 [ Symptoms ] does drinking gurling with cold water stop hiccups does gargling with cold water stops hiccups [ Disease ] the primary difference is the way albuterol is propelled from the canister into the lungs but some patients will notice that the blast of spray is gentler with hfa devices the feel is a little different so if somebody is switching if they are not aware that the hfa jet is more gentle they might feel they are not getting the same amount it is just as effective but people is expectations need to match what they are receiving  says martha white md an allergist in wheaton md three of four inhalers available   proventil hfa proair hfa and ventolin hfa    dispense albuterol the fourth hfa inhaler xopenex carries levalbuterol    another bronchodilator agent of the same class as albuterol the hfa propellant also is gummier than the cfc propellant so it is important to clean the plastic sleeve that holds the canister ideally after each use but at least once a week users may also notice a difference in taste hfa inhalers also need to be primed or sprayed a few times in the air before using according to guidelines from the american academy of allergy asthma & immunology