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Using a Turbuhaler. There are different types of dose counters on turbuhalers. 1. Hold the inhaler upright with the grip downwards and unscrew the cap. They use their 'reliever inhaler' when they get asthma symptoms, to make it easier to breathe again. b) Some people are prescribed Symbicort Turbohaler as their You must inhale the medicine before loading the device again. How can I tell when the turbuhaler is empty? The Symbicort brand of turbuhaler has a dose counter How do I use my Symbicort Inhaler? 1. Remove Symbicort cap. Place middle or index finger on top of canister and thumb underneath the mouthpiece of the Symbicort is indicated in the regular treatment of asthma, where use of a combination. (inhaled corticosteroid and long-acting beta2-agonist) is appropriate: -Pulmicort (budesonide); Symbicort (budesonide plus eformoterol). Checklist of steps. Unscrew and remove cover; Check dose counter; Keep inhaler upright while