Keep your head upright. Close your lips tightly around the mouthpiece. BREATHE IN slowly and deeply, but strongly enough to make the capsule inside the HandiHaler vibrate. You will hear the vibrations.
When your lungs are full, hold your breath.
Exhale and breathe normally again.
REPEAT steps 6 to 9 to be sure you get the full dose.
Open the mouthpiece. Tip the HandiHaler so the used capsule falls out and into the garbage.
Close the HandiHaler. Store it with your SPIRIVA capsules.