Clinical Procedures - HandiHaler A dry-powder device with an integrated cap. This requires a lower inspiratory flow rate than other devices. However, a dose needs to be inserted via a capsule at each use requiring some dexterity. Patients may also find the cap rather hard to open as it requires a moderate amount of strength. How to use • Open cap by pulling upwards exposing mouthpiece • Open the mouthpiece by pulling upwards exposing the dose chamber • Take a capsule from the blister-pack and insert it into the chamber • Replace the mouthpiece (it should click shut) • Press the side button in a few times to pierce the capsule (you can watch through the small window • Sit upright, hold head up, and breathe out • Seal lips around mouthpiece • Breathe in deeply to a full breath • Remove inhaler and hold breath for as long as is comfortable • Remove the used capsule and replace the cap.
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