1. Check that the holding chamber is in good condition, without any foreign objects. A damaged holding chamber cannot be used

2. Remove the INHALER DEVICE cap

3. Shake INHALER DEVICE canister vigorously for about 5 seconds. If using INHALER DEVICE for the first time, shake and spray the INHALER DEVICE into the air 1 to 2 times to ensure that it is in good condition

4. Insert the INHALER DEVICE into the back-piece of the holding chamber

5. Ask your child to sit in an upright position, and tilt their head back slightly towards the ceiling

6. Hold the INHALER DEVICE and holding chamber correctly as shown below

7. Apply the mask to your child’s face, ensuring an effective seal around the mouth and nose. Ensure there are no foreign objects in the mouth

8. Press the INHALER DEVICE with your thumb to release the medicine

9. Ask your child to breathe normally for 10 to 15 seconds, Please do not remove the mask until you have finished 10 to 15 seconds of breathing

10. Administer 1 puff at a time. Wait for about 15 to 30 seconds before the next puff.

11. Repeat steps 3 to 10 for the next puff

12. Remove the mask from the child's face

13. Ask your child to rinse his/her mouth, wash their face with water after use and Make sure the child will spit out the mouthwash

14. Re-cover INHALER DEVICE

How to clean and store a Valved Holding Chamber：

Clean the holding chamber before using it for the first time. Then clean the holding chamber weekly or biweekly

1. Remove the parts of the holding chamber (Don't take off your mouthpiece! B1, figure 1)

2. Soak the parts for 15 minutes in a mild solution of liquid dish detergent and lukewarm (around 40°C) clean water

3. Agitate it gently and clean all parts

4. Rinse parts in clean water, if necessary, use tap water to gently flush the one-way valve (B2, figure 1) back to the original position

5. Shake out any excess water from the parts, and allow them to air-dry in a vertical position

6. Ensure that the parts are dry before reassembly

7. Storage temperature: 5°C to 55°C, relative humidity of no more than 90%, cool and clean indoor environment

Reference: 1 Chamber insert

                      2 Uptodate patient education