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How to Use Nasal Sprays
Blow your nose gently before using the spray. Gently insert the bottle tip into one nostril. Press on the other side of your nose with one finger to close off the other nostril. Keep your head upright. Breathe in quickly while squeezing the bottle. Repeat in other nostril. Do not blow your nose right after using the spray. How to Use Nasal Pump Sprays
Blow your nose gently before using the spray. Prime the pump bottle by spraying it into the air a few times. Hold the bottle with your thumb at the bottom and the first two fingers at the top on either side of the nozzle. Tilt your head slightly forward. Gently insert the nozzle tip into one nostril. Press on the other side of your nose with one finger to close off th eother nostril. Breathe in quickly while squeezing down on the pump bottle one time. Repeat in other nostril. Do not blow your nose right after using the spray How to Use Metered-Dose Inhalers Using Your Inhaler It is important to use your inhaler the right way so that the full dose of medication reaches your lungs. You can use these general directions to help you remember the right way to use your inhaler, but you will also need specific directions for the type of inhaler your doctor has prescribed. Ask your doctor or pharmacist for a copy of the manufacturer's information for the patient that comes with your inhaler and read this information carefully. Ask your doctor or pharmacist to show you how to use your inhaler and to watch you as you use it for the first time. When you return on your next visit, ask your doctor or pharmacist to check that you are using your inhaler properly. Most inhalers can be used alone or with a spacer (plastic tube that attaches to an inhaler and helps the medication to reach the lungs). Spacers are useful for all patients, especially children, older adults, and patients who are using inhaled corticosteroids (a type of medication used to prevent swelling of the airways in patients who have asthma). Ask your doctor if you should use your inhaler with a spacer. If you will be using a spacer, be sure you understand how to use and clean it. Ask your doctor or pharmacist if you have any questions. You usually should prime (spray a few times into the air away from your face) your inhaler before using it for the first time or if you have not used it for several weeks. Read the manufacturer's directions for specific information about priming your inhaler. These directions explain how to use metered-dose inhalers. If you are using a different type of inhaler such as a dry powder inhaler or breath-activated inhaler (a type of inhaler that releases the medication automatically when you breath in), you will need to follow different directions. Ask your doctor or pharmacist if you need more information or if you do not know what type of inhaler you are using. Remove the cap and hold the inhaler upright. Shake the inhaler. Breathe out slowly through your mouth. Hold your inhaler as shown in one of the pictures below or as recommended by your doctor. Do not use method C if you are using a corticosteroid inhaler. If you are not using a spacer, begin to breathe in slowly through your mouth. While you are breathing in, press down on your inhaler one time to release the medication. If you are using a spacer, first press down on the inhaler, then within 5 seconds, begin to breathe in slowly through your mouth. Continue to breathe in slowly and as deeply as you can. Hold your breath for 10 seconds if you can to allow the medication to reach deeply into your lungs. Repeat steps 2 to 7 until you have inhaled the number of puffs that your doctor prescribed. If you are using a quick-relief medication (beta2 agonists), wait at least 15 to 30 seconds between puffs. There is no need to wait between puffs of other types of medication. Ask your doctor or pharmacist if you need to wait between puffs of your medication. After you use a corticosteroid inhaler, rinse your mouth thoroughly with water and then spit out the water. Do not swallow. Cleaning Your Inhaler You can use these general directions to clean your inhaler. However, you should always read and follow the manufacturer's specific directions for cleaning the type of inhaler that you are using. You can find these directions in the manufacturer's information for the patient. Clean your inhaler mouthpiece about once a week or as often as recommended by your doctor or pharmacist. In addition to your routine cleanings, clean your inhaler if little or no medication is sprayed when you activate the inhaler. Remove the metal canister from the L-shaped plastic mouthpiece. Rinse only the mouthpiece and cap with warm running water for about 30 seconds. Do not wash or put the canister in water. Let the mouthpiece and cap dry overnight. In the morning, put the canister back inside the mouthpiece and put the cap on the inhaler. Knowing When to Replace Your Inhaler You cannot see the medication in your inhaler, so it is hard to tell when it is empty. Some people think they can tell when their inhalers are empty by floating the canisters in water, spraying the medication into the air, or tasting the medication. However, none of these methods really work, and people who use these methods may continue to use their inhalers after the inhalers are empty. Some inhalers come with a counter that shows the number of sprays that remain in the inhaler. If your inhaler comes with a counter, do not use the inhaler after the counter shows that there are no sprays left. If your inhaler does not come with a counter, follow the directions in the manufacturer's information or use the directions below to find out when you should replace your inhaler. Always be sure that you replace your inhaler when it is empty so that you receive your full dose of medication. For long-term control medications that you take regularly each day: Multiply the number of puffs you use at a time by the number of times you use your inhaler each day. This is the total number of puffs you use each day. For example, if you use four puffs two times a day, you would multiply 4 by 2 and find that you use a total of eight puffs each day. Look at the label on your medication canister. The number of puffs that the canister contains should be listed on the label. Divide the number of puffs in the canister (the number that you found in step 2) by the number of puffs that you inhale each day (the number that you calculated in step 1). For example, if your new canister contains 200 puffs and you inhale eight puffs per day, you would divide 200 by 8 and find that your canister would last 25 days. Instead of following the steps above, you can use the chart below to estimate how long your canister will last. You should note the date that you begin using the canister and count ahead by the number of days you expect the canister to last. This will give you the date that you can expect your canister to be empty. For example, if you started using the new canister on May 1st, and the canister contains enough medication for 25 days, it should last until May 26th. Plan to refill your prescription before this date so that you will not run out of medication. You can write the date on your canister to help you remember when you will need to refill your prescription. For quick-relief medications that you use as needed: You will need to count each puff that you use. When the number of puffs used is near the total number of puffs in the canister, you will need to get a new canister. How to Use Vaginal Tablets, Suppositories, and Creams
It is best to use these products just before your bedtime. Lying down will reduce leakage of the medication from your vagina that could possibly occur while standing or walking around. Wash your vaginal area with a mild soap and water and dry thoroughly. (If the product comes as a pre-filled applicator, skip to step 4.)For vaginal cream products: Attach the applicator to the opening of the tube of cream and twist until firmly attached. Squeeze the cream from the tube into the applicator until it reaches the level indicated for your dose. Twist and remove the applicator from the tube.For tablets or suppositories: Remove the medication from the wrapper and place it into the end of the applicator. Gently insert the applicator into your vagina while you position your body in one of the two ways shown in the drawing. You can stand with your feet apart and your knees bent (figure A) or lie on your back with your knees bent and legs slightly apart (figure B). Insert the applicator only as far as it will comfortably go. Push the plunger of the applicator until it stops. Remove the applicator from the vagina. If the applicator is reusable, clean it as directed by the manufacturer. This usually involves pulling the two pieces apart and washing them with a mild soap and water. Discard the applicator if it is disposable. Continue to use the medication for as long as directed by your doctor or on the product labeling. Use the product without skipping any days, even during your menstrual period. You should use sanitary pads if you have your period while using this medication. Do not use tampons as they can absorb some of the medication and make your treatment less effective. How to Use Rectal Suppositories
Wash your hands thoroughly with soap and water. If the suppository is soft, hold it under cool water or place it in the refrigerator for a few minutes to harden it before removing the wrapper. Remove the wrapper, if present. If you were told to use half of the suppository, cut it lengthwise with a clean, sharp blade. Put on a finger cot or disposable glove, if desired (available at a pharmacy). Lubricate the suppository tip with a water-soluble lubricant such as K-Y Jelly, not petroleum jelly (Vaseline). If you do not have this lubricant, moisten your rectal area with cool tap water. Lie on your side with your lower leg straightened out and your upper leg bent forward toward your stomach. Lift upper buttock to expose the rectal area. Insert the suppository, pointed end first, with your finger until it passes the muscular sphincter of the rectum, about 1/2 to 1 inch (1.25 to 2.5 centimeters) in infants and 1 inch (2.5 centimeters) in adults. If not inserted past this sphincter, the suppository may pop out. Hold buttocks together for a few seconds. Remain lying down for about 15 minutes to avoid having the suppository come out. Try to avoid having a bowel movement for about an hour so that the medication in the suppository can be absorbed into the body. Discard used materials and wash your hands thoroughly. How to Use Nose Drops Blow your nose gently. Wash your hands thoroughly with soap and water. Check the dropper tip to make sure that it is not chipped or cracked. Avoid touching the dropper tip against your nose or anything else—the dropper must be kept clean. Tilt your head as far back as possible, or lie down on your back on a flat surface (such as a bed) and hang your head over the edge. Place the correct number of drops into your nose. Bend your head forward toward your knees and gently move it left and right. Remain in this position for a few minutes. Place the dropper back in the bottle right away. Do not rinse the dropper. Wash your hands to remove any medication. How to Use Eye Ointments and Gels
Wash your hands thoroughly with soap and water. Avoid touching the tip of the tube against your eye or anything else—the tube tip must be kept clean. Holding the tube between your thumb and forefinger, place it as near to your eyelid as possible without touching it. Brace the remaining fingers of that hand against your face. Tilt your head backward slightly. With your index finger, pull the lower eyelid down to form a pocket. Squeeze a 1/4- to 1/2-inch (0.6- to 1.25-centimeter) ribbon of ointment or gel into the pocket made by the lower eyelid. Remove your index finger from the lower eyelid. Blink your eye slowly; then gently close your eye for 1 to 2 minutes. With a tissue, wipe any excess ointment or gel from the eyelids and lashes. With another clean tissue, wipe the tip of the tube clean. Replace and tighten the cap right away. Wash your hands to remove any medication. Your vision may be blurry for a short amount of time after using the eye ointment. Wait until you can see normally before you drive or do other activities that require good vision. How to Use Eyedrops Wash your hands thoroughly with soap and water. Check the dropper tip to make sure that it is not chipped or cracked. Avoid touching the dropper tip against your eye or anything else—eyedrops and dropper must be kept clean. Remove contact lenses unless the product is to be specifically used with contact lenses. While tilting your head back, pull down the lower lid of your eye with your index finger to form a pocket (see figure). Hold the dropper (tip down) with the other hand, as close to the eye as possible without touching it. Brace the remaining fingers of that hand against your face. While looking up, gently squeeze the dropper so that a single drop falls into the pocket made by the lower eyelid. Remove your index finger from the lower eyelid. Close your eye for 2 to 3 minutes and tip your head down as though looking at the floor. Try not to blink or squeeze your eyelids. Place a finger on the tear duct and apply gentle pressure. Wipe any excess liquid from your face with a tissue. If you are to use more than one drop in the same eye, wait at least 5 minutes before instilling the next drop. Replace and tighten the cap on the dropper bottle. Do not wipe or rinse the dropper tip. Wash your hands to remove any medication. How to Use Ear Drops (Having someone else give you the ear drops may make this procedure easier.) Wash your hands thoroughly with soap and warm water. Gently clean your ear with a damp facecloth and then dry your ear. Warm the drops to near body temperature by holding the container in the palm of your hand for a few minutes. If the drops are a suspension or if the label indicates, shake the bottle well for 10 seconds. Check the dropper tip to make sure that it is not chipped or cracked. Draw the medication into the dropper, or hold the dropper-top bottle with the dropper tip down. Tilt the affected ear up or lie on your side. Pull the ear backward and upward (or if giving to a child younger than 3 years of age, pull backward and downward) to open the ear canal. Avoid touching the dropper tip against your ear or anything else—the dropper must be kept clean. Place the correct number of drops in your ear. Then gently press on the small skin flap (tragus) over the ear to help the drops to run into the ear canal. Keep your ear tilted up for a few minutes or insert a soft cotton plug in your ear, whichever method has been recommended by your pharmacist or doctor. Replace and tighten the cap or dropper right away. Wash your hands to remove any medication. |