How to use HandiHaler
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How to use HandiHaler

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Using your inhaler (puffer) properly is important when you have asthma or COPD (chronic obstructive pulmonary disease).

This short video shows you how to use a HandiHaler.


A HandiHaler is used mainly with one medication - Spiriva (tiotropium).

Checklist of steps

  1. Open cap
  2. Open mouthpiece
  3. Peel back foil, remove capsule and put capsule in chamber
  4. Close mouthpiece until it clicks
  5. Press green piercing button in once and release (Do not shake).
  6. Breathe out gently (away from inhaler)
  7. Put mouthpiece between teeth (without biting) and close lips to form good seal
  8. Breathe in slowly and deeply, so capsule vibrates
  9. Keep breathing in as long as comfortable
  10. While holding breath, remove inhaler from mouth
  11. Breathe out gently (away from inhaler)
  12. Repeat steps 7 - 11 to take the full dose
  13. Open mouthpiece and remove used capsule
  14. Close mouthpiece
  15. Close cap

Your inhaler will come with instructions in the package. Always check the package insert for any specific instructions.

Potential errors


Getting the most out of your inhaler

Ask your doctor, pharmacist or asthma & respiratory educator to:

Other inhaler types

See our complete How-to video library for other inhaler types and how to use them.


Thanks to Ms Judi Wicking, asthma and respiratory educator, and the patient who participated in this film clip.

Development of this How-to video was supported by the Australian Government Department of Veterans' Affairs as part of the Prevent Puffer Problems campaign. The National Asthma Council Australia retained editorial control.