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Prescribing Information TRIXEO®
(formoterol fumarate dihydrate/ glycopyrronium/budesonide)
Prescribing Information SYMBICORT®
(budesonide/formoterol) COPD 200/6 and 400/12
Prescribing Information BEVESPI®
(glycopyrronium/formoterol fumarate dihydrate)
Adverse Event
Reporting

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How to use the TRIXEO AEROSPHERE pMDI inhaler

How to use the TRIXEO AEROSPHERE pMDI inhaler

How to use the TRIXEO inhaler

Watch the video below to explain the steps of using TRIXEO. This video was designed for UK HCP education

Parts of the TRIXEO AEROSPHERE pMDI device

labelled pMDI inhaler device

Reading the dose indicator

More Information

The dose indicator will count down by 1 each time a puff of medicine is sprayed

A. Pointer


Points to number of doses remaining
 

B. Yellow zone


A new inhaler should be ordered when the pointer is in the yellow zone
 

C. Red zone


The inhaler should be discharged when the pointer is at 0 in the red zone or after 3 months of opening the pouch or expiry date has passed, which ever comes first

More Information

Patient should not try to take a dose when the pointer is at 0 because patient will not receive a full dose.

  • Trixeo Aerosphere is supplied in a foil pouch that contains a drying packing (desiccant) and packed into a carton.
  • Inhaler should be kept inside the sealed pouch – inhaler should only be removed from the sealed pouch immediately before first use. On the day the pouch is opened, patient should write the date on the inhaler label in the space provided. Patient needs to check expiry date on the carton, pouch and canister before use.
  • After opening the pouch, the inhaler must be used within 3 months or before expiry date, which ever comes first.
  • For best results, the inhaler should be at room temperature before patient uses it.

Please note:

Patient should not reuse or use the actuator with medicine canisters from other inhalers.

Patient should not use TRIXEO canister with an actuator from any other inhaler.

Patient should not break, puncture, expose to high temperatures (above 50˚C) or burn the pressurised container or let it get wet.

Patient should not use the inhaler if the drying agent has leaked out of its packet.

Before inhaler is used for the first time, it requires priming so that the right amount of medicine dispenses when used.

Priming step 1: Mouthpiece cover should be removed.

Priming-step-one Priming-step-one

Priming step 2: The inhaler should be shaken well and 1 Test-puff sprayed into the air facing away from patient. This should be repeated for a total of 4 Test-puffs, shaking before each Test-puff.

Extra puffs are provided for priming. Priming should not be skipped

 

Repriming inhaler

The inhaler should be reprimed:

  • after rinsing the actuator
  • if dropped
  • if not used for more than 7 days

To re-prime, 2 Test-puffs should be sprayed after shaking before each Test-puff

DAILY USE, morning & evening – Inhale medicine

  • Recommended and Maximum Daily Dose: 2 puffs in the morning and 2 puffs in the evening.
  • Click here for more information on dosing
  • Patient should rinse mouth with water after the 2 puffs to prevent fungal infection.

Usage step 1 Mouthpiece cover should be removed. The mouthpiece should be checked for foreign objects and objects removed before use.

Priming-step-one

Usage step 2 Inhaler should be shaken well before each puff. Patient should breathe out fully. Place mouthpiece into their mouth and close lips around the mouthpiece. Then tilt their head back, keeping their tongue below the mouthpiece. Patient should start to breathe in deeply and slowly while spraying 1 puff. Patient should continue breathing in until they cannot any more. They should then hold their breath for as long as they can, up to 10 seconds.

Usage step 3 Repeating step 2 for a second puff.

Usage step 4 Putting mouthpiece cover back on.

Priming-step-one

Usage step 5 Patient should rinse mouth with water and then spit water out. Patient should not swallow.

Priming-step-one

WEEKLY RINSE – Actuator should be rinsed once a week

  • Yellow actuator should be rinsed weekly so that medicine does not build up and block the spray through the mouthpiece
  • Canister should not be allowed to get wet
  • Inhaler should be re-primed after rinsing

Rinse 1 Remove canister and set aside. Do not allow the canister to get wet.

Priming-step-one

Rinse 2 Remove mouthpiece cover.

Priming-step-one

Rinse 3 Warm water should be run through the mouthpiece for 30 seconds and then through the top of the actuator for 30 seconds.

Rinse for 60 seconds in total.

Rinse 4 Water should be shaken off as much as possible. Do not dry with a towel or tissue.

Priming-step-one

Rinse 5 The actuator and mouthpiece should be visually inspected for medicine build-up. If there is any build-up, steps Rinse 3 through 5 
should be repeated.

Rinse 6 Air-dry, preferably overnight. Canister should not be put back into the actuator if it is still wet.

Priming-step-one

Rinse 7 When dry, replace the mouthpiece cover first and then gently press the canister down into the actuator.

Priming-step-one

Rinse 8 Re-prime the inhaler by spraying 2 Test-puffs, shaking before each Test-puff.

Recommended and maximum daily dose: 2 puffs in the morning and 2 puffs in the evening

  • Patient should not take more than two puffs twice a day on the same day.
  • If patient has used more TRIXEO AEROSPHERE than the maximum dose, patient should talk to a doctor or pharmacist straight away. Patient may need medical attention.
  • Patient should not take a double dose to make up for a forgotten dose. Patient should take it as soon as patient remembers. However, if it is nearly time for patient's next dose, patient should skip the missed dose.
  • Patient should always take this medicine exactly as prescribed.
  • Patient should not use this medicine to treat a sudden attack of breathlessness or wheezing.

  • Do not store above 30°C. Store in a dry place
  • Do not store in a humid environment, such as a bathroom
  • Keep inhaler and all medicines out of the sight and reach of children
  • The canister should not be punctured or thrown into a fire or incinerator.

Medicines should not be thrown away via wastewater or household waste. Advise your patients to ask a pharmacist on how to throw away medicines that they no longer use. These measures will help protect the environment.

Some patients may find it difficult breathing in and pressing the inhaler at the same time. If this happens, it may help for your patients to use a ‘spacer’ with their inhaler.

For more information, please see TRIXEO Summary of Product Characteristics and Patient Information Leaflet with instructions for use

 

Access patient materials here
Click here to order placebo devices

GB-57055 | November 2024

TRIXEO and AEROSPHERE are registered trademarks of the AstraZeneca group of companies.

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events should also be reported to AstraZeneca by visiting https://contactazmedical.astrazeneca.com/ or by calling ‌‌‌0‌‌‌8‌‌‌‌‌0‌‌‌‌0‌‌‌ ‌‌7‌‌‌‌‌‌8‌‌‌3‌‌‌ ‌‌0‌‌‌‌‌0‌‌‌‌3‌‌‌‌3‌‌‌.

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