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Using a Dry-Powder Twist Inhaler

Step-by-Step

  1. Hands scrubbing with soap under faucet with running water.

    Wash your hands.

  2. Hand holding bottom of inhaler, with expiration date on cap of inhaler.

    Check the inhaler expiration date.

  3. Arrow pointing to dose count shown in window at bottom of inhaler.

    Check the dose counter.

  4. One hand holding bottom of inhaler with other hand twisting cap counter-clockwise to load medicine.

    Twist the cap of the inhaler to load a dose.

  5. One hand holding bottom of inhaler while other hand pulls cap of inhaler straight up.

    Remove the cap.

  6. Person shaking inhaler, with prohibition symbol to show "Do not shake."

    Don’t shake the inhaler.

  7. Green check mark and hand holding bottom of inhaler upright.

    Hold the inhaler upright.

  8. Person standing and person sitting in chair.

    Sit or stand up straight.

  9. Person holding inhaler upright and away from mouth, breathing in.

    Before putting the inhaler in your mouth, breathe in.

  10. Person holding inhaler upright and away from mouth, breathing out.

    Breathe out.

  11. Person holding inhaler with lips closed on mouthpiece, breathing in.

    Place the top of the inhaler between your lips and take a quick breath in.

  12. Person holding inhaler in mouth, with clock showing time passing.

    Hold your breath for 10 seconds.

  13. Person holding inhaler upright and away from mouth, breathing out.

    Remove the inhaler from your lips and slowly breathe out.

  14. One hand holding bottom of inhaler upright and other hand pushing cap back on.

    Place the cap on.

  15. One hand holding bottom of inhaler while other hand twists cap clockwise to close.

    Twist the cap closed.

  16. Person swishing water in their mouth.

    Rinse your mouth out.

  17. Person spitting water into sink.

    Spit.

Online Medical Reviewer: Jessica Gotwals RN BSN MPH
Online Medical Reviewer: Marianne Fraser MSN RN
Date Last Reviewed: 7/1/2025
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