Alora Medical RespiPEP Therafizz Blow Bottle

The Alora Medical RespiPEP Therafizz Blow Bottle is a reusable Positive Expiratory Pressure (PEP) device designed to support controlled breathing, lung expansion, airway clearance, and respiratory rehabilitation. It works on a simple principle: you exhale steadily through the device against gentle resistance, which creates positive pressure in the airways and produces a stream of bubbles you can see and pace yourself by. It's used for guided respiratory therapy before surgery, during recovery, for selected respiratory conditions, and as a breathing-support tool during pregnancy and labour when recommended by a healthcare professional.

Made from 100% BPA-free, non-toxic, odourless medical-grade silicone, the RespiPEP Therafizz combines adjustable resistance with a pressure-regulating safety valve and a one-way valve system, along with an ergonomic handle, a detachable lid, and a protective mouthpiece cover. It's a Class A medical device (NAPPI code 1165418001), manufactured and distributed by Alora Medical, a SAHPRA-licensed medical device company. Because the pressure it generates depends on the water level and resistance setting, it's designed to be individualised — used at the settings your instructions or your healthcare professional recommend.

How it works

• Positive expiratory pressure: Breathing out against gentle resistance creates positive pressure in the airways during exhalation, which is what the therapy is built around.
• Adjustable resistance and water level: Both the water level and the resistance setting influence the pressure generated, so the device can be dialled in to the level that suits you.
• Pressure-regulating safety valve: Helps regulate the pressure during exhalation.
• One-way valve system: Helps reduce contamination and lowers the risk of aspiration or accidental water intake.
• Closed-pore silicone surface: Designed to reduce moisture absorption and make the device easier to clean.

How to use

1. Add the specified amount of clean water to the device.
2. Secure the lid and confirm that all parts are correctly assembled.
3. Sit or stand in a comfortable, supported position.
4. Hold the device using the ergonomic handle.
5. Breathe in gently through the nose, or as directed.
6. Seal your lips around the mouthpiece.
7. Exhale steadily through the device to create bubbles.
8. Maintain a controlled, comfortable exhalation.
9. Repeat the prescribed number of breaths.
10. Perform a huff or cough when instructed, to help clear loosened mucus.

The number of breaths, water level, resistance, and frequency should be individualised to you. During pregnancy or labour, breathe at a comfortable pace and stop if you feel dizzy, faint, breathless, or unwell. Clean the device after every use according to the manufacturer's instructions — empty the water, disassemble the removable parts, wash and rinse thoroughly, and let everything dry fully before reassembly.

Best For

The Alora Medical RespiPEP Therafizz Blow Bottle is a great option for people who:

• Have been guided towards PEP therapy for breathing exercises, lung expansion, or airway clearance before surgery or during recovery
• Want a reusable, lightweight and portable device with an adjustable resistance they can personalise to their prescribed settings
• Are looking for a breathing-support tool to use during pregnancy or labour, on the advice of their doctor, midwife, physiotherapist, or obstetric care provider

It should be used only under professional guidance if you have a high-risk pregnancy, pre-eclampsia, significant heart or lung disease, a recent pneumothorax, an untreated air leak, severe cardiovascular instability, recent thoracic surgery, significant haemoptysis, severe respiratory distress, difficulty clearing secretions safely, or an inability to follow the instructions.

Disclaimer

The RespiPEP Therafizz should be used only as directed in the supplied instructions or as advised by a qualified healthcare professional. Pregnant users should discuss use with their doctor, midwife, physiotherapist, or obstetric healthcare provider. Evidence relating to breathing exercises in pregnancy and labour does not guarantee a specific clinical outcome from using this device, and the product does not replace medical assessment, prescribed treatment, respiratory physiotherapy, maternity care, or emergency care. Do not allow children to use the device unsupervised, and do not use damaged, cracked, or degraded components. Do not share the device unless it has been appropriately cleaned and disinfected.

Stop using the device and seek advice if you experience severe shortness of breath, chest pain, dizziness or fainting, coughing up blood, marked wheezing, a sudden worsening of symptoms, significant discomfort during exhalation, persistent tingling around the mouth or fingers, or an inability to clear loosened mucus. During pregnancy or labour, stop and seek urgent maternity assessment if there is heavy vaginal bleeding, severe headache, chest pain, fainting, severe breathlessness, reduced fetal movement, a seizure, severe abdominal pain outside expected contractions, or any concern raised by your maternity team.

Pandylane Pro Tip

Keep the protective mouthpiece cover on between sessions and store the device in a clean, dry place — the detachable lid makes it easy to open up the chamber for a proper clean, and a portable carrying rope is included so you can take it with you to appointments or keep it packed for your hospital bag.