TL;DR
- For MDIs: shake, slow deep inhale with actuation, hold breath ~10 seconds, and consider a spacer.
- For DPIs: fast, deep inhalation without a spacer; do not exhale into the device.
- Rinse mouth after ICS use to reduce thrush risk; check technique regularly.
Metered‑dose inhalers (MDI)
- Shake, exhale fully, seal lips, start to inhale slowly and press the canister, continue slow deep breath.
- Hold breath about 10 seconds, then exhale gently. Wait ~30–60 seconds between puffs if using more than one.
- Use a spacer if coordination is difficult or for ICS delivery.
Dry‑powder inhalers (DPI)
- Prepare a dose per device instructions. Exhale away from device, then inhale quickly and deeply.
- Do not blow into the device. Check dose counter and storage conditions.
Disclaimer
Informational only. Always follow your device’s instructions and your clinician’s advice.
References
- GINA Pocket Guide. ginasthma.org
- NHLBI Asthma Guidelines. nhlbi.nih.gov