Directions for the proper use of an inhaler with a spacer:
- Remove the cap from the inhaler.

- Hold the inhaler with the mouthpiece at the bottom.
- Shake the inhaler.
- Insert the spacer if you have one, and place your mouth around the spacer.
- Tilt your head back slightly.
- Gently exhale.
- Begin a slow, deep breath and activate the inhaler.
- Continue to inhale slowly and deeply over 3 - 5 seconds.
- Hold your breath for 5-10 seconds.
- Repeat steps 3 through 10 if you require more than one puff.
Directions for the proper use of an inhaler without a spacer:
- Remove the cap from the inhaler.
- Hold the inhaler with the mouthpiece at the bottom.
- Shake the inhaler.
- Hold the mouthpiece 1.5 inches (4 cm) in front of your mouth. Your mouth should not touch the mouthpiece.
- Tilt your head back slightly and open your mouth widely.
- Gently exhale.
- Begin a slow, deep breath and activate the inhaler.
- Continue to inhale slowly and deeply over 3 - 5 seconds.
- Hold your breath for 5-10 seconds.
- Repeat steps 3 through 10 if you require more than one puff.
Tips on using an inhaler:
- Keep your inhaler with you at all times. Use it at the first sign of wheezing.
- Learn to use a spacer with the inhaler.

- Use the inhaler every 20 minutes for the first hour of an attack. Continue the medication every 4 hours until symptoms are gone.