Are you a patient or carer?

This information is intended solely for patients who have been prescribed a Chiesi product by a UK healthcare professional, and their carers. Please confirm below, or go back to the home page.

UK-RES-2101605 August 2021

You are now leaving Chiesi's website

By clicking this link, you will be taken to a website that is not owned or controlled by Chiesi. Chiesi is not responsible for the content provided on that site.

Go back

UK-RES-2101574 August 2021

How to use Trimbow®

Read all of the Patient Information Leaflet (PIL) provided with your inhaler carefully before you start using this medicine because it contains important information for you. This is also available to view or download via the Electronic Medicines Compendium Website (eMC).

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

Take your inhaler: 2 puffs in the morning. 2 puffs in the evening.
First use

Before using your inhaler for the first time you should test it to make sure it is working properly:

  • Check that the dose counter reads ‘121’.
  • Remove the protective cap from the mouthpiece.
  • Hold your inhaler upright with the mouthpiece at the bottom and direct the mouthpiece away from you.
  • Firmly press the pressurised container to release one puff into the air.
  • You should see a ‘mist’ come from your inhaler.
  • Check the dose counter. If you are testing your inhaler for the first time, the counter should now read ‘120’.

Once you are satisfied that it is working correctly, you can start using your inhaler.

Trimbow Dose Counter
Everyday use
To use your Trimbow inhaler follow the five steps shown here, making sure not to rush yourself, especially during steps 2 to 5.

Step 1
To begin, stand or sit in a comfortable upright position. Remove the protective cap from the inhaler mouthpiece and check that it is clean and free from dust, dirt, or any other foreign objects.
Cap being removed from Trimbow device

Step 2
Breathe out slowly and deeply.
Person breathing out whilst holding the Trimbow device
Step 3
Hold the inhaler upright. Place the mouthpiece between your front teeth without biting it, closing your lips tightly around the mouthpiece to form an effective seal. Ensure your tongue remains flat and does not obstruct the mouthpiece.
Person holding device to their mouth

Step 4
Whilst breathing in slowly and deeply through your mouth, press down firmly on the pressurised container to release one puff.
Person pressing down on the pressurised container whilst breathing in

Step 5
Hold your breath for 5-10 seconds or as long as is comfortable, and finally, remove the inhaler from your mouth and breathe out slowly. Do not breathe out into the inhaler.
Person breathing out whilst holding the Trimbow device
To take a second dose

Keep your inhaler in the upright position for about half a minute, then repeat steps 2 to 5. Take your time: DO NOT REPEAT STEPS 2 TO 5 TOO QUICKLY.

After use

Cap being placed onto Trimbow deviceAfter use, close with the protective cap and check the dose counter. The dose counter should decrease by one with every puff.

Rinse your mouth or gargle with water, without swallowing, or brush your teeth each time you use your inhaler. This is to lower the risk of a fungal infection in the mouth and throat. 

Make sure you clean your Trimbow inhaler every week as described in the patient information leaflet within the pack.

You should get a replacement when the dose counter shows the number ‘20’. Stop using the inhaler when the dose counter shows ‘0’, as any medicine left in the inhaler may not be enough to give you a full dose.

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.

Helpful resources

When you click on any of the resources below, you will get a choice of an asthma or COPD option.

How to use your device - Videos: With and without a spacer
Trimbow® User Guide - Download Button - PDF: 0.92mb
Patient Information Leaflet - Download Button - PDF: 0.59mb

This website has been provided by Chiesi Limited to support patients, and carers of patients, prescribed Chiesi respiratory products. If you have not been prescribed Trimbow and are looking for information on another Chiesi respiratory product please visit our homepage.

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.

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.

Trimbow user guides:

Watch ‘how to’ use your Trimbow device without a spacer Watch ‘how to’ use your Trimbow device with a spacer

Trimbow® NEXThaler® 88/5/9 user guide:

Watch ‘how to’ use your Trimbow device without a spacer
How to use your inhaler

How to use your Trimbow inhaler


Watch ‘how to’ use your Trimbow device without a spacer
Watch ‘how to’ use your Trimbow device with a spacer
Watch ‘how to’ use your Trimbow device without a spacer
Watch ‘how to’ use your Trimbow device with a spacer

How to use your inhaler with an AeroChamber® plus spacer