ter card (See Figure H). Always hold the foil close to where you are peeling.
Figure H
Step 6: Take out 1 TOBI Podhaler capsule from the blister card (See Figure I). Only remove one capsule at a time just before you are going to use it in the device.
Figure I
Step 7: Immediately, place the TOBI Podhaler capsule in the capsule chamber at the top of the Podhaler device (See Figure J). Do not put the capsule directly into the top of the mouthpiece.
Figure J
Step 8: Put the mouthpiece back on your Podhaler device and screw the mouthpiece in a clockwise direction until it is tight (See Figure K). Do not overtighten.
Figure K
Step 9: Hold the Podhaler device with the mouthpiece pointing down. Put your thumb on the blue button and press the blue button all the way down (See Figure L). Let go of the blue button. Do not press the blue button more than 1 time. The chances of the capsule breaking into pieces will be increased if the capsule is accidentally pierced more than once.
Figure L
Taking your TOBI Podhaler dose:
You will need to inhale at least twice from each capsule in order to get the full dose.
Step 10: Breathe out (exhale) all the way (See Figure M). Do not blow or exhale into the mouthpiece.
Figure M
Step 11: Place your mouth over the mouthpiece and close your lips tightly around it (See Figure N).
Figure N
Step 12: Inhale deeply with a single breath (See Figure O).
Figure O
Step 13: Remove the Podhaler device from your mouth, and hold your breath for about 5 seconds, then exhale normally away from the Podhaler device.
Step 14: Take a few normal breaths away from the Podhaler device. Do not blow or exhale into the mouthpiece.
Step 15: For your second inhalation, repeat steps 10 through 13 using the same capsule.
Step 16: Unscrew the mouthpiece and remove the TOBI Podhaler capsule from the capsule chamber (See Figure P).
Figure P
Step 17: Look at the used capsule. It should be pierced and empty. There will be a fine coating of powder remaining on the inside of the capsule (See Figure Q). If it is pierced and empty, throw it away and go to Step 18.
Figure Q
If the capsule is pierced but still contains more than just a fine coating of powder (See Figure R for an example):
Figure R
◦ Put the capsule back into the Podhaler device capsule-chamber (See Figure J) with the pierced side of the capsule pointing down (See Figure R). Put the mouthpiece back on and repeat Steps 10 to 13.
If the capsule does not look pierced (See Figure S):
Figure S
◦ Put the capsule back into the Podhaler device capsule-chamber (See Figure J). Put the mouthpiece back on and repeat Steps 9 to 17.
▪ If the capsule still does not look pierced and still has some powder in it, use the reserve Podhaler device provided in the TOBI Podhaler package and repeat Steps 1 to 3, then 7 to 17.
Step 18: Repeat Steps 6 to 17 for 3 more times until your whole dose (4 capsules) has been taken (See Figure T).
Figure T
After your TOBI Podhaler dose:
Step 19: Throw away all the empty TOBI Podhaler capsules. Do not store the TOBI Podhaler capsules in the Podhaler device.
Step 20: Put the mouthpiece back on to your Podhaler device and twist the mouthpiece in a clockwise direction until it is tight (See Figure K). Do not overtighten.
Step 21: Wipe the mouthpiece with a clean, dry cloth (See Figure U).
Figure U
Do not wash the Podhaler device with water. Your Podhaler device needs to stay dry at all times to work the right way.
Step 22: Place your Podhaler device back in t
