Mesothelioma is cancer of the mesothelium, a protective membrane that lines many of the body's internal organs. Most often, mesothelioma occurs in the lining of the lungs, called the pleura.
Mesothelioma is most often diagnosed after a patient sees a doctor because of symptoms such as pain in the lower back, shortness of breath, fatigue, weight loss, abdominal pain and/or swelling. But symptoms alone will not tell your doctor if you have mesothelioma. A medical history, physical exam, and diagnostic...
Hold the HandiHaler with the dust cap pointing
up. Open the dust cap and then the mouthpiece.
Remove a Spiriva
capsule from the blister package, and place it in the center chamber. Do not
swallow the capsule.
Close the mouthpiece. You will hear a click
when it is correctly closed.
Press in the green button completely
one time. This makes holes in the capsule so the medication will be released.
Note: Do not handle the Spiriva capsule after it has
been punctured. If you do need to handle a punctured capsule, wash your hands
thoroughly. Keep your hands away from your eyes until you
have washed your hands.
With your mouth away
from the inhaler, breathe out completely. Never breathe out through the
Tilt the mouthpiece to the side and close your lips
tightly around it.
Breathe in slowly and deeply, but hard enough so
that you can hear the capsule vibrate. Breathe in until you can't breathe any
Take the HandiHaler out of your mouth and hold your breath
as long as it's comfortable. Then breathe out.
Repeat steps 5, 6,
and 7. This will empty the capsule.
Open the mouthpiece and tip out and throw away the used capsule.
Close the mouthpiece and dust cap.
Rinse the HandiHaler once a month in warm water. You will need to
push up on the green button to expose the center chamber. After rinsing, dry
the inhaler by tipping water out and air drying. Leave the dust cap,
mouthpiece, and piercing chamber open. It takes 24 hours to completely dry the
You can use the HandiHaler for up to 1 year.
Keep the Spiriva capsules in the blister package until
right before you use them.
Primary Medical Reviewer
Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer
Ken Y. Yoneda, MD - Pulmonology
May 4, 2010
WebMD Medical Reference from Healthwise
May 04, 2010
This information is not intended to replace the advice of a doctor.
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