Dry Powder Twisthaler® or Flexhaler®
What is a Flexhaler?
A Twisthaler® or Flexhaler® is a device that holds medicine
which is inhaled into the airways in your lungs. The medicine is
in a dry powder form.
How do I use a Twisthaler® or Flexhaler®?
1. Turn the cover and lift off with the inhaler upright.
2. Prime the inhaler for the very first time it is used. To
Prime, twist the bottom grip fully to the right, then fully back again
to the left until it clicks. Repeat.
3. To load the dose, twist the bottom grip fully to the right and fully to
the left until it clicks. Do not shake the inhaler after loading it.
4. Breathe or blow out to empty the air out of your airways. Never
blow into the Twisthaler® or Flexhaler® mouthpiece.
5. Place the mouthpiece gently between your teeth. Close
your lips and breathe in deeply through your mouth.
Do not cover the ventilation holes while inhaling.
6. Hold your breath for about 10 seconds.
7. Before breathing out, remove the inhaler from your
mouth, and wipe the mouthpiece dry.
8. If another dose is needed, repeat steps 3-7.
9. Replace the cover and twist shut.
10. Rinse your mouth with water and spit or brush your teeth if instructed.
How do I store the Twisthaler® or Flexhaler®?
Keep the inhaler dry, do not wash the inhaler. Store in a cool, dry
How many doses are left in the Twisthaler® or Flexhaler®?
There is a window under the mouthpiece that shows how many
doses are left. When a red mark first appears in the Twisthaler®
or Flexhaler® device window, it is ready to be refilled. When
there is a “0” noted in the window, the inhaler is empty.
The Spanish version of this Health Facts for You is #6745
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2017 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6658