1. Hold rotahaler vertically and put capsule (clear end first) into .square. hole. Make sure top of rotacap is level with top of hole. (If there is a rotacap already in the device this will be pushed into shell)
2. Hold rotahaler horizontally, twist barrel sharply forwards and backwards. This splits capsule into two
3. Breathe out gently. Keep rotahaler level and put mouthpiece between lips and teeth and breathe in the powder quickly and deeply
4. Remove rotahaler from mouth and hold breath for about 10 seconds
5. If any powder is left repeat steps 3 and 4
6. Open the Rotahaler and discard the empty capsule.

ALWAYS DEMONSTRATE TO THE PATIENT HOW TO USE THE ROTAHALER
© NARTC