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Using a Metered-Dose Inhaler With a Spacer (Child)

Shake inhaler and attach spacer: Step 1

Photo of a girl putting the inhaler mouthpiece into the spacer

Shake the inhaler and remove the inhaler cap. Check the inhaler instructions to see if you need to prime your inhaler before you use it. If it needs priming, follow the instructions on how to prime your inhaler. Then place the mouthpiece of the inhaler into the spacer.

Remove the spacer cap: Step 2

Photo of a girl removing the spacer cap

Remove the cap from the spacer.

Hold the inhaler upright: Step 3

Photo of a girl holding the inhaler upright

Hold the inhaler upright with the mouthpiece at the bottom.

Breathe out slowly and completely: Step 4

Photo of a girl breathing out

Tilt your head back slightly and breathe out slowly and completely.

Place the spacer's mouthpiece: Step 5

Photo of a girl placing the spacer mouthpiece in her mouth

Place the spacer's mouthpiece in your mouth.

Press down on the inhaler and breathe in: Step 6

Photo of a girl pressing down on the inhaler and breathing in

Press down on the inhaler to spray one puff of medicine into the spacer and then start breathing in slowly (press first, then breathe in). Then hold your breath for 10 seconds, to give the medicine time to settle in your lungs.

If you need to take a second dose, wait 30 to 60 seconds to allow the inhaler valve to refill.

ByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Specialist Medical ReviewerLora J. Stewart
Last RevisedMarch 17, 2011

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