Correct use of Metered-Dose Inhaler with Spacer and Mouthpiece

• Remove the cap and hold inhaler upright.
• Inspect mouthpiece for foreign objects.
• Shake the inhaler.
• Push inhaler into rubber end of spacer.
• Tilt your head back slightly and breathe out slowly.
• Place mouthpiece in mouth.
• Press down on the inhaler to release puff of medication as you start to breathe in slowly.
• Breathe in slowly (3 to 5 seconds).
• Hold your breath for 10 seconds to allow the medicine to reach deeply into your lungs.
• Repeat puffs as directed. Waiting 1 minutes between puffs helps the second puff to get farther into your lungs.

Avoid common inhaler mistakes.
Follow these inhaler tips:

• Breathe out before pressing your inhaler.
• Inhale slowly.
• Breathe in through your mouth not your nose.
• Press your inhaler only once while you are inhaling (one breath for each puff)
• Make sure you breathe in evenly and deeply.