LIVING WELL WITH COPD Using a Single Dose Dry Powder Inhaler (DPI) With powdered medication particles in DPIs, the dose is released to your airways when you take a deep, fast breath from the inhaler. Inhaling the dry powder may cause some people to cough. Talk with your doctor to make sure a DPI is right for you. Most dry powder medication contains lactose. It gives a sugary sensation in your mouth. This indicates that you have taken the medication. It will not affect you if you’re lactose intolerant. There are several different kinds of DPIs. Each has its own loading and releasing procedures. Ask your health-care professional or pharmacist to show you exactly how to use your device. Then follow the manufacturer’s instructions to maintain it. Unlike MDIs, DPIs SHOULD NOT be shaken or primed. They should NEVER be washed in water. List of Single Dose Dry Powder Inhaler devices: Handihaler, Neohaler 1 5 PREPARE DEVICE STEP 1: Prepare the device as instructed in your patient instructions to load the dose of medicine. step 2 step 2 6 2 HOLD BREATH step 3 step 3 STEP 2: Load the capsule in the well inside the inhaler (for Neohaler and Handihaler devices). 3 STEP 6: Remove the inhaler from your mouth. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, hold your breath for as long as you can. 7 STEP 3: Puncture the capsule by pushing the buttons on each side of the inhaler. EXHALE SLOWLY STEP 7: Exhale Slowly. 8 4 EXHALE FULLY STEP 4: Holding the device in your hand, exhale fully, pushing as much air out of your lungs as possible. 14 INHALE DEEPLY STEP 5: Purse your lips on the mouthpiece and inhale deeply and forcefully. RINSE IF CORTICOSTEROID STEP 8: If your medicine is a corticosteroid, rinse your mouth with water. Make sure you spit the water out – DO NOT SWALLOW IT.