Clenil Modulite

Clenil Inhalers are used to help prevent the symptoms of mild, moderate or severe asthma. The active ingredient, beclometasone, is a corticosteroid. They reduce the swelling and irritation in the lungs, and so ease breathing problems.

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What is Clenil Modulite?

Clenil Modulite pressurised inhalation solution is used to help prevent the symptoms of mild, moderate or severe asthma. The active ingredient, beclometasone dipropionate, is one of a group of medicines called corticosteroids which are often referred to simply as steroids. Steroids have an anti-inflammatory action reducing the swelling and irritation in the walls of the small air passages in the lungs, and so ease breathing problems.

Dosage

Clenil Modulite is available in 4 different strengths. Your doctor will have decided which strength you need.

It takes a few days for your inhaler to work. It is very important that you use it regularly.

Do not stop treatment even if you feel better unless told to do so by your doctor.

Do not stop using your inhaler abruptly.

Dosage:

A device called a Volumatic spacer should always be used when:

adults, the elderly and adolescents 16 years of age and older are taking total daily doses of Clenil Modulite of 1,000 micrograms or more

when Clenil Modulite is used in children and adolescents 15 years of age and under whatever dose has been prescribed.

Clenil Modulite 50 micrograms

 

The common starting dose is:

Adults and the elderly: 200 micrograms (4 puffs) twice a day

Adults and the elderly: 800 micrograms (16 puffs)

The total daily dose may be divided into 2, 3 or 4 doses per day.

Clenil Modulite 100 micrograms

 

The common starting dose is:

Adults and the elderly: 200 micrograms (2 puffs) twice a day

Adults and the elderly: 800 micrograms (8 puffs)

Usually, the most you would take in a day is: 800 micrograms (4 puffs)

The total daily dose may be divided into 2, 3 or 4 doses per day.

Clenil Modulite 200 micrograms

 

The common starting dose is:

Adults and the elderly only: 200 micrograms (1 puff) twice a day

Usually, the most you would take in a day is: 800 micrograms (4 puffs)

The total daily dose may be divided into 2, 3 or 4 doses per day.

This product strength is not suitable for children

Clenil Modulite 250 micrograms

 

The common starting dose is:

Adults and the elderly only: 500 micrograms (2 puffs) twice a day

Usually, the most you would take in a day is: 2,000 micrograms (8 puffs)

The total daily dose may be divided into 2, 3 or 4 doses per day.

This product strength is not suitable for children

How to use Clenil

It is important that you know how to use your inhaler properly. You must follow their instructions carefully, so that you know how, when and how many puffs to inhale and how often you must use your inhaler.

Each time you press the canister, the dose indicator rotates by a small amount. The number of puffs remaining is displayed in intervals of 20.

Take care not to drop the inhaler as this may cause the dose indicator to count down.

Testing Your Inhaler

If the inhaler is new or if it has not been used for three days or more, one puff should be released into the air to make sure that it works.

If you are testing your inhaler for the first time, 200 should be displayed on the dose indicator.

  1. Hold the inhaler upright as shown, with your thumb on the base, below the mouthpiece.
    Breathe out as far as is comfortable.
  2. Place the mouthpiece in your mouth between your teeth and close your lips around it but do not bite it.
  3. Just after starting to breathe in through your mouth press down on the top of the inhaler to release a puff while still breathing in steadily and deeply
  4. Hold your breath; take the inhaler from your mouth and your finger from the top of the inhaler.
    Continue holding your breath for a few seconds or as long as is comfortable. Breathe out slowly.
  5. If you are to take another puff, keep the inhaler upright and wait about half a minute before repeating steps 2 to 5.
  6. After use always replace the mouthpiece cover to keep out dust and fluff.

Replace firmly, snap into position and check the dose indicator.

Important: Do not rush steps 2, 3, 4 and 5.

It is important that you start to breathe in as slowly as possible just before operating the inhaler. Practice in front of a mirror for the first few times.

When to replace your inhaler

When the indicator shows 20 doses left, you should request a new inhaler from your doctor. This will ensure you have a replacement in good time. When the ‘0’ appears centrally in the window the medicine has run out and you should discard the inhaler. Your inhaler may feel like there are still some contents remaining but any remaining puffs may not contain enough medicine and should not be used.

If you see ‘mist’ coming from the top of the inhaler or the sides of your mouth, Clenil will not get into your lungs as it should.

People with weak hands or children may find it easier to hold the inhaler with both hands. Put the two forefingers on top of the inhaler and both thumbs on the bottom below the mouthpiece.

If you find it difficult to operate the inhaler while starting to breathe in you may use the Volumatic spacer device. Ask your doctor, pharmacist or nurse about this device.

you are an adult, elderly or an adolescent 16 years of age and older and are taking total daily doses of Clenil Modulite of 1,000 micrograms or more

Clenil Modulite is used in children and adolescents 15 years of age and younger, whatever dose has been prescribed.

Young children may find it difficult to use the inhaler properly and will require help. Using the inhaler with the Volumatic spacer device with a face mask may help in children under 5 years. Tell your doctor, nurse or pharmacist if you have any difficulties.

Cleaning your inhaler

You should clean your inhaler once a week. When cleaning, do not remove the canister can from the actuator and do not use water or other liquids to clean your inhaler.

To clean your inhaler:

  1. Remove the protective cap from the mouthpiece by pulling it away from your inhaler.
    2. Use a clean cotton swab to clean the small circular opening where the medicine sprays out of the canister. Gently twist the swab in a circular motion to take off any medicine.
    3. Replace the mouthpiece cover.

It is important that you also read the Package leaflet which is supplied with your Volumatic spacer device and that you follow the instructions on how to use the Volumatic and on how to clean it, carefully.

Side effects & precautions

Do not use Clenil Modulite:

You are being, or have ever been, treated for tuberculosis (TB).

You must avoid alcohol for any reason.

Your asthma seems to be getting worse. Perhaps you are more wheezy and short of breath than usual, your ‘reliever inhaler seems to be less effective, you require more puffs from your ‘reliever inhaler than usual, or you do not seem to be getting better.

Your doctor may need to increase the dose of your steroid inhaler or give you a course of steroid tablets or change your treatment altogether. If you have an infection in your chest your doctor may prescribe a course of antibiotics.

When transferring from steroid tablets to an inhaler you find that, even if your chest is getting better, you feel generally unwell, you develop a rash, eczema or a runny nose and sneezing (rhinitis).

Do not stop treatment with your inhaler unless your doctor tells you to.

Other medicines and Clenil Modulite:

Before starting treatment, please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Remember to take these medicines and your inhalers with you if you have to go into hospital.

Some medicines may increase the effects of Clenil Modulite and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat).

Pregnancy and breast-feeding:

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Clenil Modulite contains alcohol:

Clenil Modulite contains a small amount of alcohol. Each actuation (puff) from your inhaler contains about 9 mg of ethanol.

Like all medicines, Clenil Modulite can cause side effects, although not everybody gets them.

The following side effects have been reported.

Very Common:

  • Thrush in the mouth and throat. This is more likely if the daily dose taken is greater than 400 micrograms. Thrush can be treated with anti-fungal medicines whilst you continue to use Clenil Modulite. Brushing your teeth, or thoroughly rinsing your mouth with water immediately after each dose may help prevent thrush.

Common:

  • Hoarse voice or a sore throat or tongue. Using a Volumatic spacer device or rinsing your mouth with water immediately after using your inhaler may help prevent this.

Uncommon:

  • Allergic reactions including skin rashes, hives, itching or redness.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor 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 this leaflet.

You can also report side effects directly via the Yellowcard Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

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