INTENDED FOR UK HEALTHCARE PROFESSIONALS
Background

Request a placebo training inhaler

I would like to request the following placebo training inhaler(s) from Chiesi Limited to aid with inhaler technique:

White pressurised metered dose inhalers (pMDI)

Chiesi will supply you with a white generic placebo training inhaler that represents all our Clenil® (beclometasone), Atimos® (formoterol) and Fostair® (beclometasone/formoterol) pMDI devices.

Quantity: (Maximum of 5)

White placebo training inhaler
Grey pressurised metered dose inhalers (pMDI)

Chiesi will supply you with a grey placebo training inhaler that represents our Trimbow® (beclometasone/formoterol/glycopyrronium) pMDI device.

Quantity: (Maximum of 5)

Grey placebo training inhaler
Dry Powder Inhalers (DPI)

Chiesi will supply you with a pink and white placebo training inhaler to represent our Fostair® NEXThaler® device.

Quantity: (Maximum of 5)

Fostair® NEXThaler® placebo training inhaler
Your details*: (all fields are mandatory in order to receive your placebo training inhaler)

Please select how you would like to receive your inhaler(s):

I would like this delivered by my local Chiesi Limited RepresentativeI would like this posted to me

By ticking the boxes above you agree:

  • Chiesi can hold your contact details in order to provide information to you as described
  • You accept the Chiesi privacy & cookie policy
I confirm that I am a UK healthcare professional
*Note placebo training inhalers can only be sent to NHS institution addresses. Chiesi provide placebo training inhalers for individual use only. They are supplied only to enable the healthcare professional to demonstrate the correct inhaler technique to a patient.

We will use the contact details you have provided above to arrange for the delivery of your placebo training inhaler device. We will not use your contact details to send any promotional or marketing communications unless you provide your consent for us to do so. Your contact details are handled in accordance with the ABPI Code of Practice for the Pharmaceutical Industry, the General Data Protection Regulation ((EU) 2016/679) and our Privacy Policy which can be found at chiesi.uk.com or can be provided upon request.

Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events should also be reported to Chiesi Limited on 0800 0092329 (UK) or PV.UK@Chiesi.com.

Disclaimer

The purpose of this section of the website is to provide UK healthcare professionals with accurate and relevant information on Chiesi Limited respiratory products.

The contents of this area of the website are intended solely for the use of UK healthcare professionals. If you are NOT a UK healthcare professional, please exit this section of the website.

YES I AM

a UK healthcare professional

NO I'M NOT

a UK healthcare professional

UK-RES-1900858 Jun 2019