Trimbow® NEXThaler® 88/5/9

Your doctor, nurse or pharmacist has prescribed you a Trimbow NEXThaler, a dry powder inhaler (DPI), to help you to manage your COPD. Your prescribed inhaler should look like the image here.

Taking your inhaler as prescribed can help to manage your symptoms, and this page contains information to help you with this.

Remember, should you need additional advice regarding your COPD, please speak to your doctor, nurse or pharmacist.

How to use Trimbow NEXThaler
Trimbow® (Beclometasone/Formoterol/Glycopyrronium) NEXThaler® DPI 88/5/9

How to use Trimbow NEXThaler

How to use Trimbow NEXThaler

Trimbow NEXThaler 88/5/9 User Guide

Trimbow NEXThaler 88/5/9 for COPD User Guide

Trimbow NEXThaler 88/5/9 Patient Information Leaflet

Trimbow NEXThaler 88/5/9 (GB) Trimbow NEXThaler 88/5/9 (NI)

How to Use Trimbow

Firstly, it’s important to read all of the Patient Information Leaflet provided with your inhaler carefully before you start using this medicine because it contains important information for you.

If you are in Great Britain, you can download the Patient Information Leaflet at this link. If you are in Northern Ireland, please use this link.

Trimbow should be taken as prescribed – 2 puffs, twice a day.

First use

When using a new inhaler, you should:

  • Write down the date you opened the pouch on the box label
  • Open the pouch and take out your inhaler
    • If your inhaler was not sealed, is damaged, broken or showing less than ‘120’ on the dose counter, please return it to the pharmacy where it was supplied and request a new one.1

Everyday use

To use your Trimbow inhaler, follow the 5 steps shown here. Don’t rush yourself, especially during steps 2 to 5.

  • Step 1

    OPEN

    Open the cover fully with your inhaler in the upright position.

    Note the number of doses left on the dose counter. Any number between “1” and “120” shows that there are doses left.

    Step 2

    INHALE

    Whenever possible, stand or sit in an upright position when inhaling.

    Before inhaling breathe out as far as is comfortable.

    Do not breathe out through your inhaler.

    Lift your inhaler up, bring it to your mouth and place your lips around the mouthpiece.

    Do not cover the air vent when holding our inhaler and do not inhale through the air vent.

    Take a forceful and deep breath through your mouth.

    • You may notice a taste when you take your dose.
    • You may hear or feel a click when the dose has been released from the device.
    • Do not inhale through your nose.
    • Do not remove your inhaler from your lips during the inhalation.

    Step 3

    EXHALE

    Remove your inhaler from your mouth.

    Hold your breath for 5 to 10 seconds or as long as is comfortable.

    Breathe out slowly.

    Step 4

    CLOSE

    Close the cover fully with the inhaler in the upright position.

    Step 5

    Check that the dose counter has gone down by 1. This will indicate that you have successfully inhaled a dose.

    If you are not sure the dose counter has gone down by one after inhalation, wait until your next scheduled dose and take this as normal. Do not take an extra dose.

To take a second dose

Repeat steps 1 to 5. Do not repeat steps 2 to 5 too quickly.

After use

To lower the risk of a fungal infection in your mouth and throat, rinse your mouth or gargle with water, without swallowing, or brush your teeth each time after you use your inhaler. 

Regular cleaning is normally not needed but you can clean it after use with a dry cloth or tissue, not with water or other liquids. It’s important to keep your inhaler dry.

Replacements and disposal

You should get a replacement when the dose counter shows ‘0’, as there are no doses left.

Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Trimbow NEXThaler 88/5/9 for COPD

Your inhaler contains three medicines:

  • beclometasone: which belongs to a group of medicines called corticosteroids, which help to reduce the swelling and irritation in the lungs
  • formoterol: a long-acting beta-agonist
  • glycopyrronium: a long-acting muscarinic antagonist

Formoterol and glycopyrronium relax the muscles in the airways, helping to open them wider and allowing you to breathe more easily.

It is important that you know how to use your inhaler properly.

Your doctor, nurse or pharmacist will show you how to use your inhaler correctly.

You should follow their instructions carefully so that you know how, when and how many inhalations to inhale.

It is important that you use your preventer inhaler as prescribed, even if you feel well, as this will help control your COPD symptoms.

Your doctor, nurse or pharmacist will advise you on how your Trimbow NEXThaler should be taken in combination with other medication and provide you with an action plan to help you manage your respiratory symptoms.

Take me to How to Use steps ^

How to use Trimbow NEXThaler

 

Thumbnail: Video of how to use NEXThaler®
Download the Trimbow NEXThaler 88/5/9 for COPD User Guide

Frequently Asked Questions

Using your inhaler

  • Always use this medicine exactly as your doctor, nurse or pharmacist has instructed.

    Check with your doctor, nurse or pharmacist if you are not sure about how to take your inhaler correctly.

    You should take your inhaler as prescribed – 2 inhalations, twice a day.

  • When you don’t have any symptoms or you feel like you don’t need it, it can be easy to forget to use your inhaler. You should remember that regular use of your inhaler is important to keep you feeling this way.

    You should use your inhaler as prescribed. 2 inhalations twice a day, every day, even when you are feeling well.

  • Step-by-step instructions on how to use your inhaler are available in the Trimbow NEXThaler COPD User Guide.

    1. You may hear and/or feel a click when you inhale your dose – this means that the dose has been released from the inhaler. Note that opening and closing the cover will also make a click sound.
    2. You may notice a taste when you take your dose. 
    3. When you close the cover after a successful inhalation, the dose counter will go down by one. The counter will not decrease if you do not successfully inhale a dose.

  • Doses do not accumulate. This means you can’t accidentally take extra medicine or a double dose in one inhalation.

Looking after your inhaler

  • Once collected from the pharmacist, keep the inhaler in the original package in order to protect from moisture and only remove it from the pouch immediately before first use. Do not store above 25°C.

    After first opening the pouch, the inhaler should be used within 6 weeks and stored in a dry place.

    Keep this medicine out of the sight and reach of children.

    Do not use this medicine after the expiry date which is stated on the label and carton after ‘EXP’. The expiry date refers to the last day of that month.

  • Regular cleaning of your inhaler is not necessary. You may clean your inhaler after use with a dry cloth or tissue.

    Do not clean your inhaler with water or other liquids. Keep it dry.

  • Your inhaler should last you 30 days if you are taking 2 inhalations, twice a day, every day. You should order a replacement when the dose counter approaches zero.

Side effects and other medications

  • Like all medicines, Trimbow may cause side effects, although not everybody gets them. If you do get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the Patient Information Leaflet.

    You can also report side effects directly via the Yellow Card Scheme. By reporting side effects you help provide more information on the safety of this medicine.

  • Your doctor, nurse or pharmacist can advise you about using other prescribed medications. You should also check with your pharmacist before taking medicines bought over the counter.

    You must tell your doctor, nurse or pharmacist about any medication you may be taking, including herbal remedies.

Further resources and support

Find further information on living well with your COPD on our resources below. 

COPD resources

Find further information and resources to help manage your COPD.

Explore COPD

It can be isolating, suffering from a condition that may limit your ability to get out and about. There is a lot of information available online, but it’s important to go to a reliable source. The suggested resources listed below can offer you further support on the various aspects of living with COPD.

 

NHS

Helpline: 111 (non-emergency)
NHS COPD information
NHS Smokefree

Asthma + Lung UK

Helpline: 0300 222 5800 (non-emergency)

Explore support for COPD, including Breathe Easy support groups

Reference

    1. Trimbow NEXThaler Patient Information Leaflet. Electronic Medicines Compendium. Available at: https://www.medicines.org.uk/emc/files/pil.12829.pdf

The information provided here is not intended to replace the advice of your healthcare professional. If you have any questions about your medication, please speak to your doctor, nurse or pharmacist.

If you have not been prescribed Trimbow NEXThaler and are looking for information on another Chiesi respiratory product please visit our homepage.

Reporting of side effects: If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.