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• Insert metal canister into clear end of mouthpiece. Make sure the canister is fully and firmly inserted into the mouthpiece.

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• Breathe in slowly through your mouth and at the same time spray the medicine into your mouth. To spray the medicine, firmly press once on the canister against the mouthpiece. Keep breathing in deeply.

• Hold your breath for 10 seconds, remove the mouthpiece from your mouth and breathe out slowly.

• If you use more than one inhalation at a time, wait at least 2 minutes before using the second inhalation, shake the inhaler vigorously for at least 10 seconds again and repeat dose.

• Replace the orange protective dust cap after use.

• Keep track of the number of sprays used and discard after 200 sprays. Even though the canister is not empty, you cannot be sure of the amount of medicine in each spray after 200 sprays.

• Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before putting the inhaler back together.

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• With the orange cap closed, press the safety catch while pulling off the clear base. Be careful not to touch the piercing element located inside the bottom of the clear base.

• Write the "discard by" date on the label of the Respimat inhaler. The discard by date is 3 months from the date the cartridge is inserted into the inhaler.

• Push the narrow end of the cartridge into the inhaler. The base of the cartridge will not sit flush with the inhaler. About 1/8 of an inch will remain visible when the cartridge is correctly inserted. The cartridge can be pushed against a firm surface to ensure that it is correctly inserted. Do not remove the cartridge once it has been inserted into the inhaler.

• Put the clear base back into place. Do not remove the clear base again. Your Albuterol and Ipratorium Respimat inhaler should not be taken apart after you have inserted the cartridge and put the clear base back.

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