
pMDI (without spacer)
- Remove inhaler cap
- Hold inhaler upright and shake well
- Breathe out gently, away from the inhaler
- Put mouthpiece between teeth without biting and close lips to form a good seal
- Breathe in slowly through the mouth and, at the same time, press down firmly on canister
- Keep breathing in slowly and deeply and hold breath for about 5 seconds or as long as comfortable
- While holding breath, remove inhaler from mouth
- Breathe out gently, away from the inhaler
- If an extra dose is needed, repeat steps 2 to 8
- Replace cap
pMDI with spacer
- Prepare the spacer*
- Remove inhaler cap
- Hold inhaler upright and shake well before inserting into spacer
- Put mouthpiece between teeth without biting and close lips to form a good seal
- Breathe out gently, into the spacer
- Hold spacer level and press down firmly on inhaler canister once
- Breathe in slowly and deeply and hold breath for around 5 seconds or as long as comfortable. Take spacer out of mouth while holding breath
- Breathe out gently
- Remove inhaler from spacer
- If an extra dose is needed, repeat steps 3 to 9
- Replace cap on inhaler
* New plastic spacers should be prewashed in warm water and dishwashing detergent and air-dried before first use.