An estimated 90% of patients use their metered dose inhaler incorrectly.
Inadequate inhaler technique lowers drug deposition to the lungs, wastes medication and may lead to poor disease control, reduced quality of life, increased emergency hospital admissions and higher treatment costs.
Please show this blog post and video to your friends and family - so that they can master their inhaler technique when using a spacer device and manage their respiratory condition better. At Gordons Chemists, you can have a Medicines Use Review carried out by your pharmacists. We'll sit down with you in private and discuss your Asthma medication, and make sure that you're taking it correctly.
How to use a Spacer Device with your Inhaler
1) Remove the inhaler and spacer cap. Carefully examine the products for damage, missing parts, or foreign objects. Remove any foreign objects prior to use. The products should be replaced immediately if there are any damaged or missing parts.
2) Firmly fit the two halves of the spacer together (If necessary).
3) Stand or sit upright when using your inhaler and spacer.
4) If you are starting a new inhaler or have not used the inhaler for more than one week you must prime your inhaler. Please read the information leaflet of your inhaler for instructions.
5) Hold the inhaler upright, insert into the spacer and shake 4 or 5 times.
6) Breathe out gently.
7) (Mouthpiece Spacer - Adults) Place the mouthpiece between your teeth without biting and form a good seal around it with your lips.
7) (Masked Spacer - Adults & Children) Apply mask to face and ensure an effective seal.
8) (Mouthpiece Spacer - Single Breath Technique - Adults) Press the inhaler at the beginning of a slow inhalation. Breathe in slowly and deeply through the mouth until a full breath has been taken. Hold breath for 5-10 seconds or however much comfortable.
8) (Mouthpiece Spacer - Tidal Breathing Technique - Adults) Press the inhaler at the beginning of a slow inhalation. Breathe in slowly and deeply through the mouth until a full breath has been taken. Keep lips tight on the mouthpiece breathing normally 2-3 times through the chamber.
8) (Masked Spacer - Tidal Breathing Technique - Adults & Children) Press the inhaler at the beginning of a slow inhalation. Breathe in slowly and deeply through the mask until a full breath has been taken. Keep mask tight on the face breathing normally 5-6 times through the chamber.
9) If you have done the SINGLE BREATHING TECHNIQUE, remove mouthpiece from you mouth and hold your breath for 10 seconds or as long as is comfortable.
9) If you have done the TIDAL BREATHING TECHNIQUE, holding your breath is not necessary simply remove spacer.
10) If you have been advised to take another dose repeat the process again after 30-60 seconds.
11) Remove inhaler from spacer and replace the caps straight away to keep out dust.
Ensure the spacer is the correct one to fit your inhaler.
If your inhaler contains a corticosteroid rinse your mouth out with water after your dose.
If you're ever unsure about your inhaler technique always double check with your pharmacist, nurse practitioner or GP.
Always read the patient leaflet provided with your inhaler and spacer for any specific instructions.
About Abraham The Pharmacist:
Abraham is a British - Persian - Iranian prescribing media pharmacist who loves science, making videos and helping people. He works in both GP surgeries and community pharmacy. You can follow him at:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.