The symptoms you are describing are not listed as either a common or less common side effect of the turbohaler medication. We would recommend that you tell your doctor of your symptoms you are describing. A twice a day prescription should be spaced out as near to 12 hours apart as is possible.

@@HyperLinguist-AI Thank you for getting in touch and leaving you comment. With regards to your comment: ‘Chest Heart & Stroke Scotland wrong. It can certainly cause heart racing. Salmeterol activates beta 2 adrenergic receptors in the myocardium. If the person has a frail heart, 999’ Please be advised that the “ How to use the Turbohaler” is an instructional video on how to take you prescribed medication using the Turbohaler device safely and effectively. There are different medications to treat Asthma and COPD and this video is not intended to and does not discuss the aspects and side effects of these medications. The person demonstrating in the video is someone who uses the device for her own condition and does advise the viewer(s) to read the information leaflet that comes with their medication/devise. As well as advising what to do if the viewer has taken an extra dose of their Turbohaler medication. She advises the viewer to contact their Health Care Professional or Pharmacist. As well as describing the advice that she was given from her own pharmacist when she did this herself (i.e. took an extra dose). Unfortunately I cannot comment on other issues you raise in your email. But if you have any concerns regarding taking your own medications then contact your Health Care Professional or Pharmacist. If you have concerns regarding an incident that you were witness to then you can contact your local ‘Ambulance Service Trust’ or alternatively contact’ Health and Care Professions Council’ to discuss. I hope that this information is helpful.

Rollie Barrett i have the exact same problem. Did you find why this happens?

Hi Rollie, sorry for the slow reply; this advice is from our nurses and specialists: When using a turbo inhaler device, the first turn, which is following inhalation, will not click. Only after the turn which has clicked is it ready to inhale. As soon as it clicks , it’s loaded and ready for inhalation. So, 2 turns- 1 silent then 1 which clicks. Inhale after the one which clicks. If you remain unsure please speak to your GP, nurse or pharmacist for more information.

Mime clicks first then nothing on return my pharmasist says that ots right as you cam only turn it one way which is twisting left then back right and i have been on this onhaler for over 12 years and its always been twist left (clicks) back right inhale. All the videos i have seen show this way so unless every inhaler i have had is broke. Did you ever find out as this reply wasn't really straight forward

I have exact same problem, why is this happening? Brand new haler and it clicks on first and on second not....

@@kwaahh I have no idea I have symbicort turbohaler and the instructions are to twist it clicks twist back then inhale so I have no idea why all the videos show a clock 2and I have been on symbicort for over 8 years and never has it once clicked on 2nd turn.only ever on the first

did you reach a conclusion for this issue ?

I have the same doubt

Same

Hi there thanks for your comment. It may be worthwhile bringing your device to your local pharmacist where they may be able to check your technique and the device as appropriate.

The dose indicator tells you how many doses (inhalations) are left in your Turbohaler. When you first see a red mark at the edge of the indicator window, there are approximately 20 doses left. For the last 10 doses, the background of the dose indicator is red. When the ‘0’ on the red background has reached the middle of the window, you must start using a new Turbohaler as it is now empty. Continuing to inhale from the Turbohaler once the device is empty, should not cause any harm but you will not be receiving any of the medication. Please contact your local practice nurse for more information on how to use your device Note: The grip will still twist and ‘click’ even when your Turbohaler is empty. The sound that you hear as you shake your Turbohaler is produced by a drying agent and is not the medicine. So the sound you can hear does not tell you how much medicine is left in your Turbohaler.

Thanks, good information

you didn't say how long it lasts ?

From what you describe in your comment it would appear that the dose counter on your turbohaler is stuck and is not counting down. So this will mean you do not know how many doses are left in this inhaler. It is important to make sure you are using an inhaler that is accurately counting down so contact your pharmacist or doctor to be issued with a new inhaler.

@@CHSScotland alright…thank you..i’ll do that…..🙏🏻

Hi Tina The answer is you do not need to shake it as it is made of a very fine dry powder. Other inhaler types, such as aerosol ones do need to be shaken before use but not dry powder ones like the turbohaler. Always read the instructions that come with your device for additional information about how to use it. I hope this helps! Best Wishes Jill

My respitory nurse wont agree with your reply im afraid,ive got copd and use symbicort turbohaler and i have to shake it first! my nurse would have a fit if i didnt,lol

You are not required to shake the dry powder device before using it but it will not do any harm to shake it prior to loading it, if you are happier to continue doing so. However, you should not shake the device after you have loaded the dose of medication to inhale as it can be lost and not be effective. If you have any further questions, you should discuss it with your respiratory nurse or you can contact the Advice Line Nurses on freephone 0808 801 0899.

I just give mine a firm tap before I use it just to make sure the powder is all lose and free and to ensure it flows freely.