Asthma inhalers: how do I use my puffer?
There are a number of different devices for delivering asthma medicine into your lungs. One of the most commonly used is the aerosol inhaler or puffer. The medicine contained in the aerosol inhaler is in a fine mist. When you press the canister this mist is released, and you breathe in to deliver the medicine to your airways. It is important that you use your inhaler correctly, so that you receive the correct dosage.
How to use your inhaler
- Remove the cap from the mouthpiece, ensuring that the mouthpiece is free from dust and grit.
- Hold the inhaler upright and give it a good shake.
- Breathe out until your lungs feel comfortably empty.
- Tilt your head slightly back.
- Put the mouthpiece in your mouth, and close your lips around it. (Do not bite the mouthpiece).
- Start to breathe in slowly and deeply through your mouth, and at the same time press down firmly on the canister to fire one puff of the medication (use both hands if you cannot manage with one). Continue to breathe in slowly and deeply.
- Remove the inhaler from your mouth, continuing to hold your breath for about 10 seconds.
- Breathe out gently through your nose.
- Replace the cap.
- If you need to take a second puff, wait about a minute before repeating steps 2-8.
If you have problems coordinating drug release and inhalation, you may be better using the puffer in conjunction with a spacer. Alternatively, you may be better off using a breath-activated device such as Autohaler or Turbuhaler, which may also be more appropriate for people who have arthritis of the hands and find pressing the device difficult.
Using a spacer device with your puffer will improve the amount of medicine that reaches your small airways. While not always practical when you are out and about, it is a good idea to use a spacer with your regular preventer puffer.
Don't forget to wash your inhaler regularly. Some inhalers need daily washing and air drying. Your doctor or pharmacist can advise you and show you how to do this properly.
Last Reviewed: 21 October 2009
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