as the capsule is empty, you have received 1 full dose.
Step 13. Remove capsule
After you have finished taking your daily dose of UTIBRON NEOHALER, open the mouthpiece again, remove the empty capsule by tipping it out of the capsule chamber, and throwing it away. Close the inhaler and replace the cap.
Do not store the capsules in the NEOHALER inhaler.