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.