these are the general steps for using a spacer. be sure to read the instructions that come with yours. they may be slightly different. 1. remove the caps from the metered dose inhaler and spacer. 2. insert the inhaler into the open end of the spacer. 3. shake the inhaler for a few seconds. 4. breathe out completely. 5. place the mouthpiece of the spacer between your teeth. seal your lips tightly around it. 6. press the canister once. 7. breathe in slowly through your mouth for about three to five seconds. if you hear a hornlike sound slow down. this means you are breathing too quickly. 8. hold your breath for at least 10 seconds. 9. if your doctor prescribed more than one puff of chronic obstructive pulmonary disease medication wait about one minute and repeat steps 3 through 8. 10. remove the spacer from the inhaler and replace the caps on the inhaler and spacer. 11. gargle and rinse your mouth with water or mouthwash.
how do i use a metered dose inhaler with a spacer?