INHALER TECHNIQUES

1.    Remove the cap and hold inhaler upright.

2. Shake the inhaler.

3. Tilt your head back slightly and breathe out slowly.

4. Position your inhaler in one of the following ways (A or B is best, but C is acceptable for those who have difficulty with A or B. C is required for breath- activated inhalers):

5. Press down on the inhaler to release medication as you start to breathe in slowly.

6. Breathe in slowly (3 to 5 seconds).

7. Hold your breathe for 10 seconds to allow the medicine to reach deeply into your lungs.

8. Repeat puff as directed. Waiting 1 minute between puffs may permit second puff to penetrate your lungs better.

9. Spacers/holding chambers are useful for all patients. They are particularly recommended for young children and older adults and for use with inhaled corticosteroids.

INHL