Proper Use

Drug information provided by: Merative, Micromedex®

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Do not stop using this medicine without telling your doctor. To do so may make your condition worse.

This medicine comes with a patient information leaflet and patient instructions. Read the instructions carefully before using this medicine. If you do not understand the directions or you are not sure how to use the inhaler, ask your doctor to show you what to do. Also, ask your doctor to check how you use the inhaler to make sure you are using it properly.

You will use this medicine with a special inhaler device called the Utibron™ Neohaler®. The medicine is in a capsule that is placed inside the inhaler device. Do not swallow the capsule. The inhaler device loads the medicine from the capsule into the air chamber. You will inhale the powder through the mouthpiece.

Use this medicine at the same time each day to help prevent COPD attacks.

To use the inhaler:

  • Dry your hands before handling this medicine.
  • Open a blister card of capsules. Do not remove a capsule until you are ready for a dose. Do not push the capsule through the foil to remove it from the blister.
  • Open the base of the inhaler and tilt the mouthpiece to open the inhaler.
  • Place the capsule in the chamber at the base of the inhaler. Do not swallow the capsule and do not place it directly into the mouthpiece.
  • Close the inhaler. You should hear a clicking sound as you close it.
  • Hold the mouthpiece upright. Press both buttons at the same time and only once. You should hear a click as the capsule is being pierced.
  • Breathe out fully. Do not exhale into the mouthpiece.
  • Place the mouthpiece in your mouth and breathe in quickly and deeply. As you breathe in, you should hear the capsule moving inside. You may also taste something sweet. If you do not hear a whirring noise, the capsule may be stuck inside. If this occurs, open the inhaler and gently tap the base of the device. Do not press the side buttons to loosen the capsule.
  • Remove the inhaler from your mouth. Hold your breath for at least 5 to 10 seconds or for as long as you can and then exhale.
  • Open the inhaler and remove the empty capsule. Throw away the used capsule.
  • Close the mouthpiece and replace the cover.
  • Do not wash the inhaler. Keep it dry. You may wipe the device with a clean, dry, lint-free cloth or a clean, dry, soft brush.


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For inhalation dosage form:
    • For maintenance treatment of COPD:
      • Adults—1 capsule by oral inhalation 2 times a day, in the morning and evening.
      • Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Do not use more than 2 capsules in 24 hours.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.