Hello. My name is Glenn Furuta.
I'm the director of the
gastrointestinal eosinophilic
diseases program at Children's
Hospital Colorado. In this video
we'll provide instructions on
how to properly take topical
steroids for eosinophilic
esophagitis. We're making this
video because these medicines
have been used for a number of
years to take care of asthma,
but we give them to our patients
and prescribe them in a little
bit of a different fashion. This
medicine will help your
esophagus feel better so that
you're able to eat and drink
more easily. This medication is
contained in a multidose inhaler
and needs to be sprayed in the
mouth and swallowed in order to
coat the esophagus. This is a
multidose inhaler which can be
used to treat asthma. These
instructions will be different
from asthma treatment
instructions because you will be
swallowing the medications
instead of inhaling it. The
first step is to shake the
inhaler for 15 seconds before
using it. You should then remove
the cap from the mouthpiece.
It's important that you do not
attach a spacer to the
mouthpiece. The next step is to
take a breath in and out, and
then close your mouth around the
mouthpiece, sealing your lips.
Press down on the top of the
canister and swallow the
medication that is sprayed into
your mouth. Do not breathe in
until after the medication is
swallowed. Some of the
medication may come out of your
nose or mouth. You should
repeat these steps if you're
instructed to take two puffs
each time. It's important that
you don't rinse your mouth out
or eat or drink anything for 30
minutes after swallowing the
medication. This will allow it
to stay in the lining of the
esophagus for a longer period of
time. It's also important that
you take your medication every
day to decrease the inflammation
and prevent it from returning. 
