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How to Use a Metered Dose Inhaler (MDI) with Spacer

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Watch my step-by-step video here for a clear demonstration: How to use MDI with Spacer – Dr Balachandra BV

 https://www.youtube.com/watch?v=7MQK_2tPItc 

Step-by-Step Guide to Using an MDI with Spacer 

Prepare the Spacer and Inhaler 

  • Usually, the spacer comes in two parts that need to be joined and locked securely. 
  • Open the mouthpiece cover and attach the MDI inhaler to the spacer firmly. 
  • Shake the inhaler vigorously 4 to 5 times before each use. 
  • If it is the first time using the inhaler, release 2-3 test sprays into the air to prime it. 

Inhale the Medicine 

  • Press the inhaler canister once to release the medicine. 
  • Breathe in slowly and deeply through your mouth for about 4 to 5 seconds. 
  • Remove the spacer from your mouth and hold your breath for at least 10 seconds (if possible, up to 20 seconds). 
  • if patient is unable to hold breath for more than 10 seconds then do slow normal breathing for 5 to 6 times without removing spacer 
  • Exhale slowly through your nose. 

    Repeat if Needed 

  • If your doctor prescribes two doses, shake the inhaler again before the second puff and repeat the process. 

    Care and Maintenance 

  • Wash the spacer once a week in regular (not hot) water with mild soap; air dry thoroughly. 
  • Do not wipe the spacer with cloths. 
  • Replace your spacer every six months to maintain medication delivery efficiency. 
  •  After using your inhaler with a spacer, drink water and gargle to reduce any medication residue in your throat. 

     

    Conclusion 

  • Correct use of an MDI with a spacer ensures better delivery of medicine, improved symptom control, and fewer side effects. Practice the steps regularly and consult your doctor if you experience any difficulty.  

    References: 

  • Dr Balachandra BV, Allergy Central (Video)

    https://www.youtube.com/watch?v=7MQK_2tPItc    

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