Preparing your medication
for nebulisation

Promixin is inhaled (breathed in) into the lungs using a nebuliser. Before Promixin can be placed into the nebuliser and inhaled it must first be dissolved in a solution called a diluent. This diluent will be either sterile water, sterile 0.9% saline or a half and half mixture of sterile water and sterile 0.9% saline. You will be advised which diluent to use by your doctor or nurse.

Opening the vial

Adding the diluent

Mixing the diluent

Next steps

OPENING THE VIAL PART 1

Locate the lip on the red plastic top of the Promixin vial near the arrow marked “FLIP UP”. Then holding the vial in one hand and the red plastic top with the other hand, turn the top a small amount anti-clockwise. Place a thumb under the lip and push the top up to about 90°.

OPENING THE VIAL PART 2

Grasp the plastic top as shown in diagram 2 and pull open slowly, like a hinge, to almost 180°.

Turn the vial around so that the plastic top is pointing towards you. Holding the centre of the top as shown, pull it downwards and twist slightly to either the right or the left so that the metal seal is broken on one side.

OPENING THE VIAL PART 3

Once the seal is broken, hold the vial firmly and peel off the metal seal to reveal the whole of the rubber stopper.

ADDING THE DILUENT

Remove the rubber stopper from the vial of Promixin by holding the outside edge of the stopper only and place it upside-down on a clean surface. Slowly add the diluent to the vial, adding the volume of liquid your doctor or nurse has told you.

MIXING THE DILUENT PART 1

Replace the rubber stopper and gently turn the vial upside down twice.

MIXING THE DILUENT PART 2

Roll the vial gently between both hands to dissolve all the Promixin powder visible on the base and side of the vial.

Do not shake the vial too hard as this may make the solution foam.

NEXT STEPS

Once most of the powder is dissolved leave the vial to stand for 5–10 minutes to let any foam disappear and to allow any remaining powder
to dissolve.

Diagrams shown as examples only. The actual colours of the parts of the vial may differ from those shown.

IMPORTANT:

Once you have prepared Promixin, you should put it into the nebuliser and use it immediately. If it is not possible to use the prepared solution immediately, replace the stopper in the vial and store in a refrigerator for no longer than 24 hours.

Do not use any solutions that have been prepared and stored for longer than 24 hours. You will need to discard the product and prepare a new vial. Ask your pharmacist how to throw away unused medicines.

About your medicine About your I-neb

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Preparing your medicationfor nebulisation