Step 3: Hold Breath; Step 4: Replace Cap And Close Twisthaler - Merck ASMANEX TWISTHALER Instructions For Use Manual


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, holding it in a horizontal (on its side)
position as shown below (see Figure D).

Firmly close your lips around the mouthpiece and take in a fast, deep breath. Since the medicine
is a very fine powder, you may not be able to taste, smell, or feel it after inhalation.

Do not cover the ventilation holes while inhaling the dose.
Figure D: Inhalation

Step 3: Hold breath


Remove the TWISTHALER from your mouth and hold your breath for about 10 seconds, or as
long as you comfortably can.
Important: Do not breathe out (exhale) into the TWISTHALER.

Step 4: Replace Cap and Close TWISTHALER


After you take your medicine, it is important that you wipe the mouthpiece dry, if needed, and
then replace the cap right away, firmly closing the TWISTHALER right away (see Figures E and
F).
Be sure that the indented arrow is in line with the dose counter. Put the cap back onto the TWISTHALER
and turn it in a clockwise direction, as you gently press down. You will 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.
Figure E: Closing the TWISTHALER
5