Cvs inhaler spacer

Flovent HFA (and its authorized generic) is a metered-dose asthma inhaler. To use, the cannister is squeezed. This dispenses the medication, which the patient inhales. Doctors direct patients to use it with a spacer for the most effective distribution of medication, and ease of use for children. Oermann outlines the other types of inhalers ...

Cvs inhaler spacer. A spacer is an attachment that fits onto the end of your inhaler. If you use your inhaler without a spacer, then most of the medicine ends up inside your mouth or stomach, instead of your lungs, where it works best. The spacer acts as a holding chamber where the medicine sits as a fine mist that you can then breathe in very slowly.

Aerochamber Plus Flow Vu Spacer is the gold standard in Spacers: Responsive one-way Inspiratory Valve – Retains medication inside the chamber for the next breath. Aerochamber is an inhaler spacer designed to help patients inhale metered-dose inhalers correctly. The majority of people do not use their inhalers properly.

Dec 28, 2023 ... But CVS Caremark, a major pharmacy benefit manager that determines which medicines are covered by insurance for its members, is giving ...Start breathing in slowly through your mouth. Spray 1 puff into the spacer by pressing down on the inhaler. Continue breathing in slowly. Breathe as deeply as you can. Take the spacer out of your mouth. Hold your breath as you count to 10, if you can. If not, hold your breath for as long as you are able.However, compared to a metered dose inhaler-spacer (MDI-spacer), it takes more time and personnel. This study aimed to compare the efficacy of salbutamol aerosol therapy given via these two devices in young wheezing children. A prospective randomized, double-blind, placebo-controlled trial was performed in children up to 5 years old who had ...Get FREE shipping on eligible Primatene products at CVS Pharmacy. Find the latest products, reviews, and photos!There are basically two types of Albuterol-based inhalers available in the market today. These are the Metered-Dose Inhalers (MDI) and the Dry Powder Inhalers (DPI). According to Internationalpharm.net, the price of inhalers that are metered-dose are as follows: 1 Proventil HFA Inhaler – 100mcg – $$48.62. 3 Proventil HFA Inhaler – 100mcg ...Jul 6, 2023 ... ... Albuterol Sulfate Inhalation Aerosol, 90 mcg (200 Metered Inhalation) ... inhaler valve. Out of an abundance of precaution, the above ...

How to use your inhaler and spacer. 1. Take the cap off the inhaler If you need another puff of medicine, wait 1 minute then repeat steps 5-9. 8. Hold your breath for 10 seconds . if you can. Then breathe out slowly. 7. Breathe in . SLOWLY, DEEPLY. 2. Shake the inhaler for 5 seconds. 9. Rinse with water and . SPIT OUT. 4. Breathe . OUT. all the ...A spacer is an attachment that fits onto the end of your inhaler. If you use your inhaler without a spacer, then most of the medicine ends up inside your mouth or stomach, instead of your lungs, where it works best. The spacer acts as a holding chamber where the medicine sits as a fine mist that you can then breathe in very slowly.Are you a CVS Caremark member looking to access your account online? With the convenience of the CVSCaremark.com login, you can easily manage your prescriptions, view your plan inf...Inhaler Spacer for Adults, Aerochamber Spacer with Comfortable Adult Face Mask, Spacer for Inhaler & MDI, Improves Pump & Aeroflow Chamber Delivery for Asthma, Blue $18.39 $ 18 . 39 ($18.39/Count) Get it as soon as Thursday, Mar 21Find out more about inhaler choices. Call our Helpline for support with your condition. Get advice on your medicines, symptoms or travelling with a lung condition, or just call us to say hello. Call us. 0300 222 5800. Email us. [email protected]. WhatsApp helpline (asthma) 07999 377 775.How to Use the Inhaler and Spacer. Remove the mouthpiece caps from the spacer and the inhaler. Put the inhaler mouthpiece into the larger end of the spacer. Shake the inhaler and spacer well to mix the medicine. Sit upright, tilt head back slightly and breathe out to empty the lungs of air. Put the spacer mouthpiece in the mouth and seal the ...A spacer holds medication in a tube between the inhaler and your mouth after it's released. A valved holding chamber is a specialized spacer with a one-way valve to help regulate the flow of medication. Releasing the medication into the spacer allows you to inhale more slowly, increasing the amount that reaches your lungs.The Monaghan AeroChamber Plus Z Stat optimizes the efficiency of drug delivery by increasing aerosol suspension time and creating more space for the medication’s particles to flow to the lungs. This makes treatment more effective as the aerosol quickly bypasses the mouth and throat, reducing the bad residual taste in the mouth that often …

Inhalers vary based on their design and delivery method (metered dose, metered dose with a spacer and dry powder inhaler, for example), as well as the type or types of medication delivered ...Mist Epinephrine Inhalation Aerosol 160 Metered Sprays - 1 ea. (1409) $32.99 $80.46 / oz. Pickup. Same Day Delivery unavailable. Shipping. Add to cart. Vicks. Portable Nasal Inhaler, Non-Medicated Menthol - 2 ea.Get FREE shipping on eligible Flonase products at CVS Pharmacy. Find the latest products, reviews, and photos! Temporary Redirect. Redirecting to /shop/cvs-health-nasal-decongestant-vapor-inhaler-prodid-159734 Carrying Case for Asthma Inhaler, Inhaler Spacer for Kids and Adults, Masks, Inhaler Holder Asthma Travel Organize Bag, Pocket Fits Allergy Meds, Ventolin Inhaler, Rose Gold (Case Only) 195. $1699 ($16.99/Count) Save more with Subscribe & Save. Save 5% with coupon. FREE delivery Fri, Apr 26 on $35 of items shipped by Amazon.A spacer will help keep you from coughing when using an inhaler. A spacer will also help prevent you from getting a yeast infection in your mouth (known as thrush) when taking inhaled steroid medicines. Using a spacer or holding chamber with a mouthpiece is best, but if a young child or adult is unable to use one a face mask works well.

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top of the inhaler to spray one dose of medicine. Slowly breathe in all the air you can and hold for 5-10 seconds. Put the inhaler mouthpiece into the end oft e spacer. Close your …You need to use your rescue inhaler more often than usual or your rescue inhaler doesn’t work as well at relieving symptoms; BREYNA may cause serious side effects, including: Using too much of a LABA medicine may cause chest pain, fast and irregular heartbeat, tremor, increased blood pressure, headache or nervousnessHow to use your inhaler and spacer. 1. Take the cap of the inhaler. 4. Breathe OUT all the way. 7. Breathe in SLOWLY, DEEPLY. 9. Rinse with water and SPIT OUT. 2. Shake the inhaler for 5 seconds. 5. Close lips around mouthpiece. 8. Hold your breath for 10 seconds if you can. Then breathe out slowly.Nighttime symptoms: Note when you wake up at night from an asthmatic episode. Jot down the symptoms you experienced, such as coughing, wheezing, chest tightness or shortness of breath. Quick-relief or rescue inhalers: These are often prescribed for immediate relief of asthma symptoms. Note how often you need to use it.

Customers can contact the Human Resources department for CVS by visiting different websites that may have this information, such as CVSHealth.com, GetHuman.com and EthicsPoint.com....Feb 26, 2023 ... Music in tbe CVS today on point as i pray for my prior auth to be approved #sayalittleprayer #priorauthorizationnightmares #healthinsurance ...Benefits of using an inhaler spacer for asthma. Uniform spray. The inhalation spacer filters out large aerosol particles and slows down the rate of drug intake into the body, does not interrupt reflex inhalation. The atomization rate of simple metered-dose inhalers exceeds the inhalation rate, so the medicine settles on the back wall of the ...Jun 18, 2018 · Finally, when considering real-life outcomes of using spacers/VHCs, it is clear that many other influences may potentially affect these, including the precise pMDI–spacer/VHC combination being used, spacer/VHC priming and maintenance, aspects of inhaler technique uninfluenced by spacers/VHCs, and the compliance of the patient with spacer/VHC ... Read the “Instructions for Use” for Tiotropium Bromide Inhalation Powder before you use your inhaler. Talk with your doctor if you do not understand the instructions. For more information about tiotropium bromide inhalation powder, visit our website at www.lupinpharmaceuticals.com , or call Lupin Pharmaceuticals, Inc. at 1-800-399-2561.Atrovent (Ipratropium Inhalation) received an overall rating of 5 out of 10 stars from 10 reviews. See what others have said about Atrovent (Ipratropium Inhalation), including the ...If you’re a resident or visitor in Honolulu, you may have come across the name “Longs Drug CVS.” With its numerous locations scattered throughout the city, Longs Drug CVS has becom...Rinsing the mouth, gargling after using the asthma inhaler, and using a spacer device with metered-dose inhalers can help prevent these side effects. A spacer device is a plastic tube that attaches to the inhaler and holds the medication until you can breathe in the medicine. Younger children may also need a mask along with a spacer …Metered dose inhalers (MDIs), dry powder inhalers (DPIs), and nebulizers are the popular modes of aerosol delivery. A spacer is an external device that is attached to an MDI to allow for better drug …Jun 18, 2018 · Finally, when considering real-life outcomes of using spacers/VHCs, it is clear that many other influences may potentially affect these, including the precise pMDI–spacer/VHC combination being used, spacer/VHC priming and maintenance, aspects of inhaler technique uninfluenced by spacers/VHCs, and the compliance of the patient with spacer/VHC ...

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Whether you’re using an inhaler with or without a spacer, here are the steps to use your inhaler: Shake the inhaler 10-15 times and take the cap off. Breathe out all the way. Put the inhaler or spacer in your mouth. Press down to release the medicine. Breathe in slowly for 3-5 seconds. Hold your breath for 10 seconds.Description. Introducing the Monaghan Medical Aerochamber Plus® Z STAT® Anti-Static Valved Holding Chamber with FLOWSIGNAL® Whistle, a revolutionary advancement in inhaler technology. This chamber is meticulously designed to maximize the performance of pMDI formulations, ensuring efficient and effective drug delivery to your lungs.Sign-Up for Our Health e-Hints Newsletter. A spacer resembles a cylindrical tube creates “space” between your child’s mouth and the medicine. This space helps the medicine break into smaller droplets which can move easier and deeper into the lungs and therefore works very well to help your child breathe better.Therefore, the use of an MDI with a spacer to deliver albuterol in the emergency room is an important alternative to the use of nebulizers in asthmatic patients with acute flare-ups. Newman KB, et al.Clean your inhaler chamber spacer according to their package instructions. 00:02:15;19 -00:02:18;26. If you have trouble using the inhaler correctly, ask your .Flovent HFA (and its authorized generic) is a metered-dose asthma inhaler. To use, the cannister is squeezed. This dispenses the medication, which the patient inhales. Doctors direct patients to use it with a spacer for the most effective distribution of medication, and ease of use for children. Oermann outlines the other types of inhalers ...Introduction. Development of the pressurised metered-dose inhaler (pMDI) in the mid-1950s paved the way for widespread, personalised delivery of topical inhaled therapy for the pharmacological management of obstructive airways diseases (asthma and chronic obstructive pulmonary disease (COPD)), which has since proved its worth in terms of benefit/risk ratio and tolerability.How to Use Your Metered-Dose Inhaler with Spacer and Mask (Spanish) Your tax-deductible donation funds lung disease and lung cancer research, new treatments, lung health education, and more. Watch this American Lung Association video to learn the correct way to use your metered dose (MDI) asthma inhaler with a spacer.234 WASHINGTON ST, HUDSON, MA 01749. Get directions (978) 562-2663. Today's hours. Store & Photo: Closed , opens at 7:00 AM. Pharmacy: Closed , opens at 8:00 AM. MinuteClinic®: Closed , opens at 8:00 AM. Pharmacy closes for lunch from 1:30 PM to 2:00 PM. In-store services: COVID-19 vaccine.

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Jul 6, 2023 ... ... Albuterol Sulfate Inhalation Aerosol, 90 mcg (200 Metered Inhalation) ... inhaler valve. Out of an abundance of precaution, the above ...In fact, around 67% of Medicare plans offer coverage for the branded inhaler, Ventolin. Moreover, the is influenced by the specific plan and medication tier. While Medicare Part D covers prescription inhalers, Part B steps in to cover outpatient treatments, nebulizers, and supplemental oxygen for individuals with respiratory conditions.Therefore, the use of an MDI with a spacer to deliver albuterol in the emergency room is an important alternative to the use of nebulizers in asthmatic patients with acute flare-ups. Newman KB, et al.A spacer is a device that you attach to a metered-dose inhaler before you take medication. It helps deliver medicine to the airways and the lungs instead of to the mouth or throat. A spacer can also make your inhaler easier to use and it can reduce the risk of side effects. Ask your healthcare provider if a spacer is right for you.Administration of four separate doses of 100 μg of short-acting β 2-agonist salbutamol using a metered-dose inhaler (MDI) with spacer is recommended by the American Thoracic Society (ATS)–European Respiratory Society (ERS) joint guidelines since 2005 to minimize the variance between different laboratories. 2 The guidelines in …Temporary Redirect. Redirecting to /shop/vicks-personal-steam-inhaler-prodid-408296Spacers are plastic tubes that attach to the end of an inhaler. Learn about their benefits, how to use and clean them, and other tips. For AeroChamber Plus® Z STAT® aVHC with mask, superior fit is snug with secure seal, limiting entrainment of ambient air and maximizing drug delivery even at low inspiratory flows. Features & Benefits: Anti-static polymer helps aid in effective medication delivery. Built-in whistle alerts patients of improper technique when inhaling too quickly. Atrovent (Ipratropium Inhalation) received an overall rating of 5 out of 10 stars from 10 reviews. See what others have said about Atrovent (Ipratropium Inhalation), including the ...Use with Crane's vapor pads (HS-1950 & HS-1950L) for an elevated experience to help you and your family breathe easy and sleep through the night peacefully. INSTANT RELIEF: Produces non-medicated bacteria-free steam to inhale for an extended time. Hydrates Nasal Passages to ease discomfort in the Nose and Throat, from Allergies, Cold and Flu ...Easy Reorder. Order Status & History. Express pharmacy orders. Online shop orders. Photo orders. Get FREE shipping on eligible Steam Inhaler products at CVS Pharmacy. Find the latest products, reviews, and photos! ….

Carrying Case for Asthma Inhaler, Inhaler Spacer for Kids and Adults, Masks, Inhaler Holder Asthma Travel Organize Bag, Pocket Fits Allergy Meds, Ventolin Inhaler, Rose Gold (Case Only) 195. $1699 ($16.99/Count) Save more with Subscribe & Save. Save 5% with coupon. FREE delivery Fri, Apr 26 on $35 of items shipped by Amazon. Cat Inhaler Spacer, Aerosol Chamber for Pets, Handheld Spacer with Exclusive Breathing Indicator and Mask, Easy to Use. $1756 ($17.56/Count) Save 10% with coupon. FREE delivery Thu, Apr 11 on $35 of items shipped by Amazon. Or fastest delivery Wed, Apr 10. Supplements, including vitamins, aren’t subject to the same testing requirements as drugs. The FDA takes a hands-off approach, allowing companies to do their own quality control. A...Using a spacer with an HFA inhaler is the best way to get your asthma or COPD medication into your lungs where it can take effect. Spacers are especially helpful for children, older adults, and anyone who struggles to coordinate their hand actions and breath.You can control your asthma and avoid an attack by taking your medicine exactly as your doctor or other medical professional tells you to do and by avoiding things that can cause an attack. Watch a video to follow along with the correct way to use your metered dose inhaler. Print the step-by-step instructions and keep them with your Asthma ...Inhalation is the process of bringing air into the lungs while exhalation is the process of pushing the air out of the lungs. Inhalation helps the body bring in oxygen and exhalati...Using a spacer with an HFA inhaler is the best way to get your asthma or COPD medication into your lungs where it can take effect. Spacers are especially helpful for children, older adults, and anyone who struggles to coordinate their hand actions and breath.Mist Epinephrine Inhalation Aerosol 160 Metered Sprays - 1 ea. (1409) $32.99 $80.46 / oz. Pickup. Same Day Delivery unavailable. Shipping. Add to cart. Vicks. Portable Nasal Inhaler, Non-Medicated Menthol - 2 ea.you need to use your rescue inhaler more often than usual. your rescue inhaler does not work as well to relieve your symptoms. you need to use 4 or more inhalations of your rescue inhaler in 24 hours for 2 or more days in a row. you use 1 whole canister of your rescue inhaler in 8 weeks. your peak flow meter results decrease. Cvs inhaler spacer, Aerochamber Plus Flow Vu Spacer is the gold standard in Spacers: Responsive one-way Inspiratory Valve – Retains medication inside the chamber for the next breath. Aerochamber is an inhaler spacer designed to help patients inhale metered-dose inhalers correctly. The majority of people do not use their inhalers properly., Cat Inhaler Spacer,Specifically Design for Cats,with Round Shape Silicone Mask,Feline Aerosol Chamber with Breathing Indicator – Include 2 Mask for Best Fit (for cat) 4.2 out of 5 stars. 1,139. 400+ bought in past month. $39.96 $ 39. 96 ($39.96 $39.96 /Count) Save more with Subscribe & Save., The study found that using inhalers with a spacer was just as effective as nebulizers. Another study found that an inhaler and spacer worked better than a nebulizer with fewer side effects for asthma attacks in children. Overall, inhalers are more commonly used for asthma in adults and children. This is typically due to convenience and a wider ..., How to clean your AeroChamber Plus Z Stat aVHC. The AeroChamber Plus® Flow-Vu® aVHC comes apart for easy cleaning and is dishwasher safe to 158 degrees F. Cleaning Instructions. Remove front and back pieces. Soak 15 minutes in soapy water, agitate gently and rinse or place in dishwasher on top rack. Dishwasher instructions can be found with ..., Express pharmacy orders. Online shop orders. Photo orders. CVS Health Sinus Inhaler provides non-medicated steam relief from nasal congestion and sinus irritation caused by allergies, colds, and the flu. Up to 25 minutes of whisper-quiet operation <br/>Comfortable contoured mask<br/>Vapor pads can be used for additional soothing relief., Use of a spacer is a simple and effective way to help improve the use of your inhaler. Spacers help to ensure that your medicine reaches your lungs where it’s needed and limits the amount that ends up in the back of the throat 1.. People who use a valved holding chamber (VHC) such as AEROCHAMBER PLUS* FLOW-VU* chamber, with their …, 7030 HOLLISTER AVENUE, GOLETA, CA 93117. Get directions (805) 562-1480. Today's hours. Store & Photo: Open , closes at 10:00 PM. Pharmacy: Open , closes at 9:00 PM. Pharmacy closes for lunch from 1:30 PM to 2:00 PM. In-store services: COVID-19 vaccine., 3. Hold spacer with the inhaler canister upright. 4. Breathe out fully (in preparation to inhale medication). 5. Tilt head back slightly and put spacer to mouth and close lips around the mouthpiece (tongue and teeth should not block the mouthpiece opening). 6. Release medicine into spacer; squeeze down canister one time. 7., A spacer is a device that helps the medicine get into the lungs. It holds the medicine from the inhaler until the person starts to breathe in. When the person breathes in, the medicine is pulled into the lungs. Always use a spacer, no matter your child’s age. There are many types of spacers that may work a little differently., Mar 14, 2019 · Inhalers vary based on their design and delivery method (metered dose, metered dose with a spacer and dry powder inhaler, for example), as well as the type or types of medication delivered ... , Get albuterol for as low as $19.23, which is 60% off the average retail price of $47.91 for the most common version, by using a GoodRx coupon. Albuterol ( Ventolin, Proair, Proventil) is an inexpensive drug used to treat and prevent bronchospasm. This drug is more popular than comparable drugs. There are brand-name versions of albuterol ..., Inhalační nástavec (aerospacer, chamber) BreatheRite je pomůcka, která usnadňuje podávání lékových sprejů a zajišťuje inhalaci léků přímo do plic., Provide routine health screenings and physicals. Diagnose and treat common illnesses and injuries, such as the flu or sprained ankles. Administer vaccinations and injections. Write prescriptions. Help manage and support chronic conditions, such as diabetes or high blood pressure. Share medical records with a primary care provider., Spacer and holding chamber. The OptiChamber Diamond valved holding chamber is smaller than most conventional chambers. OptiChamber Diamond's intuitive design enhances medication delivery and compliance for patients of all ages, at home or in the hospital. , Symbicort is an inhaled medication that helps to reduce symptoms of chronic obstructive pulmonary disease (COPD) and asthma, both of which are typically long-term lung conditions t..., Using an HFA without a spacer. Take the cap off your inhaler and shake it well. Hold the inhaler with your index finger on top of the canister and thumb on the bottom of the plastic mouthpiece ..., Extra 20% off $40&plus; beauty & personal care with ADORE20; Clip your mystery deal! 25% off Mother’s Day gifts, The MicroChamber® Aerosol Holding Chamber fits most Metered Dose Inhalers (MDI). Easily drops into bag, pocket or purse, and costs much less than similar devices. Small, convenient to carry, dishwasher safe, latex free and anti-static delivery. Free shipping on all purchases over $79.00. Low Price Guarantee. 100% Money-Back Guarantee. $13.99. Qty. , Supplements, including vitamins, aren’t subject to the same testing requirements as drugs. The FDA takes a hands-off approach, allowing companies to do their own quality control. A..., Customers can contact the Human Resources department for CVS by visiting different websites that may have this information, such as CVSHealth.com, GetHuman.com and EthicsPoint.com...., Easy Reorder. Order Status & History. Express pharmacy orders. Online shop orders. Photo orders. Get FREE shipping on eligible Respironics products at CVS Pharmacy. Find the latest products, reviews, and photos!, Walgreens. Vapor Inhaler - 3 ea. (59) $12.99 $433.00 / oz. 30% off myWalgreensWalgreens Brand Products Coupon. Pickup. Same Day Delivery unavailable. Shipping. Add to cart., However, compared to a metered dose inhaler-spacer (MDI-spacer), it takes more time and personnel. This study aimed to compare the efficacy of salbutamol aerosol therapy given via these two devices in young wheezing children. A prospective randomized, double-blind, placebo-controlled trial was performed in children up to 5 years old who had ..., After getting orthodontic spacers, patients can eat the foods they normally eat with the exception of sticky foods, such as gummy candies, caramel and taffy, explains Theresa Shave..., You need to use your rescue inhaler more often than usual or your rescue inhaler doesn’t work as well at relieving symptoms; BREYNA may cause serious side effects, including: Using too much of a LABA medicine may cause chest pain, fast and irregular heartbeat, tremor, increased blood pressure, headache or nervousness, Nov 16, 2021 · A spacer chamber is sometimes used with an MDI. A spacer is a mouthpiece that connects to your inhaler with a plastic tube. It helps the medication reach your lungs instead of sticking around inside of your mouth. Spacers only work with MDIs — and they make MDIs much easier to use. For help on how to use a spacer with an MDI, check out this ... , Dec 4, 2023 · By simply attaching a valved holding chamber or spacer to your metered-dose inhaler, you can: Help the medicine move past your mouth and throat and get deep into your lungs. Avoid problems with spraying and breathing at the same time. Avoid breathing the medicine in too fast. , Hold the mask over your child’s face with one hand. Hold the spacer with the other hand and press the MDI down firmly with your thumb. This will release one puff into the spacer. Hold the mask over your child’s nose and mouth for 10 to 15 seconds. This should allow your child to take about six breaths., A spacer holds medication in a tube between the inhaler and your mouth after it's released. A valved holding chamber is a specialized spacer with a one-way valve to help regulate the flow of medication. Releasing the medication into the spacer allows you to inhale more slowly, increasing the amount that reaches your lungs., In fact, around 67% of Medicare plans offer coverage for the branded inhaler, Ventolin. Moreover, the is influenced by the specific plan and medication tier. While Medicare Part D covers prescription inhalers, Part B steps in to cover outpatient treatments, nebulizers, and supplemental oxygen for individuals with respiratory conditions., Read the “Instructions for Use” for Tiotropium Bromide Inhalation Powder before you use your inhaler. Talk with your doctor if you do not understand the instructions. For more information about tiotropium bromide inhalation powder, visit our website at www.lupinpharmaceuticals.com , or call Lupin Pharmaceuticals, Inc. at 1-800-399-2561., Cat Inhaler Spacer,Specifically Design for Cats,with Round Shape Silicone Mask,Feline Aerosol Chamber with Breathing Indicator – Include 2 Mask for Best Fit (for cat) 1,137. 300+ bought in past month. $3996 ($39.96/Count) Save more with Subscribe & Save. FREE delivery Thu, Mar 28. Or fastest delivery Wed, Mar 27., 3 Attach inhaler to spacer. 4 Shake the inhaler and spacer to mix up the medicine. 5 Stand or sit up straight. Breatheout slowly. 6 Put the spacer mouthpiece in your mouth and form a tight seal. 7 Press down on the inhaler to put 1 puff of medicine into the chamber. Breathe in slowly and deeply. If spacer makes a whistling noise, breathe more ...