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The Asthma Section

Asthma Devices and How They Work

IMG_1633Most of the commonly used asthma medications are inhalers. These devices deliver medications right to the lungs, allowing them to work only where they are needed.

Tips for Using Inhalers

1. Using inhalers correctly ensures maximum benefit of the medication. To check if you are using your inhaler correctly, demonstrate your technique in front of your doctor or asthma educator.

2. Stand up or sit up straight when you use any inhaler – this naturally expands the lungs.

3. Breathe all the way out before inhaling the medication, and hold your breath in for a count of 10 after inhaling a dose.

4. If you use an inhaler only occasionally, check its expiry date to make sure the product is still usable.

5. If you need to use two puffs, inhale one puff at a time and separate each dose by 30 seconds.

6. If you need to administer a bronchodilator and an inhaled corticosteroid (ICS) at the same time, use the bronchodilator first and the ICS 1 minute later. The bronchodilator will open the airway allowing greater penetration of the ICS.

7. Keep your inhalers in a cool, dry place. Powder inhalers are particularly susceptible to clogging.

Metered Dose Inhalers (MDIs)

The metered-dose inhaler is the most common puffer used today. Examples of MDIs include Ventolin, Flovent HFA and Atrovent.

The correct use of this inhaler is important in order to ensure that the medication, which is travelling at almost 100 km/h, does not just hit the back of the throat.

The best way to use an MDI is with a spacer device, which minimizes the drug deposition in the mouth and throat by enhancing drug delivery deep into the lungs. If you’re using an MDI without a spacer, you need to co-ordinate pressing down on the canister and inhaling the aerosolized medication so that those two actions occur at the same time.

Things to Remember

– Rinse your mouth after using your metered-dose inhaler to prevent thrush.
– The sleeve of the inhaler can be removed and cleaned with soap and water when needed, but ensure to dry it thoroughly.
– The removable cap should be replaced after each use to keep dust and dirt from clogging the spray orifice.
– You will know that your MDI is empty when the spray stream is weak and insufficient amount of medication is released, or when the counter window approaches zero, but not by shaking the inhaler.


Turbulahers are dry powder devices that deliver medication when you breathe in. Examples of turbuhalers are Symbicort and Oxeze.To load a dose, turn the base right, then left and listen for a “click”. There is very little powder that is dispensed, so you may not feel the medication enter your airway. The counter window will tell you how many doses are left; when shaking the inhaler you are hearing a desiccant, a powder that keeps the inhaler dry. Replacing the cap is important because it prevents humidity and heat from clogging the inhaler.

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