How to use an inhaler - with spacer
Metered-dose inhalers (MDIs) usually have 3 parts:
If you use your inhaler the wrong way, less medicine gets to your lungs. A spacer device will help. The spacer connects to the mouthpiece. The inhaled medicine goes into the spacer tube first. Then you take 2 deep breaths to get the medicine into your lungs. Using a spacer wastes a lot less medicine than spraying the medicine into your mouth.
Spacers come in different shapes and sizes. Ask your doctor which spacer is best for you or your child. Almost all children can use a spacer. You do not need a spacer for dry powder inhalers.
The steps below tell you how to take your medicine with a spacer.
Metered-dose inhaler (MDI) administration - with spacer; Asthma - inhaler with spacer; Reactive airway disease - inhaler with spacer; Bronchial asthma - inhaler with spacer
Breathe in Slowly
Hold Your Breath
Keep Your Inhaler Clean
Look at the hole where the medicine sprays out of your inhaler. If you see powder in or around the hole, clean your inhaler. First, remove the metal canister from the L-shaped plastic mouthpiece. Rinse only the mouthpiece and cap in warm water. Let them air dry overnight. In the morning, put the canister back inside. Put the cap on. DO NOT rinse any other parts.
Replacing Your Inhaler
Most inhalers come with counters on the canister. Keep an eye on the counter and replace the inhaler before you run out of medicine.
DO NOT put your canister in water to see if it is empty. This does not work.
Storing Your Inhaler
Store your inhaler at room temperature. It may not work well if it is too cold. The medicine in the canister is under pressure. So make sure not to get it too hot or puncture it.
Laube BL, Dolovich MB. Aerosols and aerosol drug delivery systems. In: Adkinson NF Jr, Bochner BS, Burks AW, et al, eds. Middleton's Allergy Principles and Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 66.
National Asthma Education and Prevention Program website. How to use a metered-dose inhaler. www.nhlbi.nih.gov/health/public/lung/asthma/asthma_tipsheets.pdf. Updated March 2013. Accessed February 28, 2018.
Review Date: 2/18/2018
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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