The Handihaler is a breath-activated device which means that the medication is released when you inhale.

To use the Handihaler, open the cover of the Handihaler by pushing the green button on the side of the Handihaler.

Open the mouthpiece of the Handihaler by pulling the mouthpiece ridge up.

Now you can get the capsule out of the foil packet. Separate the capsule pack from the card by tearing along the perforation.

Remove the medication capsule from the foil packet by peeling off the paper backing until the capsule is fully visible. Do not remove the capsule from the foil packet until you are ready to take the medication.

Place the capsule into the hole of the Handihaler. Close the mouthpiece. You will hear a click when the mouthpiece is closed. Leave the cover open.

Hold the Handihaler with the mouthpiece up. Press the green button on the side of the Handihaler. This will puncture the capsule.

Once the capsule is punctured, you will need to keep the Handihaler steady. Do not shake it, cough or breathe into it or you will lose some of the medication.

To take your medication, turn away from the mouthpiece and breathe out.

Tilting your head back slightly, carefully bring the Handihaler to your mouth.

Seal your lips tightly around the mouthpiece and breathe in rapidly and deeply so you can feel the capsule vibrate as you inhale.

Remove the Handihaler from your mouth and hold your breath for as long as you can up to 10 seconds.

To be sure you inhaled all of the medication, breathe out, and inhale your medication one more time.

When done, open the mouthpiece and drop the capsule into the trash.

Clean the mouthpiece with a clean cloth when it appears dirty or at least once a week. Always close the Handihaler after use to help keep the Handihaler clean.

National Jewish Health has been ranked by US News and World Report as the number one respiratory hospital in the nation for 11 years in a row. Find out more at