What is a puffer?
A metered-dose inhaler also called a puffer is made up of a metal canister inserted into a plastic holder. The metal canister contains the medication. When the canister is pushed down, it sprays a puff of medication out.
What is a spacer?
A spacer is a device that attaches to the puffer. It slows down how fast the medication is delivered and allows you to breathe it directly into your lungs. Without a spacer, the medication sprays into your mouth and throat and less of it reaches your lungs.
To use a spacer with a mouthpiece you need to be able to seal your lips around the mouthpiece and be able hold your breath once the medication has been delivered to your lungs.
How to take medication with a puffer using a spacer with a mouthpiece
You can watch the video or follow the steps below to learn how to take medication using a puffer with a spacer with a mouthpiece.
Step 1: Get the puffer and spacer ready
Make sure the spacer is clean and dry. Take the cap off the puffer and shake it five times. Hold the puffer upright and insert it into the hole at the end of the spacer. The puffer should fit tightly in the hole. Next, remove the cover from the mouthpiece of the spacer. And gently breathe out.
Step 2: Put the spacer with a mouthpiece in your mouth
Put the mouthpiece in your mouth between your teeth and make sure your tongue is flat. Close your lips around it.
Step 3: Give the medicine
Hold the puffer with a finger on top of the metal canister and your thumb on the bottom. Press down on the inhaler once. The medication will be delivered into the spacer. Slowly take one deep breath until your lungs fill up. Hold your breath while you slowly count to 10, if you can. This allows the medication time to reach the lungs.
Step 4: Breathe out
Breathe out through your nose if you are able. Repeat steps 1 to 4 when more than one puff is prescribed.
My puffer is making a whistling sound
If you hear a whistling sound, such as heard in the video below, then you may be breathing in too fast. Try taking a slower, deeper breath.
